reglab/statecodes huggingface dataset:
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-9 - ABORTION CLINICS › Section 59A-9.030 - Disposal of Fetal Remains

Current through Reg. 50, No. 138; July 16, 2024
Fetal remains shall be disposed of in a sanitary and
				  appropriate manner and in accordance with standard health practices and
				  Chapters 381 and 390, F.S., and Chapter 64E-16, F.A.C.
(1) Storage of Fetal remains at a clinic
				shall:
(a) Not exceed 30 days;
(b) Be in an interior restricted access
				location of the clinic; and,
(c) Be
				packaged and sealed in impermiable, red plastic bags or sharps
				container.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-9 - ABORTION CLINICS › Section 59A-9.031 - Clinical Records

Current through Reg. 50, No. 138; July 16, 2024
(1) A permanent
				individual clinical record shall be kept on each clinic patient. Clinical
				records shall be complete, accurately documented, and systematically organized
				to facilitate storage and retrieval.
(a)
				Clinical records shall contain a printed image of the ultrasound used to
				determine the period of gestation.
(b) Clinical records shall be kept
				confidential and secure.
(c)
				Operative reports signed by the physician performing the second trimester
				abortion shall be recorded in the clinical record immediately following the
				procedure or that an operative progress note is entered in the clinical record
				to provide pertinent information.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-9 - ABORTION CLINICS › Section 59A-9.034 - Reports

Current through Reg. 50, No. 138; July 16, 2024
(1) Pursuant to Section
				390.0112, F.S., an abortion
				clinic and any medical facility in which abortions are performed, including a
				physician's office must submit a report each month to the Agency, regardless of
				the number of terminations of pregnancy, and regardless of method used. Monthly
				reports must be received by the Agency within 30 days following the preceding
				month. Failure to submit this report so that it is timely received by the
				Agency will result in an administrative fine being imposed pursuant to Section
				390.0112, F.S.
(2) Monthly reports for abortions must be
				submitted on the Monthly Report of Induced Terminations of Pregnancy, AHCA Form
				3130-1010 OL, July 2022, which is hereby incorporated by reference. This form
				is only accepted electronically and is available at:
https://apps.ahca.myflorida.com/SingleSignOnPortal/Login.aspx?ReturnUrl=%2fSingleSignOnPortal
.
				A copy of the form can also be found at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-14931
.
(3) Each clinic shall maintain a log of all
				terminations of pregnancy, recording the date of the procedure and period of
				gestation.
Rulemaking Authority 390.012 FS. Law Implemented 390.0112,
					 390.012 FS.
New 6-13-90, Formerly 10D-72.034, Amended 8-24-94, 9-25-06,
					 7-13-08, 5-19-16, 9-26-16, 1-16-17,
					 12-20-22.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-9 - ABORTION CLINICS › Section 59A-9.035 - Abortion Referral or Counseling Agency Registration

Current through Reg. 50, No. 138; July 16, 2024
(1) Registration pursuant to this rule is
				only required of registrants who are not exempt from registration pursuant to
				subsection 390.025(4),
				F.S., and who are paid for the particular purpose of providing advice or
				assistance to persons in obtaining abortions or in pursuing alternatives to
				abortion.
(2) All applicants
				requesting registration of an abortion referral or counseling agency under the
				provisions of Chapter 390, F.S., shall make application to the Agency on the
				Health Care Registration, Abortion Referral or Counseling Agency, AHCA Form
				3130-1020, February 2017, which is incorporated by reference. The form can be
				obtained at
https://www.flrules.org/Gateway/reference.asp?No=Ref-08458
,
				and from the Agency for Health Care Administration, Hospital and Outpatient
				Services Unit, Mail Stop #31, 2727 Mahan Drive, Tallahassee, Florida 32308, or
				on the Agency website at:
				http://ahca.myflorida.com/HQAlicensureforms.
(3) A registration fee as listed on the
				application shall accompany each application for initial or renewal
				registration. The fee shall be made payable to the Agency and is not
				refundable.
(4) Each registration
				shall be valid only for the registrant to whom it is issued and shall not be
				subject to sale, assignment, or other transfer, voluntary or involuntary, nor
				shall a registration be valid for any premises other than for which it was
				originally issued.
(5) A current
				registration shall be posted in a conspicuous place within the premises where
				it can be viewed by patients.
(6) A
				registration, unless sooner suspended or revoked, shall automatically expire
				two years from the date of issuance, and shall be renewable biennially upon
				application for renewal and payment of the fee prescribed by the application,
				provided that the applicant and abortion referral or counseling agency meet the
				requirements established under Chapter 390, F.S., and Rule Chapter 59A-9,
				F.A.C.
Rulemaking Authority 390.025(5) FS. Law Implemented 390.025
					 FS.
New 10-24-16, Amended
					 7-30-17.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.0055 - Incident Reporting System

Current through Reg. 50, No. 138; July 16, 2024
(1) Incident
				Reporting. An incident reporting system shall be established for each facility.
				Procedures shall be detailed in writing and disseminated to all employees of
				the facility. All new employees, within 30 days of employment, shall be
				instructed about the operation of the system and responsibilities of it. At
				least annually all nonphysician personnel of the facility working in clinical
				areas and providing patient care shall receive 1 hour risk management and risk
				prevention education and training including the importance of accurate and
				timely incident reporting.
(2)
				Incident Reports. The incident reporting system shall include the prompt,
				within 3 calendar days, reporting of incidents to the risk manager, or his
				designee. Reports shall be on a form developed by the facility for the purpose
				and shall contain at least the following information:
(a) The patient's name, locating information,
				admission diagnosis, admission date, age and sex;
(b) A clear and concise description of the
				incident including time, date, exact location; and elements as needed for the
				annual report based on ICD-10-CM;
(c) Whether or not a physician was called;
				and if so, a brief statement of said physician's recommendations as to medical
				treatment, if any;
(d) A listing of
				all persons then known to be involved directly in the incident, including
				witnesses, along with locating information for each;
(e) The name, signature and position of the
				person completing the reports, along with date and time that the report was
				completed.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.0065 - Fifteen Day Reports (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.0197 FS. Law Implemented 395.0197
					 FS.
New 3-25-86, Amended 12-28-89, Formerly 10D-75.0065,
					 Amended 9-16-92, 2-12-96, Repealed
					 11-28-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.031 - Purpose (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973(1) FS. Law Implemented
					 395.10974 FS.
New 7-9-86, Formerly 4-65.001, 4-217.010, Repealed
					 5-14-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.032 - Definitions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973 FS. Law Implemented
					 395.10974 FS.
New 7-9-86, Formerly 4-65.002, 4-217.015, Amended 4-4-01,
					 Repealed 12-4-16.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.033 - General Licensure Qualifications for Health Care Risk Managers (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973(1), 408.819 FS. Law
					 Implemented 395.10974, 408.805, 408.806, 408.809, 408.810
					 FS.
New 7-9-86, Formerly 4-65.003, 4-217.020, Amended 5-4-15,
					 Repealed 7-1-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.034 - Qualification by Completion of a Training Program (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973(1) FS. Law Implemented
					 395.10974 FS.
New 7-9-86, Formerly 4-65.004, 4-217.025, Repealed
					 7-1-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.035 - Qualification by College Level Studies (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973(1) FS. Law Implemented
					 395.10974 FS.
New 7-9-86, Formerly 4-65.005, 4-217.030, Repealed
					 7-1-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.036 - Qualification by Practical Experience (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973(1) FS. Law Implemented
					 395.10974 FS.
New 7-9-86, Formerly 4-65.006, 4-217.035, Amended 8-2-16,
					 Repealed 7-1-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-10 - INTERNAL RISK MANAGEMENT PROGRAM › Section 59A-10.037 - Educational Programs (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 395.10973(1) FS. Law Implemented
					 395.10974 FS.
New 7-9-86, Formerly 4-65.007, 4-217.040, Amended 8-2-16,
					 Repealed 7-1-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.001 - Purpose (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.309
					 FS.
New 3-4-85, Formerly 10D-90.01, 10D-90.001, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.002 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) "AAAHC" means the Accreditation
				Association for Ambulatory Health Care.
(2) "Accrediting Organization" means a
				recognized organization whose standards are comparable to the licensure
				regulations required by this state.
(3) "Agency" means the Agency for Health Care
				Administration.
(4) "CABC" means
				the Commission for the Accreditation of Birth Centers.
(5) "CLIA certification" means having applied
				for and received a federal Clinical Laboratory Improvement Amendments (CLIA)
				certificate documenting compliance with Title 42, Chapter IV, Subchapter G,
				Part 493 of the Code of Federal Regulations.
(6) "Qualified personnel" means an individual
				trained and competent in the services which he or she provides and is licensed
				or certified when required by statute or professional
				standard.
Rulemaking Authority 383.309 FS. Law Implemented 383.309
					 FS.
New 3-4-85, Formerly 10D-90.02, 10D-90.002, Amended
					 9-17-96, 5-15-14, 12-10-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.003 - Licensure Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1) An applicant or
				licensee requesting licensure for the operation of a birth center under the
				provision of Chapter 383, F.S., shall make application to the Agency on the
				Health Care Licensing Application, Birth Center, AHCA Form 3130-3001, January
				2022, which is incorporated by reference, and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-14115
.
				Applicants for renewal and change during licensure period may submit the Health
				Care Licensing Online Application, Birth Center, AHCA Form 3130-3001OL, January
				2022, incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-14116
.
				The application forms are also available at
				http://www.ahca.myflorida.com/HQAlicensureforms or, for online submissions, at:
				http://apps.ahca.myflorida.com/SingleSignOnPortal.
(2) Each birth center applying for a license
				shall be designated by a distinctive name. Duplication of an existing birth
				center's name is prohibited in new birth centers.
Rulemaking Authority 383.309, 408.819 FS. Law Implemented
					 383.305, 408.805, 408.806, 408.809, 408.810
					 FS.
New 3-4-85, Formerly 10D-90.03, 10D-90.003, Amended
					 9-27-94, 2-12-96, 9-17-96, 9-28-14, 1-16-19,
					 5-19-22.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.004 - Investigations and License, Life Safety and Validation Inspections

Current through Reg. 50, No. 138; July 16, 2024
(1) The Agency shall make or cause to be made
				such inspections and investigations as are necessary to:
(a) Assure compliance with the licensure and
				life safety requirements;
(b)
				Respond to complaints; and,
(c)
				Protect the public health and safety.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.005 - Requirements for Licensure

Current through Reg. 50, No. 138; July 16, 2024
In addition to other requirements specified in these rules,
				  all licensed birth centers shall have at least the following:
(1) A governing body organized under and have
				written bylaws, rules and regulations, which it reviews at least every two
				years, denotes dates to indicate time of last review, and revises as necessary
				and enforces. The governing body bylaws shall state the role and purpose of the
				birth center, including an organizational chart defining the lines of
				authority.
(2) A chief executive
				officer or other similarly titled official to whom the governing body delegates
				the full-time authority for the operation of the birth center in accordance
				with the established policy of the governing body;
(3) An organized clinical staff to which the
				governing body delegates responsibility for maintaining proper standards of
				medical and other health care, which responsibilities include:
(a) The clinical staff of the birth center
				shall be responsible for maintaining quality of care provided to the clients
				by:
1. Having at least one clinical staff
				member available for every two clients in labor;
2. Having a clinical staff member or
				qualified personnel available on site during the entire time the client is in
				the birth center. Services during labor and delivery shall be provided by
				physicians or by certified nurse midwives or licensed midwives, assisted by at
				least one other staff member, under protocols developed by the clinical staff
				and approved by the governing body in accordance with accepted standards of
				care;
3. Ensuring all qualified
				personnel and clinical staff of the birth center shall be trained in infant and
				adult resuscitation. Clinical staff or qualified personnel who have
				demonstrated ability to perform neonatal resuscitation procedures shall be
				present during each birth;
4.
				Maintenance of clinical records describing the history, conditions, treatment
				and progress of the client in sufficient completeness and accuracy to assure
				transferable comprehension of the case at any time;
5. Clinical record reviews to evaluate the
				quality of clinical care on the basis of documented evidence;
6. Review of admissions with respect to
				eligibility, course of pregnancy and outcome, evaluation of services, condition
				of mother and newborn on discharge, or transfer to other providers; and,
7. Surveillance of infection risk
				and cases and the promotion of a preventive and corrective program designed to
				minimize these hazards.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.006 - Governing Body (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.307,
					 383.308, 383.309 FS.
New 3-4-85, Formerly 10D-90.06, 10D-90.006, Amended
					 2-12-96, Repealed 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.007 - Building Construction and Fire Safety (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented
					 20.42(2)(a), 383.302, 383.307, 383.309, 383.315, 383.335
					 FS.
New 3-4-85, Formerly 10D-90.08, 10D-90.008, Amended
					 9-27-94, 2-12-96, Repealed 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.009 - Risk Status Criteria for the Acceptance of Clients and Continuation of Care

Current through Reg. 50, No. 138; July 16, 2024
(1) Birth center clients are limited to those
				women who are initially determined to be at low maternity risk and who are
				evaluated regularly throughout pregnancy to assure that they remain at low risk
				for a poor pregnancy outcome.
(2)
				Each birth center shall establish a written risk assessment system which shall
				be a part of the policy and procedure manual. The individual risk assessment
				shall be included in the client's clinical record.
(3) The general health status and risk
				assessment shall be determined by a physician, certified nurse midwife,
				licensed midwife, licensed physician assistant or advanced practice registered
				nurse after obtaining a detailed medical history, performing a physical
				examination, and taking into account family circumstances and other social and
				psychological factors.
(4) The
				following criteria shall be used as a minimum baseline upon which the risk
				status of clients shall be determined. These criteria shall be applied to all
				clients prior to acceptance for birth center services and throughout the
				pregnancy for continuation of services. Clients with any of the following risk
				factors shall be referred to a physician for continuing maternity care and
				hospital delivery:
(a) Age limits to be
				determined on an individual basis.
(b) Major medical problems including but not
				limited to:
1. Chronic hypertension, heart
				disease, or pulmonary embolus;
2.
				Congenital heart defects assessed as pathological by a cardiologist, placing
				mother and/or fetus at risk;
3.
				Severe renal disease;
4. Drug
				addiction or required use of anticonvulsant drugs;
5. Diabetes mellitus or thyroid disease which
				is not maintained in a euthyroid state, or
6. Bleeding disorder or hemolytic
				disease.
(c) Previous
				history of significant obstetrical complications, including, but not limited
				to:
1. Rh sensitization;
2. Previous uterine wall surgery including
				Caesarean section;
3. Seven or more
				term pregnancies;
4. Previous
				placenta abruptio.
(d)
				Significant signs or symptoms of:
1.
				Hypertension;
2.
				Preeclampsia;
3. Poly or oligo
				hydramnios;
4. Abruptio
				placenta;
5.
				Chorioamnionitis;
6. Severe fetal
				anomalies;
7. Multiple
				gestation;
8. Intrauterine growth
				restriction;
9. Non-reassuring
				fetal status;
10. Alcoholism or
				drug addiction;
11.
				Thrombophlebitis, or
12.
				Pyelonephritis.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.010 - Informed Consent

Current through Reg. 50, No. 138; July 16, 2024
(1) Before
				admission to services, a client shall be informed of:
(a) The qualifications of the birth center
				clinical staff;
(b) The risks
				related to out-of-hospital childbirth;
(c) The benefits of out-of-hospital
				childbirth; and,
(d) The
				possibility of referral or transfer if complications arise during pregnancy or
				labor with additional costs for services rendered.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.011 - Client Orientation and Preparation for Childbirth (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.311
					 FS.
New 3-4-85, Formerly 10D-90.11, 10D-90.011, Repealed
					 5-14-12.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.012 - Prenatal Care

Current through Reg. 50, No. 138; July 16, 2024
(1) Initial Visit
				shall include:
(a) A comprehensive health
				history shall be completed which includes medical, emotional, dietary, and
				obstetrical data including a pre-term delivery risk assessment.
(b) A physical examination shall be completed
				by a physician, or certified nurse midwife or advanced practice registered
				nurse, or licensed midwife, which includes measurement of height and weight,
				vital signs including blood pressure and examination of the skin, head and
				neck, heart and lungs, breasts, abdomen, pelvis and neurologic
				reactions.
(c) The following tests
				are required:
Hemoglobin or hematocrit, urinalysis by dipstick for protein,
				  sugar, and ketones; serological test for syphilis; cervical cytology, and Rh
				  determination and blood type. Results of a cervical cytology done within one
				  year is acceptable. The hemoglobin test and urinalysis may be performed by a
				  clinical staff member or qualified personnel.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.013 - Intrapartum Care

Current through Reg. 50, No. 138; July 16, 2024
(1) A clinical
				staff member shall be present or available to the client at all times
				throughout her stay in the birth center.
(2) The clinical staff shall monitor the
				progress of labor and condition of the mother and fetus at intervals
				sufficiently frequent to identify abnormalities or complications at the
				earliest possible time.
(3) The
				client shall be transferred to a hospital if complications occur requiring
				medical or surgical intervention pursuant to the criteria listed in subsections
				of this chapter.
(4) The family or
				support persons shall be instructed as needed to assist the client during labor
				and delivery.
Rulemaking Authority 383.309 FS. Law Implemented 383.309,
					 383.313, 383.316 FS.
New 3-4-85, Formerly 10D-90.13, 10D-90.013, Amended
					 2-12-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.014 - Surgical Services

Current through Reg. 50, No. 138; July 16, 2024
No surgical procedures shall be performed except episiotomy,
				  repair of episiotomy or laceration, or circumcision.
Rulemaking Authority 383.309 FS. Law Implemented 383.313
					 FS.
New 3-4-85, Formerly 10D-90.14, 10D-90.014, Amended
					 12-10-18.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.015 - Use of Analgesics and Anesthetics (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.313,
					 383.335 FS.
New 3-4-85, Formerly 10D-90.15, 10D-90.015, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.016 - Postpartum Care

Current through Reg. 50, No. 138; July 16, 2024
(1) A cord blood
				sample shall be secured for laboratory testing for type, Rh determination, and
				direct Coombs test when the mother is Rh negative.
(2) The newborn shall be weighed, measured,
				inspected for abnormalities and examined for complications. An identification
				tape shall be placed on the newborn if more than one newborn is at the center
				at the same time.
(3) One half
				milligram of Vitamin K shall be administered to the newborn within 24 hours
				after birth. If no one on the birth center staff is licensed to administer this
				medication, the parents shall be instructed to take the infant to a private
				physician or clinic for the injection.
(4) The newborn shall be referred to
				physician or hospital care if the following conditions occur:
(a) Low birthweight (under 2500
				grams);
(b) Apgar score of six or
				less at five minutes;
(c) Signs of
				pre or post maturity;
(d)
				Jaundice;
(e) Persistent
				hypothermia consisting of a body temperature of less than 97 degrees Fahrenheit
				for more than two hours after birth;
(f) Respiratory difficulties;
(g) Major congenital anomalies;
(h) Exaggerated tremors; and,
(i) Any other condition requiring medical
				care.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.017 - Management of Emergencies (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.316,
					 383.318, 383.327 FS.
New 3-4-85, Formerly 10D-90.17, 10D-90.017, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.018 - Clinical Records (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.32
					 FS.
New 3-4-85, Formerly 10D-90.18, 10D-90.018, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.019 - Reports

Current through Reg. 50, No. 138; July 16, 2024
(1) Each birth center shall submit a Birth
				Center Annual Report on AHCA Form 3130-3004OL, January 2022, which is
				incorporated by reference. The form is only accepted electronically and is
				available at:
https://apps.ahca.myflorida.com/SingleSignOnPortal/Login.aspx
.
				A copy of the form can also be found at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-14117
.
				The report shall include a summary of client information for the period from
				July 1 of the previous year to June 30 of the current year. The report shall be
				due July 30th each year. Failure to submit this report so that it is timely
				received by the Agency will result in an administrative fine being imposed
				pursuant to Section 383.33, F.S.
(2) Each birth center shall report any client
				death immediately to the Agency by recording the information in the Birth
				Center Annual Report for the current reporting period.
(a) Report any maternal deaths by providing
				the date, location, cause of death, and confirm whether the death was reported
				to the medical examiner.
(b) Report
				the death of any newborn delivered at the birth center who died within seven
				days of life. Do not report a newborn death if the client was transferred more
				than 48 hours before birth. Provide the date, birth weight, location, cause of
				death, and confirm whether the death was reported to the medical
				examiner.
(c) Report any
				stillborn/fetal death delivered at the birth center by providing the date,
				birth weight, time, cause of death, and confirm whether the death was reported
				to the medical examiner.
(d) If the
				Birth Center Annual Report system is offline, the required information must be
				reported to the Hospital and Outpatient Services Unit by phone at (850)412-4549
				on the same day, or no later than the next business day if the time of death is
				after regular business hours.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.020 - Quality Assurance (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.32
					 FS.
New 3-4-85, Formerly 10D-90.20, 10D-90.020, Amended
					 2-12-96, Repealed 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.021 - Minimum Staffing (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.307,
					 383.309 FS.
New 3-4-85, Formerly 10D-90.21, 10D-90.021, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.022 - Infection Control (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.309
					 FS.
New 3-4-85, Formerly 10D-90.22, 10D-90.022, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.023 - Physical Environment, Water Supply and Fire Safety

Current through Reg. 50, No. 138; July 16, 2024
(1) All birth centers shall comply with all
				design and construction standards for birth centers as required by the Florida
				Building Code.
(2) Laundry.
(a) Where laundry facilities are provided,
				clean clothing, bed linens, and towels shall be available for the
				clients.
(b) Carts used for
				transporting dirty clothes, linens, and towels shall not be used for
				transporting clean articles unless they have been thoroughly cleaned.
(c) If laundry facilities are not available,
				sheets and blankets shall be cleaned by commercial
				laundries.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.024 - Food Service

Current through Reg. 50, No. 138; July 16, 2024
(1) Each birth
				center may serve only ready-to-eat foods and beverages to clients and support
				persons, or allow clients and support persons to bring in their own
				ready-to-eat foods and beverages.
(2) Each birth center must have kitchen
				facilities and equipment available to store ready-to-eat foods and beverages.
				Equipment must include handwashing facilities and a refrigerator.
(3) Ready-to-eat foods and beverages
				requiring refrigeration must be stored at 41 degrees Fahrenheit or
				below.
(4) Kitchen refrigerator(s)
				must have a thermometer to display the temperature of the unit.
(5) Only food and beverages shall be stored
				in the kitchen refrigerator(s).
Rulemaking Authority 383.309 FS. Law Implemented 383.308,
					 383.309 FS.
New 3-4-85, Formerly 10D-90.24, 10D-90.024, Amended
					 11-6-19.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.025 - Water Supply, Waste and Sewage Disposal (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.308,
					 383.309 FS.
New 3-4-85, Formerly 10D-90.25, 10D-90.025, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.026 - Fire Control (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.308,
					 383.309 FS.
New 3-4-85, Formerly 10D-90.26, 10D-90.026, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.027 - Disaster Plan

Current through Reg. 50, No. 138; July 16, 2024
Each birth center shall develop a written disaster plan which
				  shall be rehearsed by personnel at least twice a year and shall cover internal
				  casualty producing incidents. The plan shall include provisions for complete
				  evacuation of the facility during an actual disaster.
Rulemaking Authority 383.309 FS. Law Implemented 383.309
					 FS.
New 3-4-85, Formerly 10D-90.27,
					 10D-90.027.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.028 - Equipment and Supplies

Current through Reg. 50, No. 138; July 16, 2024
(1) Equipment shall
				be clean and free from safety hazards and in sufficient supply to meet the
				needs of the clients and staff.
(2)
				Equipment shall include at a minimum:
(a)
				Examining table and stool;
(b)
				Examination light;
(c)
				Sphygmomanometer and stethoscope;
(d) Clinical thermometer;
(e) Fetoscope or doppler unit;
(f) Adult beam scale;
(g) Infant scale;
(h) Sweep second hand clock;
(i) Mechanical suction or bulb
				suction;
(j) Oxygen with flow meter
				and mask or equivalent;
(k)
				Resuscitation equipment to include resuscitation bags and oral airways;
				laryngoscopes and endotracheal tubes appropriate for the newborn;
(l) Emergency medications and intravenous
				fluids with supplies and equipment appropriate for administration;
(m) Sterile suturing equipment and
				supplies;
(n) Bassinet; and,
(o) A firm surface suitable for
				resuscitation.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.029 - Record System and Procedures (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.309
					 FS.
New 3-4-85, Formerly 10D-90.29, 10D-90.029, Repealed
					 9-17-96.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.030 - Pharmaceuticals and Anesthetics

Current through Reg. 50, No. 138; July 16, 2024
(1) There shall
				be written prescriptions or protocols signed by a practitioner legally
				authorized to prescribe for all drugs administered to clients within the birth
				center. Systemic analgesics and local anesthetics may be administered under the
				following conditions:
(a) The clinical staff
				member who administers the systemic analgesic or local anesthetic is legally
				authorized to do so and shall be present in the birth center during the use of
				intravenous analgesics;
(b) The
				dosage and drugs are specifically noted in the protocols for clinical services;
				and,
(c) The use of such drugs is
				in conformance with the policies and procedures of the birth
				center.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-11 - BIRTH CENTER STANDARDS AND LICENSURE › Section 59A-11.031 - Compliance (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 383.309 FS. Law Implemented 383.309
					 FS.
New 3-4-85, Formerly 10D-90.31, 10D-90.031, Repealed
					 1-25-17.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.001 - Scope (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 641.56 FS. Law Implemented 641.48
					 FS.
New 1-28-88, Formerly 10D-100.001, Repealed
					 1-18-17.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.002 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) All terms defined in the Health
				Maintenance Organization Act, Chapter 641, F.S., which are used in these rules
				shall have the same meaning as in the act.
(2) HMO. Health Maintenance Organization
				shall be abbreviated as HMO in these rules.
(a) Individual Practice Association (IPA)
				Model HMO. A type of health care provider organization composed of a group of
				independent practicing physicians who maintain their own offices and band
				together for the purpose of contracting their services to HMOs.
(b) Staff Model HMO. Physicians and medical
				professionals are employees of the HMO and have offices in HMO owned or leased
				buildings. The physicians and medical professionals only see members of the HMO
				employer.
(c) Mixed Model HMO. A
				Staff Model HMO that also contracts with providers organized as
				IPAs.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.004 - Governing Body

Current through Reg. 50, No. 138; July 16, 2024
(1) Each HMO or PHC
				shall have a governing body that sets policy and has overall responsibility for
				the organization including the following:
(a)
				Adopting organizational bylaws, rules and regulations or similar form of
				document which provides a clear concise statement of the mission, goals, and
				objectives of the organization;
(b)
				Adopting a quality assurance program that monitors the key areas of health care
				delivery to identify problems and insure the early recognition of opportunities
				to improve the delivery of quality health care services; and
(c) Maintaining ultimate responsibility for
				ongoing quality assurance, risk management programs and credentialing
				programs.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.005 - Medical Records System

Current through Reg. 50, No. 138; July 16, 2024
Each HMO or PHC shall maintain or assure its providers
				  maintain a medical records system which is consistent with professional
				  standards and which:
(1) Permits
				prompt retrieval of information and provides legible and timely information
				accurately documented and readily available to appropriate or authorized health
				care practitioners;
(2) Protects
				the confidentiality of patient records;
(3) Records in the medical record a summary
				of significant surgical procedures, past and current diagnoses or problems and
				allergies and untoward reactions to drugs and current medications;
(4) Identifies the patient as follows:
(a) Name;
(b) Member identification number;
(c) Date of birth; and,
(d) Sex.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.006 - Quality of Care

Current through Reg. 50, No. 138; July 16, 2024
Each HMO or PHC shall:
(1) Make available to each member an
				appropriate health assessment in accordance with preventive health guidelines
				and professional standards in the community.
(2) Provide for or arrange the following
				services as a minimum:
(a) Coordination of all
				necessary care contracted for with the subscriber;
(b) Acute episodic care, with appropriate
				ancillary services necessary for proper evaluation and treatment, for example:
1. Laboratory studies;
2. Diagnostic radiology;
3. Treatment plan; and,
4. Specialty consultation
				referrals.
(c) Chronic
				disease screening, and follow-up treatment for prevention of complications, for
				example:
1. Periodic update of history and
				physical examination;
2.
				Hypertension follow-up; and,
3.
				Diabetes follow-up.
(d)
				Health risk appraisal and prevention measures, for example:
1. Dietary counseling;
2. Smoking cessation education;
3. Stress reduction counseling; and,
4. Substance abuse
				education.
(e) Family
				planning services.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.007 - Quality Assurance

Current through Reg. 50, No. 138; July 16, 2024
(1) Each HMO or PHC
				shall have an ongoing quality assurance program designed to objectively and
				systematically monitor and evaluate the quality and appropriateness of patient
				care and resolve identified problems at the prevailing professional standard of
				care.
(2) The quality assurance
				plan shall be in writing and shall describe the program's objectives,
				organization and problem solving activities.
(3) The scope of the program shall include,
				at a minimum, the following:
(a) Evaluation of
				clinical performance (peer review);
(b) Review of medication usage;
(c) Evaluation as to appropriate use of tests
				and studies, for example: lab, x-ray and EKG;
(d) Evaluation of subscriber
				grievances;
(e) A utilization
				review process;
(f) Evaluation of
				outcomes of care using criteria developed by physicians and other health
				professionals to evaluate patient care patterns and clinical performance for
				health services provided; and,
(g)
				Written procedures for taking appropriate remedial action whenever, as
				determined under the quality assurance program, inappropriate or substandard
				services have been provided or services which should have been provided were
				not.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.0071 - Accreditation

Current through Reg. 50, No. 138; July 16, 2024
As a condition of doing business in the state, each HMO or
				  PHC shall apply for accreditation within 1 year and be accredited within 2
				  years of the organization's receipt of its Certificate of Authority. HMOs and
				  PHCs with existing Certificates of Authority must apply for accreditation
				  within 1 year and be accredited within 2 years of the effective date of this
				  rule. All HMOs and PHCs must undergo reaccreditation not less than once every 3
				  years. Accreditation and reaccreditation must be awarded by an accreditation
				  organization approved by the agency pursuant to Rule
				  59A-12.0072, F.A.C.
(1) The agency will provide technical
				assistance, upon request by an HMO or PHC, in order to assist new or existing
				organizations to develop and maintain quality assurance systems.
(2) The agency will monitor and determine the
				accreditation status of all existing HMOs and PHCs on an ongoing basis and
				group them into the following categories:
(a)
				Three year accreditation;
(b) Less
				than three year accreditation;
(c)
				Not applied and surveyed for accreditation within the appropriate time
				frame;
(d) Applied for
				accreditation but not surveyed within the appropriate time frame;
(e) Surveyed, findings of the accreditation
				agency not final;
(f) Failed
				accreditation survey;
(g) New HMO
				or PHC, accreditation not currently due.
Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS › Section 59A-12.0072 - Accreditation Organizations

Current through Reg. 50, No. 138; July 16, 2024
The accreditation organization must have nationally
				  recognized experience in HMO accreditation activities and in the appraisal of
				  medical practice and quality assurance in an HMO setting. As a minimum
				  requirement for approval of the accreditation organization, the following
				  criteria must be met:
(1) The
				accreditation organization must allow representatives from the agency to
				accompany the accreditation organization throughout the accreditation process,
				but the agency representatives shall not participate in the final accreditation
				or assessment determination.
(2)
				The accreditation organization must have at least 3 years of experience in
				reviewing all of the types of HMOs commonly found doing business in the State
				of Florida.
(3) The accreditation
				organization must have experience in conducting accreditation reviews for HMOs
				in at least 5 states of the United States or 2 regions of the Health Care
				Financing Administration, United States Department of Health and Human
				Services.
(4) Standards for
				accreditation must be developed with the input of the medical community, the
				HMO industry and health care consumers.
(5) The accreditation program shall, at a
				minimum, include standards for the following aspects of HMO operations:
(a) Quality Assurance Program;
(b) Provider Credentialing;
(c) Utilization Review Program;
(d) HMO Member Rights and
				Responsibilities;
(e) Medical
				Records;
(f) HMO Governance; and,
(g) Preventive Health
				Services.