reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.19 - Radiologic Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 hospital shall maintain, or have available, diagnostic radiologic services. If
			 therapeutic services are also provided, they, as well as the diagnostic
			 services, shall meet professionally approved standards for safety and personnel
			 qualifications.
(2) Radiologic
			 services. The hospital shall maintain, or have available, radiologic services
			 according to needs of the patients.
(3) Safety for patients and personnel. The
			 radiologic services, particularly ionizing radiology procedures, shall be free
			 from hazards for patients and personnel.
(a)
			 Proper safety precautions shall be maintained against radiation hazards. This
			 includes adequate shielding for patients, personnel, and facilities, as well as
			 appropriate storage, use, and disposal of radioactive materials.
(b) Periodic inspection of equipment shall be
			 made and hazards identified must be promptly corrected.
(c) Radiation workers shall be checked
			 periodically, by the use of exposure meters or badge tests, for amount of
			 radiation exposure.
(d) Radiologic
			 services shall be provided only on the order of practitioners with clinical
			 privileges or other practitioners authorized by the medical staff and the
			 governing body to order the services.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.20 - Laboratory Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 hospital shall maintain, or have available, adequate laboratory services to
			 meet the needs of its patients.
(2)
			 Adequacy of laboratory services. The hospital shall have laboratory services
			 available, either directly or through a contractual agreement with a certified
			 laboratory.
(a) Emergency laboratory services
			 shall be available 24 hours a day.
(b) A written description of services
			 provided shall be available to the medical staff.
(c) The laboratory shall make provision for
			 proper receipt and reporting of tissue specimens.
(d) The medical staff and a pathologist shall
			 determine which tissue specimens require a macroscopic (gross) examination and
			 which require both macroscopic and microscopic examinations.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.21 - Nuclear Medicine Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) If the hospital provides nuclear medicine
			 services, those services shall meet the needs of the patients in accordance
			 with acceptable standards of practice.
(2) Organization and staffing. The
			 organization of the nuclear medicine service shall be appropriate to the scope
			 and complexity of the services offered.
(a)
			 There shall be a director who is a doctor of medicine or osteopathy qualified
			 in nuclear medicine.
(b) The
			 qualifications, training, functions, and responsibilities of nuclear medicine
			 personnel shall be specified by the service director and approved by the
			 medical staff.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.22 - Rehabilitation Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) If
			 the hospital provides rehabilitation, physical therapy, occupational therapy,
			 audiology, or speech pathology services, the services shall be organized and
			 staffed to ensure the health and safety of patients.
(2) Organization and staffing. The
			 organization of the service shall be appropriate to the scope of the services
			 offered.
(a) The director of the services
			 shall have the necessary knowledge, experience, and capabilities to properly
			 supervise and administer the services.
(b) Physical therapy, occupational therapy,
			 speech-language pathology or audiology services, if provided, shall be provided
			 by qualified physical therapists, physical therapist assistants, occupational
			 therapists, occupational therapy assistants, speech-language pathologists, or
			 audiologists.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.23 - Respiratory Care Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The hospital shall meet the needs of the patients in accordance with acceptable
			 standards of practice. The following requirements apply if the hospital
			 provides respiratory care service.
(2) Organization and Staffing. The
			 organization of the respiratory care services shall be appropriate to the scope
			 and complexity of the services offered.
(a)
			 There shall be a director of respiratory care services who is a doctor of
			 medicine or osteopathy with the knowledge experience, and capabilities to
			 supervise and administer the service properly. The director may serve on either
			 a full-time or part-time basis.
(b)
			 There shall be adequate numbers of respiratory therapists, respiratory therapy
			 technicians, and other personnel who meet the qualifications specified by the
			 medical staff, consistent with state law.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.24 - Outpatient Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) If
			 the hospital provides outpatient services, the services shall meet the needs of
			 the patients in accordance with acceptable standards of practice.
(2) Organization. Outpatient services shall
			 be appropriately organized and integrated with inpatient services.
(3) Personnel. The hospital shall:
(a) Assign one or more individuals to be
			 responsible for outpatient services; and
(b) Have appropriate professional and
			 nonprofessional personnel available at each location where outpatient services
			 are offered, based on the scope and complexity of outpatient
			 services.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.25 - Discharge Planning

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 hospital shall have in effect a discharge planning process that applies to all
			 patients. The hospital's policies and procedures shall be specified in
			 writing.
(2) Identification of
			 patients in need of discharge planning. The hospital shall identify at an early
			 stage of hospitalization all patients who are likely to suffer adverse health
			 consequences upon discharge if there is no adequate discharge
			 planning.
(3) Discharge planning
			 evaluation.
(a) The hospital shall provide a
			 discharge planning evaluation to the patients identified in paragraph (2) of
			 this rule, and to other patients upon the patient's request, the request of a
			 person acting on the patient's behalf, or the request of the
			 physician.
(b) A registered nurse,
			 social worker, or other appropriately qualified personnel shall develop, or
			 supervise the development of, the evaluation.
(c) The discharge planning evaluation shall
			 include an evaluation of the likelihood of a patient needing post-hospital
			 services and of the availability of the services.
(d) The discharge planning evaluation shall
			 include an evaluation of the likelihood of a patient's capacity for self-care
			 or of the possibility of the patient being cared for in the environment from
			 which he or she entered the hospital.
(e) Hospital personnel shall complete the
			 evaluation on a timely basis so that appropriate arrangements for post-hospital
			 care are made before discharge, and to avoid unnecessary delays in
			 discharge.
(f) The hospital shall
			 include the discharge planning evaluation in the patient's medical record for
			 use in establishing an appropriate discharge plan and shall discuss the results
			 of the evaluation with the patient or individual acting on his or her
			 behalf.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Section 420-5-7-.27 - Emergency Preparedness

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 hospital shall develop and implement a comprehensive plan to ensure that the
			 safety and well being of patients are assured during emergency situations. The
			 hospital shall participate in the Alabama Incident Management System (AIMS) and
			 coordinate with federal, state, and local emergency preparedness and health
			 authorities to identify likely risks for its area (e.g., natural disasters,
			 bioterrorism threats, disruption of utilities such as water, sewer, electrical
			 communications, fuel, nuclear accidents, industrial accidents, and other likely
			 mass casualties, etc.) and to develop appropriate responses that will assure
			 the safety and well being of patients.
(2) The following issues should be considered
			 when developing the comprehensive emergency plans(s):
(a) The differing needs of each location
			 where the hospital operates;
(b)
			 The special needs of patient populations treated at the hospital (e.g.,
			 patients with psychiatric diagnosis, patients on special diets, newborns,
			 etc.);
(c) Security of patients and
			 walk-in patients;
(d) Security of
			 supplies from misappropriation;
(e)
			 Pharmaceuticals, food, other supplies and equipment that may be needed during
			 emergency/disaster situations;
(f)
			 Communication to external entities if telephones and computers are not
			 operating or become overloaded (e.g., ham radio operators, community officials,
			 other healthcare facilities if transfer of patients is necessary,
			 etc.);
(g) Communication among
			 staff within the hospital itself;
(h) Qualifications and training needed by
			 personnel, including healthcare staff, security staff, and maintenance staff,
			 to implement and carry out emergency procedures;
(i) Identification, availability and
			 notification of personnel that are needed to implement and carry out the
			 hospital's emergency plans;
(j)
			 Identification of community resources, including lines of communication and
			 names and contact information for community emergency preparedness coordinators
			 and responders;
(k) Provisions if
			 gas, water, electricity supply is shut off to the community;
(l) Transfer or discharge of patients to
			 home, other healthcare settings, or other hospitals;
(m) Transfer of patients with hospital
			 equipment to another hospital or healthcare setting; and
(n) Methods to evaluate repairs needed and to
			 secure various likely materials and supplies to effectuate repairs.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-7 - HOSPITALS › Appendix A - Information On The Application Process for Hospitals

Current through Register Vol. 42, No. 9, June 28, 2024
Applications must be submitted as a paper copy. All forms and
				instructions are available on the Alabama Department of Public Health web site
				at
http://www.adph.org
.
The application information is under the heading "Health Care
				Facilities," which is found in the blue banner on the left hand side of the
				home page.
Applications must be submitted to:
STATE OF ALABAMA
DEPARTMENT OF PUBLIC HEALTH - DIVISION OF PROVIDER
				SERVICES
P. O. BOX 303017
MONTGOMERY, ALABAMA 36130
Questions regarding licensure can be directed to the Division
				of Provider Services at 334-206-5175.
Author:
W.T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala. 1975,
				  §§
										22-21-20, et
				  seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-8 - INDEPENDENT CLINICAL LABORATORIES › Section 420-5-8-.02 - The License

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Types
			 of License.
(a) Regular License. A regular
			 license may be issued by the State Board of Health after the board has
			 determined that the independent clinical or physiological laboratory is in
			 substantial compliance with the Rules herein adopted.
(b) Probational license. The State Board of
			 Health may, in its discretion and in lieu of license revocation, issue a
			 probational license to a facility when inspection shows that the maintenance
			 and operation of the facility are such that the independent clinical laboratory
			 or independent physiological laboratory no longer substantially complies with
			 the rules adopted herein. However, the Board may issue a probational license
			 only after determining that the health and safety of patients are adequately
			 protected despite non-compliance, and that the facility has submitted an
			 adequate written plan to correct the non-compliance in a timely manner. Maximum
			 length of time for probational status is one year.
(c) Downgrade or Revocation of License. The
			 State Board of Health is authorized to downgrade or revoke a license for any of
			 the following reasons:
1. Violation of any of
			 the provisions of these Rules.
2.
			 Permitting, aiding or abetting the commission of any illegal act in such
			 institution.
3. Conduct or
			 practices deemed by the State Board of Health to be detrimental to the welfare
			 of the patients.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-8 - INDEPENDENT CLINICAL LABORATORIES › Section 420-5-8-.03 - Personnel Qualifications

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Director.
(a) A director shall meet one of
			 the following requirements:
1. Is a physician
			 licensed to practice medicine in Alabama with at least two years of pertinent
			 laboratory experience.
2. Holds an
			 earned doctoral degree from an accredited institution with a chemical,
			 physical, or biological science as his major subject, and
(i) Is certified by the American Board of
			 Medical Microbiology, the American Board of Clinical Chemistry, or other
			 national accrediting boards with equivalent standards accepted by the State
			 Health Department in one of the laboratory specialties and may direct only that
			 division or subspecialty for which he is certified, or
(ii) Has four or more years of general
			 clinical laboratory training and experience, of which at least two years were
			 spent acquiring proficiency in one of the laboratory specialties in a clinical
			 laboratory, under a director at the doctoral level, of a hospital, a health
			 department, a university or a medical research institution or in a clinical
			 laboratory providing equivalent training accepted by the Alabama Department of
			 Public Health.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-8 - INDEPENDENT CLINICAL LABORATORIES › Section 420-5-8-.05 - Requirements For Independent Physiological Laboratories

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each independent physiological laboratory
			 must have a governing body responsible for the management, control and
			 operation of the facility. Said governing body is responsible for employing a
			 qualified person to serve as the laboratory's medical director. Any change in
			 the appointment of the laboratory's medical director must be promptly reported
			 to the State Board of Health. Correspondence and inquiries from the State Board
			 of Health will be directed to the medical director, and the medical director is
			 responsible for responding to same.
(2) Each independent physiological laboratory
			 is required to maintain a permanent facility in Alabama where its records are
			 kept. Any changes in the location of this facility must be submitted to this
			 office for approval, prior to relocating.
(3) Each independent physiological laboratory
			 shall employ or have under contract a physician who serves as the medical
			 director of the laboratory. Said medical director must be a physician licensed
			 to practice in Alabama. The medical director's duties are as follows:
(a) The medical director must provide written
			 certification that each of the employees of the laboratory who perform
			 diagnostic testing or services are appropriately trained and qualified to
			 perform same. Such written certification, along with a current record showing
			 each employee's training and qualifications is required to be maintained on
			 site by the facility. The medical director is required to make a separate
			 written certification for each employee on an annual basis. If an employee is
			 not sufficiently trained or qualified to perform the duties assigned to that
			 employee, then the medical director must not provide written certification for
			 that employee and the laboratory must not permit the employee to perform such
			 duties.
(b) Interpretation of the
			 diagnostic physiological testing results must be performed by the medical
			 director or other licensed physician. See paragraph (4) below for additional
			 requirements for specific types of tests.
(c) The medical director is responsible for
			 periodic verification that the equipment utilized by the laboratory is
			 functioning properly and producing reliable and accurate results.
(d) The medical director is responsible for
			 ensuring that the employees performing diagnostic physiological testing and
			 services receive proper instruction or additional training when needed to
			 maintain or acquire skills to adequately perform their duties, and is
			 responsible for notifying the director of the laboratory when there are
			 problems with personnel or equipment that require correction in order to
			 maintain reliable and adequate testing results and services.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-8 - INDEPENDENT CLINICAL LABORATORIES › Section 420-5-8-.06 - Building Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Local
			 Restrictions. The location and construction of all independent laboratories
			 shall comply with local building and fire ordinances.
(2) Water Supply. If at all possible, all
			 water shall be obtained from a public water supply. If it is impossible to
			 connect to a public water system, the private water supply shall be approved by
			 the State Board of Health. Provisions shall be made for demineralized water. An
			 adequate number of sinks and lavatories shall be provided to meet the needs of
			 the laboratory. All water fixtures shall be equipped with vacuum breakers to
			 preclude back-siphonage from any sink, lavatory, water closet or other item of
			 equipment.
(3) Disposal of Liquid
			 And Human Wastes.
(a) There shall be
			 installed within the building a properly designed waste disposal system,
			 connecting to all fixtures to which water under pressure is supplied.
(b) All liquid and human waste, including
			 floor wash water and liquid waste from refrigerators, shall be disposed through
			 tapped drains into a public sewer system in localities where such systems are
			 available.
(c) In localities where
			 a public sanitary sewer is not available, liquid and human waste shall be
			 disposed through trapped drains into a sewage disposal system approved by the
			 local county health department and/or the State Board of Health. The sewage
			 disposal system shall be of adequate size and capacity based on the number of
			 personnel and patients using these facilities.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.02 - The License

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Classifications of Licenses. Each FED shall be licensed pursuant to the
			 regulations adopted herein. All licenses are granted for the calendar year and
			 shall expire on December 31 unless renewed by the owner for the succeeding
			 year.
(a) Unrestricted License. An
			 unrestricted license may be granted by the Board after it has determined that
			 the parent hospital and FED is willing and capable of maintaining compliance
			 with these rules.
(b) Probational
			 License. At its discretion, the Board may grant a probational license when it
			 determines that both of the following conditions exist:
1. The FED has engaged in one or more
			 deficient practices which are serious in nature, chronic in nature, or which
			 the FED and parent hospital have failed to correct; and
2. The parent hospital's current governing
			 authority has demonstrated the capability and willingness to correct cited
			 problems and to maintain compliance.
(c) A probational license shall be granted
			 for a specific period which may be extended but which shall in no case exceed
			 one year.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.03 - The Governing Authority

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An FED and its parent hospital shall have
			 an effective governing authority that is legally responsible for the conduct of
			 the FED and parent hospital as an institution. The Governing Authority
			 governing authority of the parent hospital shall provide administrative
			 oversight for the care and services of the FED. The Governing Authority parent
			 hospital's governing authority shall comply with the Board's Rules for
			 Hospitals, Chapter 420-5-7,
Ala. Admin.
			 Code
.
(2) Contracted
			 services. The Governing Authority governing authority shall be responsible for
			 services furnished in the FED whether or not they are furnished under
			 contracts. The Governing Authority governing authority shall ensure that a
			 contractor of services (including one for shared services and joint ventures)
			 furnishes services that permit the FED to maintain compliance with the
			 requirements of these rules.
(a) The
			 Governing Authority governing authority shall ensure that the services
			 performed under a contract are provided in a safe and effective
			 manner.
(b) The Governing Authority
			 FED shall maintain a list of all contracted services, including the scope and
			 nature of the services provided.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.04 - Patient Rights

Current through Register Vol. 42, No. 9, June 28, 2024
The FED, as a department of the parent hospital, shall have an
				obligation to protect and promote the rights of each patient and shall be
				governed by the Board's Rules for Hospitals, Chapter 420-5-7,
Ala.
				Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.05 - Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The FED, as a
			 department of the parent hospital, shall have personnel management as a section
			 of the hospital's personnel syste m and shall be governed by the Board's Rules
			 for Hospitals, Chapter 420-5-7,
Ala. Admin. Code
. The
			 FED shall be adequately staffed at all times to meet the needs of the patient
			 population served.
(2) Staff
			 Qualifications for FEDs.
(a) The FED Medical
			 Director shall be:
1. Board Certified by
			 American Board of Emergency Medicine or the American Osteopathic Board of
			 Emergency Medicine.
2. Competent in
			 management and administration of clinical services in an Emergency
			 Department.
3. Knowledgeable about
			 EMS operations and the regional EMS network.
4. Responsible for assessing and making
			 recommendations to the parent hospital's credentialing body related to the
			 qualifications of FED physicians and the clinical privileges granted to FED
			 physicians.
5. Responsible for
			 assuring that the clinical staff are continuously qualified, competent and
			 supervised in emergency care of patients.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.06 - Physical Environment

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An
			 FED shall be constructed, arranged, and maintained to ensure the safety of the
			 patient, and to provide facilities for diagnosis and treatment of patients as a
			 department of the parent hospital and shall comply with the Board's Rules for
			 Hospitals, Chapter 420-5-7,
Ala. Admin.
			 Code
.
(2) An FED shall
			 comply with the applicable requirements of the
Guidelines for Design
			 and Construction of Health Care Facilities.
(3) Remodeling.
(a) The remodeled area of existing facilities
			 shall be upgraded to comply with the current requirements for new
			 construction.
(b) Any remodeling to
			 existing facilities shall not diminish the level of safety which existed prior
			 to the start of the work.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.07 - Patient Transport or Referral

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each FED shall have an inter-facility
			 transfer protocol with the parent hospital. The FED shall have a transportation
			 agreement with licensed ground and air emergency medical provider services for
			 necessary transport of patients to the appropriate acute care hospital
			 primarily for non-acute emergency transportation. The FED may utilize a "911"
			 call for acute emergency transport of patients, but shall not utilize "911"
			 services as a routine plan for non-emergency patient transport. The transfer
			 protocol shall be approved by the FED Medical Director and parent hospital
			 Medical Staff.
(2) The FED shall
			 transfer or refer patients when necessary, along with all necessary medical
			 information, to appropriate licensed facilities, agencies, or outpatient
			 services for follow up or ancillary care. In no event shall an FED knowingly
			 refer a patient to an unlicensed health care facility in violation of §
								22-21-33(b),
Code of Ala. 1975
.
(3) For transportation out of a facility, if
			 a patient is unable to ride in an upright position or if such patient's
			 condition is such that he or she needs observation or treatment by emergency
			 medical services personnel, or if the patient requires transportation on a
			 stretcher, gurney or cot, the facility shall arrange or request transportation
			 services only from providers who are emergency medical provider services
			 licensed by the Board. For the purposes of this rule, an upright position means
			 no more than 20 degrees from vertical. If such patient is being transported to
			 or from a health care facility in another state, transportation services may be
			 arranged with a transport provider licensed as an emergency medical provider
			 service in that state.
(4) The FED
			 shall have an Alabama Department of Transportation approved helicopter pad
			 on-site.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.08 - Medical Staff

Current through Register Vol. 42, No. 9, June 28, 2024
The members of the FED medical staff shall be credentialed by
				and be part of the medical staff of the parent hospital, and shall conform to
				the medical staff bylaws and rules and regulations of the parent hospital and
				shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7,
Ala. Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.09 - Quality Assurance or Quality Assessment and Performance Improvement (QAPI) Program

Current through Register Vol. 42, No. 9, June 28, 2024
The FED shall participate in the parent hospital's Quality
				Assurance or Quality Assessment and Performance Improvement (QAPI) Program and
				shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7,
Ala. Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.10 - Nursing Services

Current through Register Vol. 42, No. 9, June 28, 2024
The FED shall have an organized nursing service that provides
				24-hour nursing services that meets the needs of the patients. The nursing
				services shall be furnished or supervised by a registered nurse and shall be
				governed by the Board's Rules for Hospitals, Chapter 420-5-7,
Ala.
				Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.11 - Infection Control

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 FED shall provide a sanitary environment to avoid sources and transmission of
			 infections and communicable diseases. There shall be an active program for the
			 prevention, control, and investigation of infections and communicable diseases
			 supervised and administered_by the parent hospital.
(2) The FED shall participate in the parent
			 hospital's infection control program and shall be governed by the Board's Rules
			 for Hospitals, Chapter 420-5-7,
Ala. Admin.
			 Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.12 - Medical Record Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The FED shall have medical records fully integrated in the medical record
			 system of the parent hospital and shall be governed by the Board's Rules for
			 Hospitals, Chapter 420-5-7,
Ala. Admin. Code
. Each FED
			 shall also maintain a picture archiving and communications system ("PACS")
			 which provides for the timely and efficient storage, transmission and retrieval
			 of digital medical images.
(2) Each
			 FED shall maintain a register or log of all patients who present to the FED for
			 treatment or services.
(3) Each FED
			 shall maintain a medical record for each patient that documents the purpose of
			 the visit and discharge instructions including the detection and course for
			 necessary follow up.
(4) All
			 orders, including verbal orders, shall be dated, timed, and authenticated by
			 the ordering practitioner in accordance with hospital policy, but no longer
			 than 30 days after entry.
(5) The
			 parent hospital shall maintain a plan to transfer all records to another
			 facility in the event the FED ceases operation.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.13 - Food And Dietetic Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The FED shall have appropriate food and
			 beverages available for the patients. The FED shall be responsible for meeting
			 the nutritional needs of patients. The food services provided to patients shall
			 be governed by the Board's Rules for Hospitals, Chapter 420-5-7,
Ala. Admin. Code
.
(2) The FED may, at its discretion, make
			 available food and beverage service to staff and visitors. The available food
			 and beverage service areas must be maintained in a clean and sanitary
			 manner.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.14 - Emergency Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 FED shall meet the emergency needs of its patients in accordance with
			 acceptable standards of practice and shall be governed by the Board's Rules for
			 Hospitals, Chapter 420-5-7,
Ala. Admin.
			 Code
.
(2) Each FED
			 shall meet the Emergency Medical Treatment and Labor Act (EMTALA) statute
			 codified at § 1867 of the Social Security Act (42 USC §
									1395dd)
			 and the accompanying regulations in
			 42 CFR §
									489.24 and the related requirements at
			 42 CFR §
									489.20(l),(m),(q), and (r),
			 as a required condition of participation for CMS certification.
(3) Each FED shall maintain a communication
			 system that is fully integrated with the parent hospital emergency department
			 and the designated EMS System.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.15 - Pharmaceutical Services

Current through Register Vol. 42, No. 9, June 28, 2024
The FED shall have pharmaceutical services available on-site
				that meet the needs of its patients and shall be governed by the Board's Rules
				for Hospitals, Chapter 420-5-7,
Ala. Admin. Code
, and
				all applicable federal and state law and rules governing the maintenance and
				provision of pharmaceutical products and services.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.16 - Radiologic Services

Current through Register Vol. 42, No. 9, June 28, 2024
The FED shall have the essential diagnostic radiologic
				equipment and services immediately available on-site (such as X-ray, CT scan,
				and ultrasound equipment) capable of supporting the emergency services offered
				at the FED. Such services shall be performed by qualified personnel. All
				radiologic services shall be governed by the Board's Rules for Hospitals,
				Chapter 420-5-7,
Ala. Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.17 - Laboratory Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 FED shall have adequate laboratory services available on site to meet the needs
			 of its patients. Laboratory services shall be governed by the Board's Rules for
			 Hospitals, Chapter 420-5-7,
Ala. Admin. Code
.
			 Specialized laboratory studies which are required as medically necessary at the
			 time that the patient presents to the FED, but not available in the laboratory
			 facilities on site, shall be sent to the parent hospital or other appropriate
			 laboratory for processing. The FED shall have policies and procedures for this
			 arrangement which include review and communication of results to the
			 appropriate individual.
(2) The
			 FED's laboratory shall maintain a current federal CLIA number and certificate
			 separate from the CLIA number and certificate of the parent hospital.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.18 - Nuclear Medicine Services

Current through Register Vol. 42, No. 9, June 28, 2024
If the FED provides nuclear medicine services, those services
				shall meet the needs of the patients in accordance with acceptable standards of
				practice and shall be governed by the Board's Rules for Hospital s, Chapter
				420-5-7,
Ala. Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.19 - Respiratory Care Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The FED shall meet the needs of its patients for respiratory care services in
			 accordance with acceptable standards of practice and shall be governed by the
			 Board's Rules for Hospitals, Chapter 420-5-7,
Ala. Admin.
			 Code
.
(2) Respiratory
			 care services may be provided by registered nurses who are properly trained and
			 supervised.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.20 - Discharge Planning

Current through Register Vol. 42, No. 9, June 28, 2024
The patient or their representative shall be provided written
				discharge instructions regarding follow up referrals/appointments, medication
				management and procurement, durable medical equipment, availability of
				community resources and other identified needs at the time of
				discharge.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-9 - FREESTANDING EMERGENCY DEPARTMENTS › Section 420-5-9-.21 - Emergency Preparedness

Current through Register Vol. 42, No. 9, June 28, 2024
The emergency preparedness of the FED shall be integrated with,
				consistent with, and shall be governed by the Board's Rules for Hospitals,
				Chapter 420-5-7,
Ala. Admin. Code
.
Authors:
W. T. Geary, Jr., M.D., Carter
				  Sims
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.02 - Licensing And Administrative Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Legal Authority for Adoption of
			 Regulations. Pursuant to the authority granted by
Code of Ala.
			 1975
, §
								22-21-20
et
seq
. and in accordance
			 with the Alabama Administrative Procedures Act,
Code of Ala.
			 1975
, §
								41-22-1
et
seq
., the State Board of
			 Health does hereby adopt and promulgate rules governing all nursing facilities
			 in Alabama except those exempt by law from licensure.
(2) Types of License. All licenses are issued
			 for the calendar year and shall expire December 31, unless renewed by the owner
			 for the succeeding year.
(a) Regular License.
			 A regular license shall be issued by the State Board of Health after the Board
			 has determined that the nursing facility is in substantial compliance with the
			 rules herein adopted.
(b)
			 Probational License. The State Board of Health may, in its discretion and in
			 lieu of license revocation, issue a probational license to a facility when
			 inspection shows that the maintenance and operation of the facility are such
			 that the facility no longer substantially complies with the rules adopted
			 herein. However, the Board may issue a probational license only after
			 determining that the health and safety of residents are adequately protected
			 despite the non-compliance, and that the facility has submitted an adequate
			 written plan to correct the non-compliance in a timely manner.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.03 - Administrative Management

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A
			 facility must be administered in a manner that enables it to use its resources
			 effectively and efficiently to attain or maintain the highest practicable
			 physical, mental, and psychosocial well-being of each resident.
(2) A facility must be licensed under
			 applicable State and local law
(3)
			 The facility must operate and provide services in compliance with all
			 applicable Federal, State, and local laws, regulations, and codes, and with
			 accepted professional standards and principles that apply to professionals
			 providing services in such a facility.
(4) Facilities must meet the applicable
			 provisions of HHS regulations pertaining to nondiscrimination on the basis of
			 race, color, or national origin; nondiscrimination on the basis of handicap;
			 nondiscrimination on the basis of age; protection of human subjects of research
			 and fraud and abuse. Although these regulations are not in themselves
			 considered requirements under this part, their violation may result in the
			 revocation of the facility license.
(5) Governing body. The facility must have a
			 governing body, or designated persons functioning as a governing body, that is
			 legally responsible for establishing and implementing policies regarding the
			 management and operation of the facility; and
(6) The governing body appoints the
			 administrator who is:
(a) Licensed by the
			 State where licensing is required, and;
(b) Responsible for the management of the
			 facility.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.04 - Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
(1) General. The
			 administrator shall be responsible for implementation and maintenance of
			 written personnel policies and procedures that support sound resident care and
			 personnel practices. Personnel records shall be in effect current and available
			 for each employee and contain sufficient information to support placement in
			 the position to which assigned. Written policies for control of communicable
			 disease shall be in effect to ensure that employees with symptoms or signs of
			 communicable disease or infected skin lesions are not permitted to work, and
			 that safe and sanitary environment for personnel exists. Incidents and
			 accidents to personnel shall be reviewed to identify health and safety
			 hazards.
(2) Personnel Records.
			 Each nursing facility shall maintain a personnel record for each employee. As a
			 minimum, the record shall include:
(a)
			 Application for employment which contains information regarding education,
			 training, experience, and if applicable, registration, and/or licensure
			 information of the applicant.
(b) A
			 job description.
(c) General
			 administrative and job related orientation
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.05 - Resident Right

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Resident
			 rights. The resident has a right to a dignified existence, self-determination,
			 and communication with and access to persons and services inside and outside
			 the facility. A facility must protect and promote the rights of each resident,
			 including each of the following rights
(2) Exercise of rights.
(a) The resident has the right to exercise
			 his or her rights as a resident of the facility and as a citizen or resident of
			 the United States
(b) The resident
			 has the right to be free of interference, coercion, discrimination, and
			 reprisal from the facility in exercising his or her rights
(c) In the case of a resident adjudged
			 incompetent under the laws of a State by a court of competent jurisdiction, the
			 rights of the resident are exercised by the person appointed under State law to
			 act on the resident's behalf.
(d)
			 In the case of a resident who has not been judged incompetent by the State
			 court, any legal-surrogate designated in accordance with State law may exercise
			 the resident's right to the extent provided by State law.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.07 - Resident Behavior And Facility Practices

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Resident behavior and facility practices.
(a) Restraints. The resident has the right to
			 be free from any physical or chemical restraints imposed for purposes of
			 discipline or convenience, and not required to treat the resident's medical
			 symptoms.
(b) Abuse. The resident
			 has the right to be free from verbal, sexual, physical, and mental abuse,
			 corporal punishment, and involuntary seclusion.
(c) Staff treatment of residents. The
			 facility must develop and implement written policies and procedures that
			 prohibit mistreatment, neglect, and abuse of residents and misappropriation of
			 resident property.
1. The facility must--
(i) Not use verbal, mental, sexual, or
			 physical abuse, corporal punishment, or involuntary seclusion;
(ii) Not employ individuals who have been--
(I) Found guilty of abusing, neglecting, or
			 mistreating residents by a court of law; or
(II) Have has a finding entered into the
			 State nurse aide registry concerning abuse, neglect, mistreatment of residents
			 or misappropriation of their property; and
(III) Report any knowledge it has of actions
			 by a court of law against an employee, which would indicate unfitness for
			 service as a nurse aide or other facility staff to the State nurse aide
			 registry or licensing authorities.
(d) The facility must ensure that all alleged
			 violations involving mistreatment, neglect, or abuse, including injuries
			 unknown source and misappropriation of resident property are reported
			 immediately to the administrator of the facility and to other officials in
			 accordance with State law through established procedures (including to the
			 State survey and certification agency).
(e) The facility must have evidence that all
			 alleged violations are thoroughly investigated, and must prevent further
			 potential abuse while the investigation is in progress.
(f) The results of all investigations must be
			 reported to the administrator or his designated representative and to other
			 officials in accordance with State law (including to the State survey and
			 certification agency) within 5 working days of the incident, and if the alleged
			 violation is verified appropriate corrective action must be taken.
Author:
Patricia E. Ivie
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.09 - Resident Assessment

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Resident assessment. The facility must conduct initially and periodically a
			 comprehensive, accurate, standardized, reproducible assessment of each
			 resident's functional capacity.
(2)
			 Admission orders. At the time each resident is admitted, the facility must have
			 physician orders for the resident's immediate care.
(3) Comprehensive assessments. The facility
			 must make a comprehensive assessment of a resident's needs which-
(a) For Medicare/Medicaid certified
			 facilities only, is based on a uniform data set specified by the Secretary and
			 uses an instrument that is specified by the State and approved by the
			 Secretary; and
(b) Describes the
			 resident's capability to perform daily life functions and significant
			 impairments in functional capacity.