reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 9 - Free-standing Birth Centers › 7 AAC 12.449 - Definitions

Current through May 31, 2024
In
					 7 AAC 12.401 - 7 AAC 12.449, unless the context requires
					 otherwise,
(1) "active labor" has the
				  meaning given "active phase" in this section;
(2) "active phase" means the second phase in
				  the first stage of labor when contractions are regular and occurring
				  frequently, and the cervix is dilating from four centimeters to complete
				  dilation of 10 centimeters with 100 percent effacement;
(3) "all stages of labor" means the
				  progression from the first through the third stage of labor;
(4) "birth center" means free-standing birth
				  center;
(5) "certified nurse
				  midwife" means a person who is authorized to practice as an advanced practice
				  registered nurse under
				  12 AAC 44.400 and who is certified
				  to practice midwifery by a national certification body recognized under
				  12 AAC 44.420 and
				  12 AAC 44.430;
(6) "client" means a woman who receives care
				  and services provided by a birth center during pregnancy, and during childbirth
				  and recovery;
(7) "clinical staff"
				  means each individual associated with a birth center who is a practitioner or a
				  midwife;
(8) "direct-entry midwife"
				  means
(A) a person who is certified to
				  practice midwifery under
				  12 AAC 14.100 -
				  12 AAC 14.120; or
(B) an apprentice who meets the requirements
				  of 12 AAC 14.130 and is supervised as
				  provided under
				  12 AAC 14.220;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.450 - Determination of a frontier extended stay clinic

Current through May 31, 2024
(a) The department
				  will consider a rural health clinic, including a community health center and a
				  federally qualified health center, to be a frontier extended stay clinic
				  subject to the applicable requirements of this chapter if the department finds
				  that the clinic is a permanent entity that is
(1) located
(A) at least 75 miles by public highway from
				  the nearest hospital; or
(B) in an
				  area where the nearest hospital is inaccessible by public highway;
				  and
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.453 - Scope of service

Current through May 31, 2024
(a) In addition to complying with the
				  requirements of
				  7 AAC 12.600(a) and (h), a frontier
				  extended stay clinic must comply with
				  7 AAC 12.450 -
				  7 AAC 12.490.
(b) A frontier extended stay clinic must
				  provide medical, radiological, laboratory, extended stay, and emergency
				  services. The clinic must have the staff and resources necessary to provide the
				  care and services offered.
(c) The
				  clinic may provide care and services for
(1)
				  an extended stay described in
				  7 AAC 12.450(a) (2)(A) for a patient
				  awaiting requested medical transport to a general acute care hospital, rural
				  primary care hospital, or critical access hospital; or
(2) a patient who elects to receive extended
				  stay services as described in
				  7 AAC 12.450(a) (2)(B).
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.457 - Additional licensure requirements for frontier extended stay clinics

Current through May 31, 2024
(a) In addition
				  to complying with the requirements of
				  7 AAC 12.610, an individual seeking to operate a
				  frontier extended stay clinic must provide, as part of the application for a
				  license,
(1) the name of each individual with
				  ownership or control of the clinic;
(2) a description of the geographic service
				  area to be served;
(3) the
				  applicant's plan for the delivery of health services within the service
				  area;
(4) the applicant's plan for
				  staffing when a patient is admitted for care or services;
(5) an emergency services plan that
				  coordinates the provision of emergency medical services in the service
				  area;
(6) a plan that demonstrates
				  how each physician's responsibilities will be accomplished, including record
				  reviews, policy reviews, review of services provided, supervision, and medical
				  direction;
(7) a description of the
				  applicant's volume capacity;
(8) a
				  description of the volume capacity of other related health care resources
				  within the service area; and
(9)
				  the distance and travel time to the nearest hospital and other health care
				  resources within the service area.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.460 - Periodic program evaluation and quality assurance

Current through May 31, 2024
(a) At least once
				  each year, a frontier extended stay clinic must evaluate, or arrange for
				  evaluation of, its total program to determine whether
(1) the utilization of services was
				  appropriate;
(2) established
				  policies were followed; and
(3) any
				  changes are needed.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.465 - Medical staff

Current through May 31, 2024
(a) A frontier extended stay clinic must have
				  the medical staff necessary to provide the care and services required in
				  7 AAC 12.453.
(b) The medical staff shall develop, for
				  approval by the governing body of the clinic, bylaws and rules that provide for
(1) eligibility for medical staff
				  membership;
(2) the biennial
				  recommendation by the medical staff regarding the credentialing and privileges
				  of each member of the medical staff, including establishing standards for
(A) assessing the training, experience, and
				  competence of medical staff;
(B) a
				  formal process that includes
(i) querying the
				  National Practitioner Data Bank; and
(ii) verifying that medical staff meet
				  professional licensing requirements;
(C) a delineation of privileges as authorized
				  by the governing body, including verification of education and training related
				  to the privileges requested and to the level of care that will be
				  provided;
(D) the inclusion of
				  quality assurance findings in ongoing credentialing of medical staff;
				  and
(E) the assurance of
				  participation in continuing professional education;
(3) quality assurance under
				  7 AAC 12.460;
(4) medical records retention and protection
				  under 7 AAC 12.483;
(5) infection control;
(6) pharmacy and therapeutics, including
(A) development and maintenance of a
				  formulary of drugs; and
(B)
				  development and implementation of procedures for the safe and effective
				  control, storage, dispensing, and administration of prescribed drugs,
				  chemicals, and biologicals; and
(7) utilization review.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.470 - Personnel and staffing

Current through May 31, 2024
(a) In addition to complying with the
				  requirements of
				  7 AAC 12.660(c), a frontier extended
				  stay clinic must ensure that mid-level practitioners are involved in the
				  orientation and in-service education program for patient care personnel. The
				  in-service education program must be designed to support the services provided
				  by the clinic and the various levels of staffing required at the
				  clinic.
(b) The clinic must
				  consider the clinic staff availability when determining a patient's eligibility
				  for admission for extended stay. A physician, a physician assistant, an
				  advanced practice registered nurse, a registered nurse, a licensed practical
				  nurse, a primary community health aide, or an emergency medical technician must
				  be on duty whenever the clinic has one or more extended stay patients. The
				  number of clinic staff and the level of training required to provide treatment
				  to an extended stay patient is at the discretion of the clinic and the
				  practitioner involved in the patient's care, after determining what is required
				  to meet the patient's needs.
(c)
				  The clinic must ensure that when a patient is admitted to the clinic for
				  extended stay services by a mid-level practitioner, a physician on the clinic's
				  staff is notified of the admission.
(d) The clinic must have the staff necessary
				  to provide the care and services required in
				  7 AAC 12.453.
(e) The clinic staff may also include
				  personnel who provide support services, including bookkeeping, clerical,
				  laundry, and housekeeping services.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.473 - Ancillary services

Current through May 31, 2024
(a) A frontier extended stay clinic must have
				  ancillary services that include food, laundry, and housekeeping services in
				  accordance with this section.
(b)
				  The clinic must maintain lavatories for handwashing, with hot and cold running
				  water, soap, and disposable towels, conveniently located in the food
				  preparation area.
(c) A clinic for
				  which a food service permit is required by the Department of Environmental
				  Conservation must meet the applicable requirements of 18 AAC 31. A clinic that
				  is exempt from the requirements of 18 AAC 31 must maintain sanitary facilities
				  as applicable for the proper care, storage, refrigeration, and preparation of
				  food. The clinic must ensure that
(1) for
				  purposes of
				  AS
				  17.20.020, any food served to extended stay
				  patients is not adulterated; and
(2) fruits and vegetables are thoroughly
				  washed with potable water before use.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.475 - Drugs, chemicals, and biologicals

Current through May 31, 2024
(a) A frontier
				  extended stay clinic that dispenses drugs, chemicals, and biologicals must
(1) employ a pharmacist on a regular or
				  consultant basis;
(2) procure and
				  maintain a sufficient quantity of drugs, chemicals, and biologicals, consistent
				  with the formulary developed and approved under
				  7 AAC 12.465(b) (6), to meet patient
				  needs, including those drugs, chemicals, and biologicals listed in
				  7 AAC 12.485(c) (1);
(3) inventory emergency drugs, chemicals, and
				  biologicals at least every 30 days and restock, as necessary;
(4) dispose of drugs, chemicals, and
				  biologicals that have been discontinued or have expired;
(5) ensure that only authorized staff have
				  access to the clinic's stock of drugs, chemicals, and biologicals;
(6) ensure that drugs, chemicals, and
				  biologicals are properly labeled regarding their content and
				  strength;
(7) ensure that drugs,
				  chemicals, and biologicals requiring refrigeration are stored separate from
				  food; and
(8) document and evaluate
				  prescribed drug distribution errors to
(A)
				  prevent reoccurrence; and
(B)
				  ensure the accuracy and adequacy of the clinic's prescribed drug distribution
				  system.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.477 - Radiological service

Current through May 31, 2024
(a) Radiology services furnished at a
				  frontier extended stay clinic must be provided as direct services by clinic
				  staff who have been trained, and are competent, in the proper and safe use of
				  radiological equipment.
(b)
				  Radiological services may be performed only upon the order of the attending
				  physician or practitioner.
(c) If
				  an x-ray examination is to be provided to a patient, a request by the attending
				  physician or practitioner for the examination must contain a diagnosis or a
				  tentative diagnosis, or a concise statement of the reasons for the x-ray
				  examination.
(d) A report of a
				  radiological examination must be filed in the patient's medical record and
				  maintained in the radiology unit.
(e) The clinic must maintain patient x-rays
				  for at least five years.
(f) The
				  clinic must ensure that individuals who are employed or involved in providing
				  radiological services or who may be exposed to radiation wear devices that
				  monitor radiation exposure.
(g) The
				  clinic must keep records identifying employees who have been exposed to
				  radiation and the amount of exposure for each employee.
(h) A clinic that uses x-ray equipment must
				  ensure that the equipment is calibrated, used, and maintained in accordance
				  with the manufacturer's instructions. The clinic must document calibration and
				  maintenance.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.480 - Laboratory service

Current through May 31, 2024
A frontier extended stay clinic must have an approved
					 laboratory and provide laboratory services essential to the immediate diagnosis
					 and treatment of patients. The clinic must comply with the applicable
					 requirements of
					 7 AAC 12.790 -
					 7 AAC 12.850. The services provided must at a minimum
					 include
(1) chemical examination of
				  urine by stick or tablet method or both, including urine ketones;
(2) hemoglobin or hematocrit;
(3) blood glucose;
(4) electrolytes;
(5) white blood count with
				  differential;
(6) cardiac
				  enzymes;
(7) liver
				  function;
(8) kidney
				  function;
(9) examination of stool
				  specimens for occult blood;
(10)
				  pregnancy tests; and
(11) primary
				  culturing for transmittal to an approved laboratory; the clinic must collect
				  the culture in the proper container for shipping to the approved laboratory for
				  processing.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.483 - Medical records

Current through May 31, 2024
(a) In addition to the applicable
				  requirements of
				  7 AAC 12.770 (Medical Record Service), a frontier
				  extended stay clinic must meet the requirements of this section.
(b) The clinic must maintain its clinical
				  record system in accordance with written policies and procedures, including
				  policies and procedures governing the use and removal of records from the
				  clinic and the conditions for release of information.
(c) A designated member of the clinic staff
				  shall maintain the records and ensure that they are completely and accurately
				  documented, readily accessible, and systematically organized.
(d) For each patient receiving health care
				  services, the clinic shall maintain a record that includes, as applicable,
(1) identification, including the patient's
				  name, age, sex, and address;
(2)
				  evidence of informed consent, pertinent medical history, assessment of the
				  health status and health care needs of the patient, and a brief summary of the
				  episode and the initial disposition;
(3) pertinent history of the patient's
				  current condition;
(4) the time and
				  means by which the patient arrived, including by whom transported;
(5) the diagnosis and treatment
				  given;
(6) reports of physical
				  examinations, diagnostic and laboratory test results, and consultative
				  findings;
(7) the patient's
				  condition on discharge or transfer;
(8) physician's orders, reports of treatment
				  and medication, and other pertinent information necessary to monitor the
				  patient's progress;
(9) final
				  disposition, including instructions given to the patient or the patient's
				  family regarding necessary follow-up care; and
(10) the signature of each physician or other
				  health care professional involved; for purposes of this paragraph, "health care
				  professional" includes a physician or other practitioner, an emergency medical
				  technician, a social worker, or a primary community health aide.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.485 - Emergency services

Current through May 31, 2024
(a) A frontier extended stay clinic must
				  provide emergency services necessary to meet the needs of its extended stay
				  patients and outpatients.
(b)
				  Emergency services must be available 24 hours a day.
(c) Equipment, supplies, drugs, chemicals,
				  and biologicals used in treating emergency cases must be kept at the clinic and
				  must be readily available. The items available must include, at a minimum,
(1) drugs, chemicals, and biologicals
				  commonly used in life-saving procedures, including analgesics, local
				  anesthetics, antibiotics, anticonvulsants, antidotes and emetics, serums and
				  toxoids, antiarrythmics, cardiac glycosides, antihypertensives, diuretics, and
				  electrolytes and replacement solutions; and
(2) equipment and supplies commonly used in
				  life-saving procedures, including
(A)
				  airways;
(B) endotracheal
				  tubes;
(C) bag valve mask (BVM)
				  resuscitators;
(D)
				  oxygen;
(E) tourniquets;
(F) immobilization devices;
(G) nasogastric tubes;
(H) splints;
(I) intravenous (IV) therapy supplies,
				  including D5 normal, D5 quarter normal, and normal saline solutions or lactated
				  ringers solutions;
(J) central line
				  venous access kits or their equivalent;
(K) a suction machine;
(L) a defibrillator;
(M) a cardiac monitor;
(N) chest tubes for pediatrics and
				  adults;
(O) assorted over the
				  needle catheters; and
(P)
				  indwelling urinary catheters.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.487 - Physical plant

Current through May 31, 2024
(a) Any renovation, expansion, or new
				  construction of a frontier extended stay clinic must comply with
(1)AS
				  18.60.580-18.60.660;
(2)AS
				  18.60.705-18.60.740;
(3) the
International Building
				  Code
, as adopted by reference in, and revised under,
				  13 AAC 50.020; and
(4) the
International Mechanical
				  Code
, as adopted by reference in, and revised under, 13 ACC
				  50.023.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 10 - Frontier Extended Stay Clinics › 7 AAC 12.490 - Definitions

Current through May 31, 2024
In
					 7 AAC 12.450 -
					 7 AAC 12.490, unless the context indicates
					 otherwise,
(1) "emergency medical
				  technician" has the meaning given in
				  AS
				  18.08.200;
(2) "extended stay" means a stay of four
				  hours or longer described in
				  7 AAC 12.450(a) (2);
(3) "food" means a raw, cooked, or processed
				  edible substance, ice, beverage, or ingredient used or intended for use or
				  sale, in whole or in part, for human consumption;
(4) "frontier extended stay clinic" has the
				  meaning given in
				  AS
				  47.32.900;
(5) "primary community health aide" has the
				  meaning given in
				  AS
				  18.28.100;
(6) "public highway" means a paved highway
				  that is maintained year-round and open to the public for vehicular
				  travel;
(7) "service area" means
				  the geographical area in which a frontier extended stay clinic regularly
				  provides services to individuals;
(8) "telemedicine" means the practice of
				  health care delivery, evaluation, diagnosis, consultation, or treatment, using
				  the transfer of medical data through audio, visual, or data communications that
				  are engaged in over two or more locations between providers who are physically
				  separated from the patient or from each other.
Authority:
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.500 - Scope

Current through May 31, 2024
A public or private entity that is primarily engaged in the
					 provision of skilled nursing care and therapeutic services, but not the
					 treatment of mental illness, in a patient's home is a home health agency, and
					 must comply with
					 7 AAC 12.500 -
					 7 AAC 12.590.
Authority:
AS
						18.05.040
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.503 - Surveys

Current through May 31, 2024
(a) The department will survey each home
				  health agency and each subunit of a home health agency at least annually to
				  determine compliance with
				  7 AAC 12.500 -
				  7 AAC 12.590.
(b) All records of a home health agency and
				  its subunits must be available for inspection during regular business hours to
				  representatives of the department without prior notice of the
				  inspection.
(c) The department will
				  review complaints made against a home health agency.
Authority:
AS
						18.05.040
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.505 - Home health agency services

Current through May 31, 2024
(a) A home health
				  agency must provide skilled nursing services and at least one of the following
				  additional services:
(1) physical
				  therapy;
(2) occupational
				  therapy;
(3) speech therapy;
				  or
(4) home health aide
				  services.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.507 - Governing body

Current through May 31, 2024
(a) A home health agency must be organized
				  under a governing body that assumes full legal authority and fiscal
				  responsibility for the conduct of the agency.
(b) The governing body shall
(1) appoint a qualified administrator and
				  regularly monitor the performance of the administrator;
(2) appoint a professional advisory committee
				  as required under
				  7 AAC 12.508;
(3) adopt written by-laws, policies, and
				  procedures;
(4) provide adequate
				  staff, equipment, and supplies for the agency;
(5) cooperate in establishing a system by
				  which to coordinate and provide continuity of care within the community;
				  and
(6) ensure an annual program
				  evaluation and act upon the evaluation findings.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.508 - Professional advisory committee

Current through May 31, 2024
(a) The governing
				  body of a home health agency shall appoint a professional advisory committee
				  that meets as frequently as needed to advise and monitor the agency and report
				  its findings to the governing body. The committee must consist of
(1) the agency administrator;
(2) a physician;
(3) a registered nurse;
(4) a consumer who is not an owner or
				  employee of the agency; and
(5) at
				  least one representative from one of the patient care services provided by the
				  agency.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.510 - Home health agency administration

Current through May 31, 2024
(a) A home health
				  agency shall describe in writing the services provided by the agency, who has
				  administrative control over those services, and the lines of authority for the
				  delegation of responsibility to the patient care level. Administrative and
				  supervisory functions may not be delegated to another agency, individual, or
				  organization.
(b) All services
				  provided through contractual arrangements must be monitored and controlled by
				  the agency.
(c) The administrator
				  must be an individual who has education, experience, and knowledge related to
				  home health service and at least one year overall administrative experience in
				  home health care or a related home health program appropriate to the
				  fulfillment of the position's responsibilities.
(d) The administrator shall
(1) have authority and responsibility for the
				  management of the business affairs and overall operation of the
				  agency;
(2) organize and direct the
				  agency's ongoing functions;
(3)
				  maintain liaison between the governing body, the professional advisory
				  committee, and the staff;
(4)
				  report to the governing body at least annually on agency operations;
(5) employ qualified personnel and ensure
				  adequate continuing education and evaluation of that staff;
(6) designate a director of clinical
				  services;
(7) ensure the
				  involvement of the director of clinical services in all decisions regarding
				  employees and contract staff;
(8)
				  designate, in writing, a qualified person to act in the absence of the
				  administrator;
(9) evaluate the
				  recommendations of agency committees and consultants; and
(10) ensure the home health agency has an
				  institutional budget plan that includes and annual operating budget and a
				  capital expenditure plan for a prospective three-year period.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.512 - Quality improvement

Current through May 31, 2024
(a) A home health agency shall have a quality
				  improvement program to assess the extent to which the agency's program is
				  appropriate, effective, and efficient. The quality improvement program must
				  include an analysis of:
(1) a quarterly
				  clinical record review;
(2) quality
				  indicator data derived from patient assessments;
(3) current clinical practice guidelines and
				  professional practice standards applicable to patients in the home;
(4) utilization data;
(5) measures of staff performance;
(6) medical and other professional evaluation
				  of the home health agency's care giving system;
(7) patient satisfaction surveys;
				  and
(8) patient complaints and the
				  resolution process.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.513 - Plan of care

Current through May 31, 2024
(a) A home health agency shall, in
				  consultation with the patient and the patient's attending physician, advanced
				  practice registered nurse, or physician assistant, develop a plan of care for
				  each patient accepted by the agency. The plan of care must
(1) be reviewed, as often as the patient's
				  condition requires but at least every 62 days, by
(A) the attending physician, advanced
				  practice registered nurse, or physician assistant; and
(B) the professional staff of the
				  agency;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.514 - Acceptance of patients

Current through May 31, 2024
A home health agency may accept a patient for treatment
					 only if there is a reasonable expectation that the patient's needs will be met
					 adequately by the home health agency in the patient's place of residence. A
					 home health agency may not accept a patient for treatment if that patient's
					 place of residence is a hospital or nursing facility. The agency must consider
					 the following factors before accepting a patient for home health
					 services:
(1) adequacy and suitability
				  of staff and resources of the agency to provide needed services;
(2) assessments of medical, nursing, and
				  social needs of the patient as they relate to the benefits derived from home
				  health care;
(3) attitudes of the
				  patient and family members;
(4)
				  degree of patient and family awareness of their rights and
				  responsibilities;
(5) management of
				  medical emergencies;
(6)
				  availability, ability, and willingness of others to participate in the care of
				  the patient; and
(7) assurance that
				  services can be effectively coordinated through liaison with organizations and
				  individuals also providing care to the patient.
Authority:
AS
						18.05.040
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.516 - Director of clinical services

Current through May 31, 2024
The home health agency administrator shall designate a
					 physician or registered nurse to serve as that agency's director of clinical
					 services. The director of clinical services shall
(1) supervise the agency's professional
				  service providers;
(2) be available
				  at all times for consultation during regular office hours or have a qualified
				  designee if the director is on authorized leave status;
(3) participate in the development of job
				  descriptions and employment decisions affecting home health personnel who
				  provide direct services;
(4) ensure
				  that the agency has a sufficient number of staff to meet patient
				  needs;
(5) have authority over and
				  responsibility for the
(A) functions,
				  activities, and evaluation of all professional and ancillary staff to assure
				  that they conform to applicable state and federal laws, agency policies and
				  procedures, and applicable professional standards;
(B) quality of home health services,
				  implementation and coordination of each plan of care, appropriateness of each
				  plan of care to meet the patient's needs, and implementation of patient care
				  policies and procedures;
(C)
				  orientation and inservice training for all professional staff and ancillary
				  personnel, including those under contract; and
(D) development and documentation of all
				  written material related to home health services, including policies,
				  procedures, and standards for home health services.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.517 - Nursing services

Current through May 31, 2024
(a) A home health agency shall furnish
				  nursing services in accordance with a plan of care by or under the supervision
				  of a registered nurse licensed under AS 08.68. A registered nurse employed by a
				  home health agency shall
(1) assure that
				  patient care is coordinated between services and that all of the patient's
				  needs identified by the assessments are addressed;
(2) conduct initial evaluation visits and
				  re-evaluate nursing needs on an ongoing basis;
(3) conduct in-depth and comprehensive
				  assessments of a patient at acceptance and when significant changes occur in
				  the patient's condition;
(4)
				  initiate a plan of care and make necessary revisions;
(5) provide services requiring substantial
				  and specialized nursing skill;
(6)
				  initiate appropriate preventive and rehabilitative nursing
				  procedures;
(7) implement patient
				  teaching based on the patient's needs consistent with agency policies and
				  procedures, including demonstration, supervision, and evaluation;
(8) prepare clinical and progress
				  notes;
(9) prepare summaries of
				  care;
(10) inform the attending
				  physician, advanced practice registered nurse, or physician assistant and
				  inform other personnel of changes in the patient's condition and
				  needs;
(11) counsel each patient
				  and the patient's family on how to meet the patient's nursing and related
				  needs;
(12) prepare a written
				  summary of care and services in the event of patient transfer to another
				  agency, hospital, or other health care setting;
(13) supervise other nursing
				  personnel;
(14) participate in
				  inservice training; and
(15) if a
				  patient is receiving care by a licensed practical nurse, review the plan of
				  care and the nursing services every two weeks and document the review in the
				  patient's clinical record.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.519 - Home health aide services

Current through May 31, 2024
(a) If a home
				  health agency provides home health aide services, those services must be
				  provided
(1) by a home health aide who
(A) is a nurse aide certified by the Board of
				  Nursing under
				  AS
				  08.68.331-08.68.336;
(B) does not appear in the registry of
				  certified nurse aides under
				  AS
				  08.68.333 as having committed abuse, neglect,
				  or misappropriation of property in connection with employment as a nurse
				  aide;
(C) has a valid criminal
				  history check under
				  AS
				  47.05.300-47.05.390 and
				  7 AAC 10.900 -
				  7 AAC 10.990, unless a variance is granted under
				  7 AAC 10.935; and
(D) meets home health requirements and has
				  completed the competency evaluation requirements in (f) of this
				  section;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.521 - Therapy services

Current through May 31, 2024
(a) Physical therapy services offered by a
				  home health agency must be provided in accordance with a plan of care by or
				  under the supervision of a physical therapist licensed under AS 08.84. A
				  physical therapist employed by or on contract with a home health agency shall
(1) evaluate a patient;
(2) establish or modify a physical therapy
				  treatment plan upon written or verbal orders from a physician, advanced
				  practice registered nurse, or physician assistant;
(3) prepare clinical progress
				  notes;
(4) prepare summaries of
				  care;
(5) plan, supervise, and
				  delegate services to a physical therapy assistant licensed under AS 08.84;
				  and
(6) makes supervisory visits to
				  the patient's residence every two weeks to evaluate the effectiveness of the
				  services furnished by the physical therapy assistant and to document the
				  patient's condition in the clinical record.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.523 - Medical social work service

Current through May 31, 2024
(a) If a home
				  health agency offers medical social services, the services must be delivered in
				  accordance with the patient's plan of care by, or under the supervision of, a
				  social worker who has
(1) a master's degree
				  from a school of social work accredited by the National Council on Social Work
				  Education;
(2) one year of social
				  work experience in a health care setting; and
(3) if required to be licensed under AS
				  08.95, a valid license.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.524 - Nutrition services

Current through May 31, 2024
If a plan of care requires the consultation or direct
					 services of a dietitian, the home health agency must ensure that those services
					 are provided by a dietitian registered by the Commission on Dietetic
					 Registration of the American Dietetic Association. A dietitian providing
					 services for a home health agency shall
(1) review the dietary assessment of a
				  patient with special dietary needs, and monitor the management of any special
				  diet requirements;
(2) participate
				  in developing a plan of care regarding a patient's dietary needs, including
				  dietary goals, objectives, and interventions;
(3) provide written directions to family and
				  staff for meal planning for a special diet;
(4) participate in patient care
				  conferences;
(5) participate in
				  educating the patient and family about the patient's dietary needs and
				  management;
(6) participate in
				  agency inservice training;
(7)
				  prepare clinical progress notes;
(8) prepare summaries of care;
(9) provide the agency with an assessment and
				  consultation if hyperalimentation services are being provided; and
(10) maintain liaison with the treating
				  physician, advanced practice registered nurse, or physician assistant and with
				  the agency staff to ensure that their efforts are coordinated effectively and
				  support the objectives outlined in a plan of care.
Authority:
AS
						18.05.040
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.525 - Central supply

Current through May 31, 2024
(a) A home health agency shall maintain a
				  separate area for processing, decontamination, if necessary, and storage of
				  sterile supplies and materials.
(b)
				  A home health agency shall develop and implement policies and procedures for
(1) the cleaning, antimicrobial processing,
				  and storage of nondisposable supplies and equipment to prevent their
				  contamination and the transmission of infection through their use;
(2) identifying potentially infectious
				  materials that must be treated before disposal; and
(3) the handling, packaging, and disposal of
				  materials and sharp instruments contaminated by pathological or infectious
				  waste.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.526 - Infusion therapy

Current through May 31, 2024
(a) If a home health agency provides
				  parenteral or hyperalimentation services, the agency shall
(1) describe the scope of the services to be
				  provided, including the population to be served;
(2) develop a plan for emergency services to
				  meet the scope of the services provided; and
(3) administer treatments only upon the order
				  of a physician advanced practice registered nurse, or physician
				  assistant.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.531 - Agency policies and procedures

Current through May 31, 2024
(a) A home health
				  agency shall establish, implement, and make available to all personnel, written
				  policies and procedures appropriate to the services offered by the agency.
				  These policies and procedures must be reviewed at least annually and revised as
				  necessary.
(b) A home health agency
				  shall establish policies and procedures covering
(1) the scope of services and geographic
				  service area;
(2) conditions for
				  acceptance, transfer, discharge, and continuing care of patients;
(3) treatments and procedures performed in
				  the home by each of the services;
(4) infection control policies and
				  practices;
(5) coordination of
				  services;
(6) clinical
				  records;
(7) patient
				  teaching;
(8) intravenous infusion
				  and aseptic technique;
(9) patient
				  safety assessment;
(10) emergency
				  care;
(11) personnel
				  qualifications, responsibilities, and job descriptions;
(12) program evaluation;
(13) the administration, supervision,
				  coordination, and evaluation of services provided through subunits and branch
				  offices of the agency;
(14) patient
				  care equipment and preventive maintenance;
(15) the process for investigation,
				  documentation, and resolution of a complaint made by a patient or the patient's
				  family or guardian;
(16) an advance
				  declaration relating to the use of life-sustaining procedures; and
(17) abuse, neglect, or
				  mistreatment.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.534 - Patients' rights

Current through May 31, 2024
(a) The governing body of a home health
				  agency shall protect and promote the rights of its home health patients, by
				  assuring that
(1) before services are
				  provided, the patient and the patient's family are informed orally and in
				  writing, in a language the patient and family understand, of the rights and
				  obligations of the agency and the patient; the agency shall document the
				  patient's and the patient's family's receipt of these rights and obligations;
				  and
(2) appropriate and
				  professional quality home health care services are provided without
				  discrimination based on race, creed, color, religion, sex, national origin,
				  sexual preference, age, or diagnosis, but an agency may limit its practice to
				  the provision of care or services for patients with a specific disease or
				  diagnosis without violating this paragraph.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.537 - Advance directives

Current through May 31, 2024
(a) Before initiating care or services, a
				  home health agency must provide each patient, 18 years of age or older, or
				  their legal representatives, with forms and information on
(1) the right of the individual to make
				  health care decisions, including the right to
(A) accept or refuse medical or surgical
				  treatment; and
(B) execute an
				  advance directive and power of attorney for health care;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.541 - Abuse, neglect, and mistreatment

Current through May 31, 2024
(a) A home health
				  agency shall develop and implement written policies and procedures that
				  prohibit abuse, neglect, and mistreatment of patients.
(b) An agency shall
(1) screen a potential employee or contractor
				  to prevent the employment of an individual who has been convicted of abuse,
				  neglect, or mistreatment of another individual, or misappropriation of the
				  property of a patient under the individual's care;
(2) contact the appropriate licensing
				  authority to verify the employment background of potential employees or
				  contractors who are required to hold a license to practice;
(3) report to the appropriate licensing
				  authority any knowledge it has of an action by a court or other government
				  agency against an individual that would indicate unfitness for holding a
				  professional or occupational license
(4) report within 24 hours any suspected
				  abuse, neglect, or mistreatment of a patient or misappropriation of a patient's
				  property to state officials in accordance with
				  AS
				  47.17.010,
				  47.17.020, and
				  AS
				  47.24.010 and to the department in its
				  capacity as the state survey agency;
(5) review and document alleged incidents of
				  abuse, neglect, or mistreatment;
(6) take any necessary action to remove the
				  potential for further abuse, neglect, or mistreatment of a patient or
				  misappropriation of a patient's property while the investigation is in
				  progress;
(7) document the results
				  of the investigation and the corrective action taken; and
(8) assure that an employee or contractor
				  does not obtain a patient's power of attorney in violation of
				  AS
				  13.26.358.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.551 - Drugs

Current through May 31, 2024
(a) If ordered by the patient's physician,
				  advanced practice registered nurse, or physician assistant, a drug may be
				  administered to a patient by an employee or a contractor of the home health
				  agency who is authorized to administer drugs by law.
(b) An employee or a contractor of a home
				  health agency who administers a drug or injection shall immediately record the
				  name and strength of the drug or injection and sign the patient's clinical
				  record.
(c) The agency shall
				  document all drugs a patient may be taking, including a drug not prescribed by
				  the attending physician, advanced practice registered nurse or physician
				  assistant.
Authority:
AS
						18.05.040
AS
						47.32.010
AS
						47.32.030
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.558 - Whole blood glucose monitoring

Current through May 31, 2024
If a home health agency uses its own equipment to monitor a
					 patient's whole blood glucose levels, the agency must test and calibrate the
					 machine according to the manufacturer's recommendations. If a patient has whole
					 blood glucose equipment, the home health agency must teach the patient the
					 proper use of the equipment.
Authority:
AS
						18.05.040
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 11 - Home Health Agencies › 7 AAC 12.561 - Clinical records

Current through May 31, 2024
(a) A home health agency shall maintain a
				  clinical record for each patient. The clinical record must be legible and
				  maintained in accordance with accepted professional or occupational standards.
				  The clinical record must be readily available upon the request of the
(1) attending physician, advanced practice
				  registered nurse, or physician assistant:
(2) the department;
(3) the patient;
(4) the patient's representative;
				  or
(5) if authorized by the
				  patient, another health care provider.