reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-13.3 - "Immediately postoperative" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 13.3.
"Immediately postoperative" means within twenty-four (24)
				  hours after either of the following:
(1) Administration of anesthesia (if surgery
				or other invasive procedure is not completed).
(2) Completion of surgery or other invasive
				procedure.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-13.4 - "Informed consent" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 13.4.
"Informed consent" means a patient's authorization or
				  agreement to undergo surgery or other invasive procedure that is based upon
				  communication between a patient and his or her physician regarding the surgery
				  or other invasive procedure.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-13.6 - "Joint movement therapy" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 13.6.
"Joint movement therapy" means all types of manual
				  techniques, to include:
(1)
				mobilization (movement of the spine or a joint within its physiologic range of
				motion);
(2) manipulation (movement
				of the spine or a joint beyond its normal voluntary physiologic range of
				motion); or
(3) any other type of
				manual musculoskeletal therapy; regardless of their precise anatomic and
				physiologic focus or their discipline of origin.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-13.7 - "Kernicterus" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 13.7.
"Kernicterus" means the medical condition in which elevated
				  levels of bilirubin cause brain damage.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-14 - "Licensed health professional" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-23-1-27.1
Sec. 14.
"Licensed health professional" means an individual as
				  defined in IC
				  25-23-1-27.1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-14.2 - "Low-risk pregnancy" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 14.2.
"Low-risk pregnancy" means a woman sixteen (16) to
				  thirty-nine (39) years of age with no previous diagnosis of any of the
				  following:
(1) Essential
				hypertension.
(2) Renal
				disease.
(3) Collagen-vascular
				disease.
(4) Liver
				disease.
(5)
				Preeclampsia.
(6) Cardiovascular
				disease.
(7) Placenta
				previa.
(8) Multiple
				gestation.
(9) Intrauterine growth
				retardation.
(10)
				Smoking.
(11) Pregnancy-induced
				hypertension.
(12) Premature
				rupture of membranes.
(13) Other
				previously documented condition that poses a high risk of pregnancy-related
				mortality.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-15 - "Medical staff" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-18-2-149; IC
				  16-21-2-7
Sec. 15.
"Medical staff" means a group as defined in IC
				  16-21-2-7.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-15.5 - "Neonates" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 15.5.
"Neonates" means infants in the first twenty-eight (28) days
				  of life.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-16 - "Pharmacist" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-26-13
Sec. 16.
"Pharmacist" means an individual licensed under IC
				  25-26-13.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-17 - "Physician" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-22.5-5
Sec. 17.
"Physician" means an individual licensed under IC
				  25-22.5-5.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-18 - "Practitioner" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-1-9-2
Sec. 18.
"Practitioner" means an individual as defined in IC
				  25-1-9-2.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-18.5 - "Qualified dietitian" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 18.5.
"Qualified dietitian" means an individual as defined in IC
				  25-14.5-1-15
[IC
				  25-14.5-1-15 was repealed by
				  P.L.
				  90-2019,
				  SECTION
				  23, effective July 1,
				  2019.]
.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-19 - "Registered nurse" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-23-1
Sec. 19.
"Registered nurse" means an individual licensed under IC
				  25-23-1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-19.5 - "Rural hospital" defined

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 19.5.
"Rural hospital" means, for purposes of designation as a
				  critical access hospital, a hospital located in a city or town with a
				  population not greater than twenty thousand (20,000).
Agency cited as
					 410 IAC 15-1.1-20, which was
					 renumbered by the Publisher as
					 410 IAC 15-1.1-19.5.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-20 - "Serious disability" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 20.
"Serious disability" means either of the following:
(1) Significant loss of function including
				sensory, motor, physiologic, or intellectual impairment:
(A) not present on admission and requiring
				continued treatment; or
(B) for
				which there is a high probability of long term or permanent lifestyle change at
				discharge.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-21 - "Sexual assault" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1; IC
				  35-42-4; IC
				  35-46-1-3
Sec. 21.
"Sexual assault" means a crime included under IC
				  35-42-4 or IC
				  35-46-1-3.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-22 - "Surgery or other invasive procedure" defined

Current through July 10, 2024
Authority: IC 16-19-3-4; IC 16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 22.
For purposes of this rule,
				  410 IAC 15-1.4-2.2, and
				  410 IAC 15-2.4-2.2, "surgery or
				  other invasive procedure" means surgical or other invasive procedures that
				  involve a skin incision, puncture, or insertion of an instrument or foreign
				  material into tissues, cavities, or organs. A procedure begins at the time of
				  the skin incision, puncture, or insertion of an instrument or foreign material
				  into tissues, cavities, or organs. A procedure ends when the surgical incision
				  has been closed or operative devices, such as probes, have been removed. The
				  procedures include, but are not limited to, the following:
(1) Open or percutaneous surgical
				procedures.
(2) Percutaneous
				aspiration.
(3) Selected
				injections.
(4) Biopsy.
(5) Percutaneous cardiac and vascular
				diagnostic or interventional procedures.
(6) Laparoscopies.
(7) Endoscopies.
(8) Colonoscopies.
The term excludes intravenous therapy, venipuncture for
				  phlebotomy, diagnostic tests without intravenous contrast agents, nasogastric
				  tubes, or indwelling urinary catheters.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.1 - Definitions › Section 1.1-23 - "Toxic substance" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1
Sec. 23.
"Toxic substance" means chemicals that are present in
				  sufficient concentration to pose a hazard to human health.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.2 - Compliance with Rules › Section 1.2-1 - Compliance with rules

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 1.
(a) All
				hospitals shall be licensed by the department and shall comply with all
				applicable federal, state, and local laws and rules.
(b) Components required for licensure as a
				hospital are the following:
(1) Governing
				board.
(2) Quality assessment and
				improvement program.
(3) Dietary
				service.
(4) Infection control
				program.
(5) Laboratory
				service.
(6) Medical record
				service.
(7) Medical
				staff.
(8) Nursing
				service.
(9) Pharmaceutical
				service.
(10) Physical environment
				service.
(11) Plant maintenance
				service.
(12) Radiologic
				service.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.3 - Licensure Requirements › Section 1.3-1 - Issuance of license

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) The
				hospital shall file an application for licensure on a yearly basis with the
				division, prior to the expiration of the current license.
(b) A license is not transferable or
				assignable and shall be issued only for the premises named in the
				application.
(c) If multiple
				buildings are licensed under a single license, the licensee shall operate these
				buildings as a single integrated system as follows:
(1) All buildings or portions of buildings
				under a single license shall be governed by a single governing body and under
				administrative control of a single administrator.
(2) All hospital facilities operating under a
				single license shall have a single medical staff.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.3 - Licensure Requirements › Section 1.3-2 - Posting of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 2.
The license shall be conspicuously posted on the hospital
				  premises in an area open to patients and public. A copy shall be conspicuously
				  posted in an area open to patients and public on the premises of each separate
				  hospital building of a multiple hospital building system.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.3 - Licensure Requirements › Section 1.3-3 - Suspension or revocation of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC 4-21.5; IC
				  16-21-1
Sec. 3.
(a) The
				commissioner may take any of the following actions on any of the grounds listed
				in subsection (b):
(1) Issue a letter of
				correction.
(2) Issue a
				probationary license.
(3) Conduct a
				resurvey.
(4) Deny renewal of a
				license.
(5) Revoke a
				license.
(6) Impose a civil penalty
				in an amount not to exceed ten thousand dollars ($10,000).
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.3 - Licensure Requirements › Section 1.3-4 - Complaint investigation

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 4.
(a) The
				division shall investigate all complaints that come under the department's
				jurisdiction, regardless of the method of communication.
(b) The complaints will be assigned a
				priority based on the seriousness of the complaint, according to division
				policy, and the priority will dictate the immediacy of the
				investigation.
(c) The complaint
				investigations will be unannounced and may:
(1) occur at the time of the annual licensure
				inspection; and
(2) evolve into a
				full survey.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.4 - Governing Board Responsibilities › Section 1.4-1 - Governing board

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) The
				governing board is legally responsible for the conduct of the hospital as an
				institution. The governing board shall do the following:
(1) Function as the supreme authority of the
				hospital.
(2) Ensure that the
				hospital:
(A) meets all rules and regulations
				for licensure and certification, if applicable; and
(B) makes available to the commissioner upon
				request all reports, records, minutes, documentation, information, and files
				required for licensure.
(3) Adopt bylaws and function
				accordingly.
(4) Review the bylaws
				at least triennially.
(5) Maintain
				a liaison with the medical staff.
(6) Review, at least quarterly, reports of
				management operations, medical staff actions, and quality monitoring, including
				patient services provided, results attained, recommendations made, actions
				taken, and follow-up.
(7) Ensure
				that there is a hospital-wide, quality assessment and improvement program to
				evaluate the provision of patient care.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.4 - Governing Board Responsibilities › Section 1.4-2 - Quality assessment and improvement

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 2.
(a) The
				hospital shall have an effective, organized, hospital-wide, comprehensive
				quality assessment and improvement program in which all areas of the hospital
				participate. The program shall be ongoing and have a written plan of
				implementation that evaluates, but is not limited to, the following:
(1) All services, including services
				furnished by a contractor.
(2) All
				functions, including, but not limited to, the following:
(A) Discharge planning.
(B) Infection control.
(C) Medication therapy.
(D) Response to emergencies as defined in
				410 IAC
				15-1.5-5(b)(3)(L)(i).
(3) All medical and surgical services
				performed in the hospital with regard to appropriateness of diagnosis and
				treatments related to a standard of care and anticipated or expected
				outcomes.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.4 - Governing Board Responsibilities › Section 1.4-2.2 - Reportable events

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1; IC 25
Sec. 2.2.
(a)
(Voided by P.L.
				190-2023,
				SECTION
				38, effective July 1,
				2023.)
(b) Subject to
				subsection (e), the process for determining the occurrence of the reportable
				events listed in subsection (a)(1) by the hospital's quality assessment and
				improvement program shall be designed by the hospital to accurately determine
				the occurrence of any of the reportable events listed in subsection (a)(1)
				within the hospital in a timely manner.
(c) Subject to subsection (e), the process
				for reporting the occurrence of a reportable event listed in subsection (a)(1)
				shall comply with the following:
(1) The
				report shall:
(A) be made to the
				department;
(B) be submitted not
				later than fifteen (15) working days after the reportable event is determined
				to have occurred by the hospital's quality assessment and improvement
				program;
(C) be submitted not later
				than four (4) months after the potential reportable event is brought to the
				program's attention; and
(D)
				identify the reportable event, the quarter of occurrence, and the hospital, but
				shall not include any identifying information for any:
(i) patient;
(ii) individual licensed under IC 25;
				or
(iii) hospital employee
				involved; or any other information.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-1 - Dietetic services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 1.
(a) The
				hospital shall have organized food and dietary services that are directed and
				staffed by adequate, qualified personnel, or a contract with an outside food
				management company that meets the minimum standards specified in this
				section.
(b) The food and dietetic
				service shall have the following:
(1) A
				full-time employee who:
(A) serves as director
				of the food and dietetic services; and
(B) is responsible for the daily management
				of the dietary services.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-2 - Infection control

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 2.
(a) The
				hospital shall provide a safe and healthful environment that minimizes
				infection exposure and risk to patients, health care workers, and
				visitors.
(b) There shall be an
				active, effective, and written hospital-wide infection control program.
				Included in this program shall be a system designed for the identification,
				surveillance, investigation, control, and prevention of infections and
				communicable diseases in patients and health care workers.
(c) The infection control program shall have
				a method for identifying and evaluating trends or clusters of nosocomial
				infections or communicable diseases.
(d) A person qualified by training or
				experience shall be designated as responsible for the ongoing infection control
				activities and the development and implementation of policies governing control
				of infections and communicable diseases.
(e) The chief executive officer, medical
				staff, and executive nurse shall do the following:
(1) Be responsible for the implementation of
				successful corrective action plans in affected problem areas.
(2) Provide for appropriate infection control
				input into plans for renovation and new construction to ensure awareness of
				federal, state, and local rules that affect infection control practices as well
				as plan for appropriate protection of patients and employees during
				construction or renovation.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-3 - Laboratory services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC 16-21-1
Sec. 3.
(a) The
				hospital shall have, or make available, those pathology and medical laboratory
				services and consultation to meet the needs of patients served as determined by
				the medical staff which include the following:
(1) Emergency laboratory services shall be
				available twenty-four (24) hours a day as determined by the medical
				staff.
(2) The laboratory performs
				tests and examines specimens on the written request of individuals and
				practitioners allowed to order such evaluations and receive the results of the
				evaluations to the extent permitted by law and authorized by the governing
				body.
(3) A written description of
				available laboratory services, reference values, critical values, and expected
				turnaround time shall be available to the medical and nursing staff.
(4) Frozen section shall be provided where
				surgical procedures are performed which require immediate pathological
				examination.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-4 - Medical record services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 4.
(a) The
				medical record service has administrative responsibility for the medical
				records that shall be maintained for every individual evaluated or treated
				within those services that come under the hospital's license.
(b) The organization of the medical record
				service shall be appropriate to the scope and complexity of the services
				provided as follows:
(1) The service shall be
				directed by a registered health information administrator (RHIA) or a
				registered health information technician (RHIT). If a full-time or part-time
				RHIA or RHIT is not employed, then a consultant RHIA or RHIT shall be provided
				to assist the person in charge. Documentation of the findings and
				recommendations of the consultant shall be maintained.
(2) The medical record service shall be
				provided with the necessary direction, staffing, and facilities to perform all
				required functions in order to ensure prompt completion, filing, and retrieval
				of records.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-5 - Medical staff

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC 25-22.5
Sec. 5.
(a) The
				hospital shall have an organized medical staff that operates under bylaws
				approved by the governing board and is responsible to the governing board for
				the quality of medical care provided to patients. The medical staff shall be
				composed of two (2) or more physicians and other practitioners as appointed by
				the governing board and do the following:
(1)
				Conduct outcome oriented performance evaluations of its members at least
				biennially.
(2) Examine credentials
				of candidates for appointment and reappointment to the medical staff by using
				sources in accordance with hospital policy and applicable state and federal
				law.
(3)
(Voided by
				P.L.
				190-2023,
				SECTION
				39, effective July 1,
				2023.)
(4) Maintain a file
				for each member of the medical staff that includes, but is not limited to, the
				following:
(A) A completed, signed
				application.
(B) The date and year
				of completion of all Accreditation Council for Graduate Medical Education
				(ACGME) accredited residency training programs, if applicable.
(C) A copy of the member's current Indiana
				license showing the date of licensure and current number or an available
				certified list provided by the health professions bureau. A copy of practice
				restrictions, if any, shall be attached to the license issued by the health
				professions bureau through the medical licensing board.
(D) A copy of the member's current Indiana
				controlled substance registration showing the number, as applicable.
(E) A copy of the member's current Drug
				Enforcement Agency registration showing the number, as applicable.
(F) Documentation of experience in the
				practice of medicine.
(G)
				Documentation of specialty board certification, as applicable.
(H) Category of medical staff appointment and
				delineation of privileges approved.
(I) A signed statement to abide by the rules
				of the hospital.
(J) Documentation
				of current health status as established by hospital and medical staff policy
				and procedure and federal and state requirements.
(K) Other items specified by the hospital and
				medical staff.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-6 - Nursing service

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-23-1-11
Sec. 6.
(a) The
				hospital shall have an organized nursing service that provides twenty-four (24)
				hour nursing services furnished or supervised by a registered nurse. The
				service shall have the following:
(1) An
				organizational plan which delineates the responsibilities for patient
				care.
(2) A nurse executive who is:
(A) licensed under IC
				25-23-1-11; and
(B) responsible for the following:
(i) The operation of the services, including,
				but not limited to, determining the types and numbers of nursing personnel and
				staff necessary to provide care for all patient care areas of the
				hospital.
(ii) Maintaining a
				current nursing service organization chart.
(iii) Maintaining current job descriptions
				with reporting responsibilities for all nursing staff positions.
(iv) Ensuring that all nursing personnel meet
				annual in-service requirements as established by hospital and medical staff
				policy and procedure, and federal and state requirements.
(v) Establishing the standards of nursing
				care and practice in all settings in which nursing care is provided in the
				hospital.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-7 - Pharmaceutical services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 7.
(a) The
				hospital shall have a pharmaceutical service that meets the needs of the
				patient and complies with requirements set forth by the Indiana board of
				pharmacy.
(b) The hospital shall
				have a pharmacy service directed by a pharmacist, as follows:
(1) A full-time, part-time, or consulting
				pharmacist shall be responsible for developing, supervising, coordinating, and
				implementing the written policies and procedures to ensure appropriate
				distribution, control, therapeutic monitoring, and accountability of all drugs
				used in the hospital.
(2) The
				pharmacy service shall be administered in accordance with accepted professional
				standards and federal and state laws.
(3) The pharmacy service shall have an
				adequate number of personnel to ensure quality pharmaceutical services,
				including emergency services.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-8 - Physical plant, maintenance, and environmental services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 8.
(a) The
				hospital shall be constructed, arranged, and maintained to ensure the safety of
				the patient and to provide facilities for services authorized under the
				hospital license as follows:
(1) The plant
				operations and maintenance service, equipment maintenance, and environmental
				service shall be:
(A) staffed to meet the
				scope of the services provided; and
(B) under the direction of a person or
				persons qualified by education, training, or experience.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-9 - Radiologic services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 9.
(a) The
				hospital shall have on-site, or available by arrangement, the diagnostic
				imaging services required by the needs of the patients served and within the
				scope of the service provided, that are in compliance with federal and state
				rules, as follows:
(1) If radiation emitting
				or nonionizing services, either diagnostic or therapeutic, are provided, the
				applicable requirements of this section apply. The services may include, but
				not be limited to the following:
(A)
				Mammography.
(B) Computerized
				tomography.
(C) Magnetic resonance
				imaging.
(D) Ultrasound.
(E) Catheterization lab.
(F) Interventional radiology.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.5 - Required Hospital Services › Section 1.5-10 - Utilization review and discharge planning services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 10.
(a) The
				hospital shall have and implement a written plan, approved by the medical staff
				and governing body, that describes the utilization review program and governs
				its operation.
(b) The utilization
				review program shall address appropriate utilization of patient care
				resources.
(c) Concurrent review
				shall focus on those diagnoses problems, procedures, or practitioners with
				identified or suspected utilization-related problems.
(d) The hospital's utilization review program
				shall be reviewed and evaluated at least annually and be revised, as
				appropriate, to reflect the findings of the hospital's utilization review
				activities.
(e) To facilitate
				discharge as soon as an acute level of care is no longer required, the hospital
				shall have effective, ongoing discharge planning that:
(1) facilitates the provision of follow-up
				care;
(2) is initiated in a timely
				manner as established by written hospital policy;
(3) transfers or refers patients, along with
				necessary medical information and records, to appropriate facilities, agencies,
				or outpatient services, as needed, for follow-up or ancillary care. The
				information shall include, but not be limited to, the following:
(A) medical history;
(B) current medications;
(C) activities status;
(D) nutritional needs;
(E) outpatient service needs;
(F) follow-up care needs; and
(4) utilizes available community
				and hospital resource to provide appropriate referrals or make available
				social, psychological, and educational services to meet the needs of the
				patient.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-1 - Anesthesia services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 1.
(a) If the
				hospital furnishes anesthesia services, the service shall meet the needs of the
				patients served, within the scope of the service offered, in accordance with
				acceptable standards of practice, and be under the direction of a qualified
				physician. The service is responsible for all anesthesia administered in the
				hospital.
(b) Anesthesia shall only
				be administered by those privileged by the medical staff who are:
(1) an anesthesiologist;
(2) a qualified physician with appropriate
				training, experience, and privileges;
(3) a dentist, oral surgeon, or a podiatrist
				who is qualified to administer anesthesia under state law; or
(4) a certified registered nurse anesthetist
				(CRNA) who is under the direction of the operating practitioner or of a
				qualified physician who is immediately available if needed.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-2 - Emergency services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 2.
(a) If a
				hospital provides a community emergency service, the service shall meet the
				emergency needs of the patients served, within the scope of the service
				offered, in accordance with acceptable standards of practice, and be under the
				direction of a physician qualified by education or experience.
(b) The emergency service shall have the
				following:
(1) A scope of service that is
				clearly defined.
(2) Written
				policies and procedures governing medical care provided in the emergency
				service are established by and are a continuing responsibility of the medical
				staff. The policies shall include, but not be limited to, the following:
(A) Provision for the care of the disturbed
				patient.
(B) Provision for
				immediate assessment of all patients presenting for emergency and obstetrical
				care.
(C) Provision for transfer of
				patients when care is needed which cannot be provided.
(3) Integration with other hospital
				services.
(4) Laboratory and x-ray
				services available at all times.
(5) Adequate qualified medical and nursing
				personnel available to meet the needs anticipated by the facility in accordance
				with 410 IAC 15-1.4-1 and
				410 IAC 15-1.5-6, which includes,
				but is not limited to, the following:
(A) A
				registered nurse on duty and available to patients presenting with an emergency
				condition, on a twenty-four (24) hours per day, seven (7) day per week
				basis.
(B) A physician available at
				all times in accordance with
				410 IAC 15-1.4-1(d)(3)
				 and attending to patients with an emergency
				condition.
(6) A
				physician on-call roster available in the emergency service department which
				lists medical specialists in addition to scheduled medical staff.
(7) A patient control register.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-3 - Nuclear medicine services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 3.
(a) If the
				hospital provides nuclear medicine services, the service shall meet the needs
				of the patients served, within the scope of the service offered, in accordance
				with acceptable standards of practice, and comply with applicable requirements
				of 410 IAC 15-1.5-9.
(b) Radioactive materials shall be prepared,
				labeled, used, transported, stored, and disposed of in accordance with
				acceptable standards of practice, and federal and state law, as follows:
(1) In-house preparation of
				radio-pharmaceuticals is by, or under, the direct supervision of an
				appropriately trained registered pharmacist or physician.
(2) There is proper storage and disposal of
				radioactive material.
(3) If
				clinical laboratory tests are performed in the nuclear medicine service, the
				service shall meet the requirements for laboratory services, in this article,
				with respect to the following:
(A)
				Management.
(B) Adequacy of
				facilities.
(C) Proficiency
				testing.
(D) Quality
				control.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-4 - Outpatient care services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 4.
(a) If the
				hospital provides outpatient care services, the service shall meet the needs of
				the patients, within the scope of the service offered, in accordance with
				acceptable standards of practice. The service shall be under the direction of a
				qualified person or persons.
(b)
				Outpatient care services shall be appropriately organized and integrated with
				inpatient services, as follows:
(1) Assign a
				qualified registered nurse to supervise the nursing care in outpatient care
				services.
(2) Have appropriate
				personnel available.
(3) Ensure a
				record is maintained in accordance with
				410 IAC 15-1.5-4 and hospital
				policy.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-5 - Psychiatric services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 5.
(a) If the
				hospital provides psychiatric services, the service shall meet the needs of the
				patients served, within the scope of the service offered, in accordance with
				acceptable standards of practice.
(b) The service shall be under the direction
				of a physician qualified by training or experience.
(c) The service shall be staffed in
				accordance with hospital policies and with applicable state and federal
				rules.
(d) If the service provided
				includes a psychiatric unit exempt from the Medicare prospective payment
				system, it shall comply with 42 CFR Part 412, Subpart B, section
				412.25 and CFR Part 412, Subpart B, section
				412.27 for the purposes of licensure.
(e) If the service provided includes a
				subacute short term stabilization program provided in a group home setting as
				provided for in IC 12-22-2-3
[IC 12-22-2-3 was repealed by
				P.L.
				143-2011,
				SECTION
				31, effective July 1, 2011.]
, this
				article will apply with the exception of
				410 IAC 15-1.5-8.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-6 - Rehabilitation services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 6.
(a) If the
				hospital provides rehabilitation, physical therapy, occupational therapy,
				audiology, speech pathology, or other therapy services, the service shall meet
				the needs of the patients served, within the scope of the service offered, in
				accordance with acceptable standards of practice.
(b) The services shall be under the direction
				of a physician qualified by training or experience and supervised by a
				qualified person or persons.
(c)
				Available services shall be provided on the written request of individuals and
				practitioners allowed by law to order such services and as authorized by the
				governing body, and furnished in accordance with a written plan of treatment,
				if appropriate.
(d) The services
				shall have appropriate personnel available.
(e) If the services provided include an
				inpatient rehabilitation unit or the hospital itself is exempt from the
				Medicare prospective payment system, it shall comply with
				42 CFR Part 412, Subpart B,
				section 412.25,
				42 CFR Part 412, Subpart B,
				section 412.29, and
				42 CFR Part 412, Subpart B,
				section 412.30 for purposes of
				licensure.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-7 - Respiratory care services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 7.
(a) If the
				hospital provides respiratory care services, the service shall meet the needs
				of the patients served, within the scope of the service offered, and in
				accordance with acceptable standards of practice.
(b) The service shall be under the direction
				of a physician who is a pulmonologist or a physician qualified by training or
				experience, and supervised by a qualified person.
(c) The respiratory care service shall meet
				the following requirements:
(1) Have certified
				respiratory care practitioners or other personnel who meet the qualifications
				specified by the medical staff.
(2)
				Personnel qualified to perform specific procedures and the amount of
				supervision required for personnel to carry out specific procedures shall be
				designated in writing.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-8 - Surgical services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 8.
(a) If the
				hospital provides inpatient or ambulatory surgical services, the services shall
				meet the needs of the patients served, within the scope of the service offered,
				and in accordance with acceptable standards of practice and safety.
(b) The organization of the surgical services
				shall be appropriate, according to the scope of the services offered, as
				follows:
(1) The surgical service shall be
				under the direction of a physician qualified by experience and
				training.
(2) An experienced
				registered nurse shall supervise all nursing personnel in surgical services and
				postanesthesia care units (PACU), as follows:
(A) Licensed practical nurses, operating room
				technicians (ORTs), obstetrical technicians (OB Techs), and surgical
				technologists may serve as scrub personnel under the supervision of a qualified
				registered nurse.
(B) Circulating
				duties in the operating room shall be performed by a qualified registered
				nurse. Licensed practical nurses and surgical technologists may assist in
				circulating duties under the supervision of a qualified registered nurse who is
				immediately available to respond to emergencies, in accordance with applicable
				state law and approved written medical staff policies and procedures.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.6 - Optional Hospital Services › Section 1.6-9 - Other services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 9.
(a) If the
				hospital provides other services not covered in specific sections of this
				article, the service shall meet the needs of the patients served, within the
				scope of the service offered, and in accordance with acceptable standards of
				practice.
(b) The services shall be
				under the direction of a qualified person or persons.
(c) The services shall be staffed in
				accordance with written hospital policies and comply with the applicable state
				and federal rules.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 1.7 - Incorporation by Reference › Section 1.7-1 - Incorporation by reference

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) When used
				in this article, references to the following publications shall mean the
				version of that publication listed below. The following publications are hereby
				incorporated by reference:
(1) Guidelines for
				Construction and Equipment of Hospital and Medical Facilities (2001 Edition).
				Copies are available from the American Institute of Architects, 1735 New York
				Ave. Northwest, Washington, D.C. 20006.
(2) Bulletin S.E. 13, "On-site Water Supply
				and Waste-water Disposal for Public and Commercial Establishments" (1988
				Edition). Copies are available from the Indiana Department of Health, 1330 West
				Michigan Street, P.O. Box 1964, Indianapolis, IN 46206-1964.
(3) National Fire Protection Association
				(NFPA) 99, Health Care Facilities (1993 Edition). Copies may be obtained from
				the National Fire Protection Association, 1 Batterymarch Park, P.O. Box 9101,
				Quincy, MA 02269-9904.
(4) National
				Fire Protection Association (NFPA) 101, Life Safety Code Handbook (2000
				Edition). Copies may be obtained from the National Fire Protection Association,
				1 Batterymarch Park, P.O. Box 9101, Quincy, MA 02269-9904.
(5) National Committee on Radiation
				Protection (NCRP) Reports, Number 49, "Structural Shielding Design and
				Evaluation for Medical Use of X-rays and Gamma Rays of Energies Up to 10 MeV"
				(September 15, 1976 Edition). Copies may be obtained from the National Council
				on Radiation Protection and Measurements, 7910 Woodmont Avenue, Washington,
				D.C. 20014.
(6) National Committee
				on Radiation Protection (NCRP) Reports, Number 102, "Medical X-ray, Electron
				Beam and Gamma Ray Protection for Energies Up to 50 MeV (Equipment Design,
				Performance and Use)" (June 30, 1989 Edition). Copies may be obtained from the
				National Council on Radiation Protection and Measurements, 7910 Woodmont
				Avenue, Washington, D.C. 20014.
(7)
										42 CFR Part 412, Subpart B,
				Section 412.25,
				42 CFR Part 412, Subpart B,
				Section 412.27,
				42 CFR Part 412, Subpart B,
				Section 412.29,
				42 CFR Part 412, Subpart B,
				Section 412.30 (October 1, 1993
				Edition).
(8) 42 CFR Part 493
				(October 1, 1993 Edition).
(9) 21
				CFR Part 606 (April 1, 1994 Edition).
(10) 21 CFR Part 640 (April 1, 1994
				Edition).
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-1 - Applicability

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 1.
The definitions in this rule apply throughout this
				  rule.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-2 - "Ambulatory outpatient surgical center" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-18-2-14; IC
				  16-21-1
Sec. 2.
"Ambulatory outpatient surgical center" means a center as
				  defined in IC
				  16-18-2-14.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-3 - "Authenticate" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 3.
"Authenticate" means the author or responsible individual
				  has reviewed the clinical content of the order and validated an entry in the
				  record by:
(1) a full signature,
				including first initial, last name, and discipline;
(2) written initials if full signature
				appears on the same page;
(3) a
				unique identifier such as a number or computer key; or
(4) a signature stamp.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-4 - "Center" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 4.
"Center" means an ambulatory outpatient surgical
				  center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-5 - "Commissioner" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 5.
"Commissioner" means the state health commissioner or the
				  state health commissioner's designee.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-6 - "Council" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-18-2-84; IC
				  16-21-1
Sec. 6.
"Council" means the body defined in IC
				  16-18-2-84(1).
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-7 - "Dentist" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 7.
"Dentist" means any person holding an unlimited license to
				  practice dentistry in the state of Indiana.