reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 3 - CHIEF EXECUTIVE OFFICER › Rule 15-16-1-40.3.7

Current through June 25, 2024
The Chief Executive Officer shall assist the governing
						body in formulating policy by preparing the following items and presenting them
						to and reviewing them with the governing body:
1. Long-term and short-term plans of the
					 facility.
2. Reports on the nature
					 and extent of funding and other available resources.
3. Reports describing the facility's
					 operations.
4. Reports evaluating
					 the efficiency and effectiveness of facility or program activity; and
5. Budgets and financial
					 statements.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 3 - CHIEF EXECUTIVE OFFICER › Rule 15-16-1-40.3.8

Current through June 25, 2024
The Chief Executive Officer shall be responsible for the
						preparation of a written manual that defines the facility policies and
						procedures and that is regularly revised and updated.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 3 - CHIEF EXECUTIVE OFFICER › Rule 15-16-1-40.3.9

Current through June 25, 2024
There shall be documentation that the Chief Executive
						Officer attends and participates in continuing education
						programs.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 4 - PROFESSIONAL STAFF ORGANIZATION › Rule 15-16-1-40.4.1

Current through June 25, 2024
There shall be a single organized professional staff
						that has the overall responsibility for the quality of all clinical care
						provided to patients, and for the ethical conduct and professional practices of
						its members, as well as, for accounting therefore to the governing body. The
						manner in which the professional staff is organized shall be consistent with
						the facility's documented staff organization and bylaws, rules and regulations,
						and pertain to the setting where the facility is located. The professional
						staff bylaws, rules and regulations, and the rules and regulations of the
						governing authority shall require that a qualified physician be responsible for
						diagnosis and all care and treatment. The organization of the professional
						staff and its bylaws, rules and regulations, shall be approved by the
						facility's governing body.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 4 - PROFESSIONAL STAFF ORGANIZATION › Rule 15-16-1-40.4.2

Current through June 25, 2024
There professional staff shall strive to assure that
						each member is qualified for membership and shall encourage the optimal level
						of professional performance of its members through the
						appointment/reappointment procedure, the specific delineation of clinical
						privileges, and the periodic reappraisal of each staff member according to the
						provisions.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 5 - QUALIFICATIONS › Rule 15-16-1-40.5.1

Current through June 25, 2024
The appointment and reappointment of professional staff
						member shall be based upon well defined, written criteria that are related to
						the goals and objectives of the facility as stated in the bylaws, rules and
						regulations of the professional staff and of the governing
						body.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 5 - QUALIFICATIONS › Rule 15-16-1-40.5.2

Current through June 25, 2024
Upon application or appointment to the professional
						staff, each individual must sign a statement to the effect that he or she has
						read and agrees to be bound by the professional staff and governing body
						bylaws, rules and regulations.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 5 - QUALIFICATIONS › Rule 15-16-1-40.5.3

Current through June 25, 2024
The initial appointment and continued professional staff
						membership shall be dependent upon professional competence and ethical practice
						in keeping with the qualifications, standards and requirements set forth in the
						professional staff and governing body bylaws, rules and
						regulations.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 5 - QUALIFICATIONS › Rule 15-16-1-40.5.4

Current through June 25, 2024
Unless otherwise provided by law, only those
						practitioners who are licensed, certified, or registered, or who have
						demonstrated competence and experience, shall be eligible for professional
						staff membership.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 6 - METHOD OF SELECTION › Rule 15-16-1-40.6.1

Current through June 25, 2024
Each facility is responsible for developing a process of
						appointment to the professional staff whereby it can satisfactorily determine
						that the person is appropriately licensed, certified, registered, or
						experienced, and qualified for the privileges and responsibilities he or she
						seeks.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 7 - PRIVILEGE DELINEATION › Rule 15-16-1-40.7.1

Current through June 25, 2024
Privileges shall be delineated for each member of the
						professional staff, regardless of the type and size of the facility and the age
						and disability group served.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 7 - PRIVILEGE DELINEATION › Rule 15-16-1-40.7.2

Current through June 25, 2024
The delineation of privileges shall be based on all
						verified information available in the applicant's or staff member's credentials
						file.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 7 - PRIVILEGE DELINEATION › Rule 15-16-1-40.7.3 - Clinical privileges shall be facility-specific

Current through June 25, 2024
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 7 - PRIVILEGE DELINEATION › Rule 15-16-1-40.7.4

Current through June 25, 2024
The professional staff shall delineate in its bylaws,
						rules and regulations the qualifications, status, clinical duties, and
						responsibilities of clinical practitioners who are not members of the
						professional staff but whose services require that they be processed through
						the usual professional staff channels.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 7 - PRIVILEGE DELINEATION › Rule 15-16-1-40.7.5

Current through June 25, 2024
The training, experience and demonstrated competence of
						individuals in such categories shall be sufficient to permit their performing
						their assigned functions.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 7 - PRIVILEGE DELINEATION › Rule 15-16-1-40.7.6

Current through June 25, 2024
There shall be provisions for individuals in such
						categories to receive professional supervision, when indicated, from their
						professional counterparts.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 8 - REAPPOINTMENT › Rule 15-16-1-40.8.1

Current through June 25, 2024
The facility's professional staff bylaws, rules and
						regulations shall provide for review and reappointment of each professional
						staff member at least once every two years.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 8 - REAPPOINTMENT › Rule 15-16-1-40.8.2

Current through June 25, 2024
The reappointment process should include a review of the
						individual's status by a designated professional staff committee, such as the
						credentials committee.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 8 - REAPPOINTMENT › Rule 15-16-1-40.8.3

Current through June 25, 2024
When indicated, the credentials committee shall require
						the individual to submit evidence of his or her current health status that
						verifies the individual's ability to discharge his or her
						responsibilities.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 8 - REAPPOINTMENT › Rule 15-16-1-40.8.4

Current through June 25, 2024
The committee's review of the clinical privileges of a
						staff member for reappointment should include the individual's past and current
						professional performance, as well as, his or her adherence to the governing
						body and professional staff bylaws, rules and regulations.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 8 - REAPPOINTMENT › Rule 15-16-1-40.8.5

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall limit the time within which the professional staff reappointment and
						privilege delineation processes must be completed.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 9 - ORGANIZATION › Rule 15-16-1-40.9.1

Current through June 25, 2024
The professional staff shall be organized to accomplish
						its required functions. The professional staff organization must provide a
						framework in which the staff can carry out its duties and functions
						effectively. The complexity of the organization shall be consonant with the
						size of the facility and the scope of its activities. (Although not all members
						of professional health care disciplines need to be members of the professional
						staff, membership may include active staff, consulting staff, affiliate staff,
						associate staff and others according to the needs of the
						facility.)
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 9 - ORGANIZATION › Rule 15-16-1-40.9.2

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall provide for the selection of officers for an executive committee, and,
						when appropriate, for other organizational components of the
						facility.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 9 - ORGANIZATION › Rule 15-16-1-40.9.3

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						should specify the organization needed to provide effective governance of the
						professional staff.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 10 - EXECUTIVE COMMITTEE › Rule 15-16-1-40.10.1

Current through June 25, 2024
The executive committee shall be empowered to act for
						the professional staff in the intervals between the staff
						meetings.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 10 - EXECUTIVE COMMITTEE › Rule 15-16-1-40.10.2

Current through June 25, 2024
The committee shall serve as a liaison mechanism between
						the professional staff and the administration.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 10 - EXECUTIVE COMMITTEE › Rule 15-16-1-40.10.3

Current through June 25, 2024
There shall be a mechanism that assures medical
						participation in the deliberations of the executive
						committee.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 10 - EXECUTIVE COMMITTEE › Rule 15-16-1-40.10.4

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall define the size, composition, method of selecting members and frequency
						of meetings of the executive committee.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 10 - EXECUTIVE COMMITTEE › Rule 15-16-1-40.10.5

Current through June 25, 2024
The executive committee shall maintain a permanent
						record of its proceedings and actions.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 10 - EXECUTIVE COMMITTEE › Rule 15-16-1-40.10.6

Current through June 25, 2024
The functions and responsibilities of the executive
						committee shall include at least the following:
1. Receiving and acting upon reports and
					 recommendations from a professional staff committees, departments and
					 services.
2. Implementing the
					 approved policies of the professional staff.
3. Recommending to the governing body all
					 matters relating to appointments and reappointments, staff categorization and
					 assignments, clinical privileges, and except when such is a function of the
					 professional staff or one of its committees, corrective action.
4. Fulfilling the professional staff's
					 accountability to the governing body for the quality of the overall clinical
					 care rendered to the patients in the facility; and
5. Initiating and pursuing corrective action
					 when warranted, in accordance with the provisions of the professional staff
					 bylaws, rules and regulations.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 11 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-40.11.1

Current through June 25, 2024
The professional staff shall develop and adopt bylaws,
						rules and regulations to establish a framework of self-government and a means
						of accountability to the governing body.
1. The bylaws, rules and regulations shall be
					 subject to the approval of the governing body.
2. The professional staff shall regulate
					 itself by its bylaws, rules and regulations.
3. The professional staff bylaws, rules and
					 regulations shall reflect current staff practices, shall be enforced and shall
					 be periodically reviewed and revised as necessary.
4. The professional staff bylaws, rules and
					 regulations shall include a requirement for an ethical pledge from each
					 practitioner.
5. The professional
					 staff bylaws, rules and regulations shall describe the specific role of each
					 discipline represented on the professional staff or exercising clinical
					 privileges in the care of patients.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 11 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-40.11.2

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall include the following patient record requirements:
1. Symbols and abbreviations shall be used
					 only when they have been approved by the professional staff and when there is
					 an explanatory legend;
2. The
					 categories of personnel who are qualified to accept and transcribe verbal
					 orders, regardless of the mode of transmission of the orders, shall be
					 specifically identified;
3. The
					 period of time following admission to the facility within which a history and
					 physical examination must be entered in the patient record shall be
					 specified;
4. The time period in
					 which patient records must be completed following discharge shall be specified
					 and shall not exceed fourteen (14) days; and
5. The entries in patient records that must
					 be dated and authenticated by the responsible practitioner shall be
					 specified.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 11 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-40.11.3

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall specify mechanisms for the regular review, evaluation and monitoring of
						professional staff practices.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 11 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-40.11.4

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall provide a procedure relative to denial of staff appointments and
						reappointments, as well as, for denial, curtailment, suspension, or revocation
						of clinical privileges. When appropriate, this procedure shall provide for a
						practitioner to be heard, upon request, at some stage of the
						process.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.1

Current through June 25, 2024
The facility shall formulate and specify in a written
						plan for professional services its goals, objectives, policies and programs so
						that its performance can be measured.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.2

Current through June 25, 2024
The plan shall describe the services offered by the
						facility so that a frame of reference for judging the various aspects of the
						facility's operation is available.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.3

Current through June 25, 2024
The written plan for professional services shall
						describe the following:
1. The
					 population served, including age groups and other relevant characteristics of
					 the patient population;
2. The
					 hours and days the facility operates;
3. The methods used to carry out initial
					 screening and/or triage;
4. The
					 intake or admission process; including how the initial contact is made with the
					 patient and the family or significant others;
5. The assessment and evaluation procedures
					 provided by the facility;
6. The
					 methods used to deliver services to meet the identified clinical needs of
					 patients served;
7. The basic
					 therapeutic programs offered by the facility;
8. The treatment planning process and the
					 periodic review of therapy;
9. The
					 discharge and post-therapy planning processes;
10. The organizational relationships of each
					 of the facility's therapeutic programs, including channels of staff
					 communication, responsibility and authority, as well as, supervisory
					 relationships; and
11. The means by
					 which the facility provides, or makes arrangements for the provision of the
					 following:
a. Other medical, special
					 assessments and therapeutic services;
b. Patient education services, whether
					 provided from within or outside the facility;
c. Emergency services and crisis
					 intervention; and
d. Discharge and
					 aftercare, including post-therapy planning and follow-up evaluation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.4

Current through June 25, 2024
When the facility is organized by departments or
						services, the written plan for professional services shall describe how each
						department or service relates to the goals and other programs of the facility,
						specify lines of responsibility within each department of service and define
						the roles of department or service personnel and the methods for
						interdisciplinary collaboration.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.5

Current through June 25, 2024
When a facility is organized on a team or unit basis,
						either totally or in part, the written plan for professional services shall
						delineate the roles and responsibilities of team members in meeting the
						identified clinical needs of patients and in relation to the goals and programs
						of the facility.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.6

Current through June 25, 2024
The written plan for professional services shall be made
						known and available to all professional personnel and to the Chief Executive
						Officer.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.7

Current through June 25, 2024
The plan shall be reviewed at least annually, and
						revised as necessary, in relation to the changing needs of the patients, the
						community, and the overall objectives and goals of the facility, and it shall
						be signed and dated by the reviewers.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.8

Current through June 25, 2024
Within the scope of its activities, the facility shall
						have enough appropriately qualified health care professional, administrative
						and support staff available to adequately assess and address the identified
						clinical needs of patients. Appropriately qualified professional staff may
						include qualified psychiatrists and other physicians, clinical psychologists,
						social workers, psychiatric nurses and other health care professionals in
						numbers and variety appropriate to the services offered by the
						facility.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.9

Current through June 25, 2024
When appropriate qualified professional staff members
						are not available or needed on a full-time basis, arrangements shall be made to
						obtain sufficient services on an attending continuing consultation, or
						part-time basis.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.10

Current through June 25, 2024
Facilities providing child and adolescent psychiatric
						services shall have available appropriately qualified mental health
						professionals and paraprofessionals including, but not limited to, the
						following:
1. Child
					 psychiatrists;
2. Child
					 psychologists;
3. Social
					 workers;
4. Psychiatric
					 nurses;
5. Child care
					 workers;
6. Educators;
7. Speech, hearing and language
					 specialists;
8. Activity and
					 recreation specialists; and
9.
					 Vocational counselors.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.11

Current through June 25, 2024
The staff shall be assigned full-time to the
						child/adolescent program and not shared with other programs.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.12

Current through June 25, 2024
The staff shall be specially trained to meet the needs
						of adolescents and children.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 12 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-40.12.13

Current through June 25, 2024
There shall be documentation to verify that health care
						professional staff meets all federal, state and local requirements for
						licensing, registration or certification.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 13 - STAFF COMPOSITION: PSYCHIATRIC SERVICES › Rule 15-16-1-40.13.1

Current through June 25, 2024
Psychiatric services are under the supervision of a
						clinical director, service chief or equivalent, who is qualified to provide the
						leadership required for an intensive treatment program.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 13 - STAFF COMPOSITION: PSYCHIATRIC SERVICES › Rule 15-16-1-40.13.2

Current through June 25, 2024
The director shall be certified by the American Board of
						Psychiatry and Neurology, or meet the training and experience requirements for
						examination by the Board (Board eligible). In the even the psychiatrist in
						charge of the clinical program is Board eligible, there is evidence of
						consultation given to the clinical program on a continuing basis from a
						psychiatrist certified by the American Board of Psychiatry and
						neurology.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 13 - STAFF COMPOSITION: PSYCHIATRIC SERVICES › Rule 15-16-1-40.13.3

Current through June 25, 2024
The number of psychiatrists is commensurate with the
						size and scope of the treatment program.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 13 - STAFF COMPOSITION: PSYCHIATRIC SERVICES › Rule 15-16-1-40.13.4

Current through June 25, 2024
All psychiatrists shall be licensed by the State of
						Mississippi.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 14 - MEDICAL SERVICES › Rule 15-16-1-40.14.1

Current through June 25, 2024
Physicians shall be available at all times to provide
						necessary medical and surgical diagnostic and treatment services, including
						specialized services.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 14 - MEDICAL SERVICES › Rule 15-16-1-40.14.2

Current through June 25, 2024
If medical and surgical diagnosis and treatment services
						are not available within the institution, qualified consultants or attending
						physicians are immediately available or arrangements are made to transfer
						patients to a general hospital.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 15 - NURSING SERVICES › Rule 15-16-1-40.15.1

Current through June 25, 2024
Nursing services shall be under the direct supervision
						of a registered nurse who has had at least two (2) years of experience in
						psychiatric or mental health nursing and at least one (1) year of experience in
						a supervisory position.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 15 - NURSING SERVICES › Rule 15-16-1-40.15.2

Current through June 25, 2024
The number of registered professional nurses, licensed
						practical nurses, and other nursing personnel shall be adequate to formulate
						and carry out the nursing components of the individual treatment plan for each
						patient.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 15 - NURSING SERVICES › Rule 15-16-1-40.15.3

Current through June 25, 2024
There shall be a registered professional nurse on duty
						24 hours a day, seven days a week, to plan, assign, supervise and evaluate
						nursing care and to provide for the delivery of nursing care to
						patients.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 16 - PSYCHOLOGICAL SERVICES › Rule 15-16-1-40.16.1

Current through June 25, 2024
Patients shall be provided psychological services, in
						accordance with their needs by a qualified psychologist.
1. Services to patients include evaluations,
					 consultations, therapy and program development.
2. A qualified psychologist is an individual
					 by the State Board of Psychological Examiners with a specialty area in Clinical
					 or Counseling Psychology (refer to Mississippi Code of 1972, annotated and
					 amended. Section 73-31-10).
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 17 - SOCIAL SERVICES › Rule 15-16-1-40.17.1

Current through June 25, 2024
Social work services are under the supervision of a
						qualified social worker. The director of the service or department shall have a
						master's degree from an accredited school of social work, or have been
						certified by the Academy of Certified Social Workers.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 17 - SOCIAL SERVICES › Rule 15-16-1-40.17.2

Current through June 25, 2024
Social work staff is qualified and numerically adequate
						to provide the following services:
1.
					 Psychosocial data for diagnosis and treatment planning.
2. Direct therapeutic services to individual
					 patients, patient groups or families.
3. Develop community resources.
4. Participate in interdisciplinary
					 conferences and meetings concerning treatment planning, including
					 identification and utilization of other facilities and alternative forms of
					 care and treatment.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 18 - REHABILITATIVE SERVICES › Rule 15-16-1-40.18.1

Current through June 25, 2024
Qualified therapists, consultants, assistants or aides
						are sufficient in number to provide comprehensive therapeutic activities,
						including at least occupational, recreational and physical therapy as needed to
						assure that appropriate treatment is rendered for each patient and to establish
						a therapeutic milieu.
1. Occupational
					 therapy services are prescribed by a physician and provided to a patient by or
					 under the direction of a qualified occupational therapist.
2. A qualified occupational therapist is an
					 individual who is registered by the American Occupational Therapy Association;
					 or is a graduate of a program in occupational therapy approved by the Council
					 on medical Education of the American Medical Association and engaged in the
					 supplemental clinical experience required before registration by the American
					 Occupational Therapy Association.
3. Physical therapy services are prescribed
					 by a physician and provided to a patient by or under the direction of a
					 qualified therapist.
4. A qualified
					 physical therapist is an individual who is a graduate of a program of physical
					 therapy approved by both the Council on Medical Education of the American
					 Medical Association and the American Physical Therapy Association; and who is
					 licensed by the State.
5.
					 Recreation services shall be supervised by a qualified recreation therapist.
					 The qualified recreation therapist shall meet one of the following definitions:
a. A qualified therapeutic recreation
					 specialist; or
b. A bachelor's
					 degree in recreation and one (1) year of recreational experience in a health
					 care setting; or
c. An associate
					 degree in recreation or in a specialty area such as art or music plus
					 completion of comprehensive in-service training in recreation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 19 - PERSONNEL POLICIES AND PROCEDURES › Rule 15-16-1-40.19.1

Current through June 25, 2024
Personnel policies and procedures shall be developed in
						writing, adopted and maintained to promote the objectives of the facility and
						to provide for an adequate number of qualified personnel during all hours of
						operation to support the functions of the facility and the provision of high
						quality care.
1. All personnel
					 policies shall be reviewed and approved on an annual basis by the governing
					 body.
2. There shall be
					 documentation to verify that the written personnel policies and procedures are
					 explained and made available to each employee.
3. The policies and procedures shall include
					 a mechanism for determining that all personnel are medically and emotionally
					 capable of performing assigned tasks and are free of communicable and
					 infectious diseases.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 19 - PERSONNEL POLICIES AND PROCEDURES › Rule 15-16-1-40.19.2

Current through June 25, 2024
There shall be written policies and procedures for
						handling cases of patient neglect and abuse.
The policies and procedures on patient neglect or abuse
						shall be given to all personnel. Any alleged violations of these policies and
						procedures shall be investigated, and the results of such investigation shall
						be reviewed and approved by the director and reported to the governing
						body.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 19 - PERSONNEL POLICIES AND PROCEDURES › Rule 15-16-1-40.19.3

Current through June 25, 2024
A personnel record shall be kept on each staff member
						and shall contain the following items, as appropriate:
1. Application for employment;
2. Written references and a record of verbal
					 references;
3. Verification of all
					 training and experience, licensure, certification, registration and/or
					 renewals.
4. Wage and salary
					 information;
5. Performance
					 appraisals;
6. Initial and
					 subsequent health clearances;
7.
					 Disciplinary and counseling actions;
8. Commendations;
9. Employee incident reports;
10. Record of orientation to the facility,
					 its policies and procedures and the employee's position.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 19 - PERSONNEL POLICIES AND PROCEDURES › Rule 15-16-1-40.19.4

Current through June 25, 2024
For each position in the facility, there shall be a
						written job description that specifies the duties and responsibilities of the
						position and the minimum level of education, training and/or related work
						experience required or needed to fulfill it.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 20 - STAFF DEVELOPMENT › Rule 15-16-1-40.20.1

Current through June 25, 2024
The facility shall have a written plan of evidence of
						implementation of a program of staff development and in-service training that
						is consonant with the basic goals and objectives of the
						program.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 20 - STAFF DEVELOPMENT › Rule 15-16-1-40.20.2

Current through June 25, 2024
Staff development shall be under the supervision and
						direction of a committee or qualified person.
This person or committee may delegate responsibility for
						any part of the program to appropriately qualified
						individuals.
Miss. Code Ann.
						§
												41-9-17
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 40 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC HOSPITALS › Subchapter 20 - STAFF DEVELOPMENT › Rule 15-16-1-40.20.3

Current through June 25, 2024
The staff development plan shall include plans for
						orientation of new employees and shall specify subject areas to be covered in
						the orientation process.
Miss. Code Ann.
						§
												41-9-17