Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part II - Nursing Facilities › Subpart 3 - Standards for Payment › Chapter 101 - Standards for Payment for Nursing Facilities › Subchapter A - Abbreviations and Definitions › Section II-10101 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. This glossary
					 contains a comprehensive list of abbreviations and definitions used in the
					 requirements for payment for nursing facilities.
Abuse
-the infliction of physical or
						mental injury or causing deterioration to such an extent that the resident's
						health, moral, and/or emotional well being is endangered. Cause of such
						deterioration my include but is not limited to the following: sexual abuse,
						exploitation, extortion of funds or other things of value, negligence.
Admission
-the date a person enters the
						facility and is admitted as a resident.
Advance Directives
-an instruction, such
						as a living will or durable power of attorney for health care, recognized under
						state law relating to the provisions of health care when the individual is
						incapacitated. Although usually done in writing state law provides that under
						some circumstances these directives may be orally.
Ancillary Services
-services provided at
						or through the facility in addition to nursing services provided which
						includes, but is not limited to, podiatry, dental, audiology, vision, physical
						therapy, occupational therapy, psychological, social and planning
						services.
Applicant
-an individual whose written
						application for Medicaid certification has been submitted to the agency but
						whose eligibility has not yet been determined.
Assistant Director of Nursing (ADON)
-a
						licensed nurse responsible for providing assistance to the director of nursing
						(DON) in a nursing facility with a licensed bed capacity of 101 or more.
Attending Physician
-a physician,
						currently licensed by the Louisiana State Board of Medical Examiners,
						designated by the resident or responsible party as responsible for the
						direction of overall medical care. This term shall also apply to any physician
						providing medical care for a resident in the absence of the resident's
attending physician
.
Bed Capacity
-the total number of beds
						which can be set up in a nursing facility for the use of residents, based on
						bedroom criteria of square footage. The term "bed capacity" shall include
						isolation beds.
a.
Certified
					 Beds
-beds certified for use for title XVIII/XIX by DHH/BHSF.
b.
Licensed Beds
-beds
					 licensed for use by DHH/BHSF.
Bureau of Health Services Financing
(BHSF)
-the division within the Office of the Secretary of the
						Department of Health and Hospitals responsible for the administration of the
						Medicaid Program.
Call System
-a system that audibly
						registers calls electronically from its place of origin (which means the
						resident's bed) to the place of receivership (which means the nurses'
						station).
Certification
-a determination made by
						the Louisiana Department of Health and Hospitals, Bureau of Health Services
						Financing, Health Standards Section that a facility meets the necessary
						requirements to participate in Louisiana as a provider of Title XVIII
						(Medicare) and/or Title XIX (Medicaid) as a nursing facility.
Certified Nursing Assistant
(CNA)
-an individual who has completed an approved course
						taught by a qualified instructor consisting of at least 40 hours classroom and
						40 hours clinical and taken a state approved written/competency. As of 1/1/90,
						all employed nurse aides must meet these qualifications, and aides employed
						after that date must complete the approved course within four months of the
						date of employment.
Change of Ownership
(CHOW)
-any change in the legal entity responsible for the
						operation of a nursing facility.
Charge Nurse
-an individual who is
						licensed by the state of Louisiana to practice as an RN or LPN.
Chemical Restraint
-the use of any
						medication listed in the schedules of legend drugs under Louisiana Revised
						Statute 40:964 as a substance having a depressant effect on the brain or
						central nervous system activity in order to prohibit inappropriate movement or
						behavior.
Code of Federal Regulations
(CFR)
-a publication by the federal government containing
						nursing requirements which facilities must comply with to receive payment under
						the Medicare/Medicaid Programs.
Comfortable Temperature
-the capability
						to maintain a temperature for all seasons between 71 degrees and 81 degrees
						throughout the facility.
Continued Stay
-a request for medical
						certification beyond the date of the currently authorized period.
Controlled Drugs
-drugs listed as being
						subject to the Comprehensive Drug Abuse Prevention and Control Act of
						1970.
Dentist
-an individual currently licensed
						to practice dentistry in Louisiana under the provisions of current state
						statutes.
DHH
-abbreviation for the Department of
						Health and Hospitals in Louisiana.
DHHS
-abbreviation for the United States
						Department of Health and Human Services in Washington, D.C.
Dietary Manager
(DM)-an individual who is
						a qualified dietician or a qualified food serve supervisor.
Dietitian
(Qualified
						Consultant)
-an individual certified as a registered
dietitian
by the Commission on Dietetic Registration and who
						is currently licensed by the Louisiana Board of Examiners in Dietetics and
						Nutrition.
Director of Nursing
(DON)
-a registered nurse licensed and registered by the state
						of Louisiana who directs and coordinates nursing services in a nursing
						facility.
Drill
-the act or exercise of training
						employees to be familiar with the emergency actions and signals required under
						varied conditions.
Drug Administration
-an act in which a
						single dose of a prescribed drug or biological is given to a resident by an
						authorized person in accordance with all laws and regulations governing such
						acts. The complete act of administration entails removing an individual dose
						from a previously dispensed, properly labeled container (including a unit dose
						container), verifying it with the physician's orders, giving the individual
						dose to the proper resident, and promptly recording the time and dose
						given.
Drug Dispensing
-an act which entails the
						interpretation of an order for a drug or biological and, pursuant to the order,
						the proper selection, measuring, labeling, packaging, and issuance of the drug
						or biological for a resident or for a service unit of the facility by a
						licensed pharmacist, physician or dentist.
Existing Buildings
-for purposes of ANSI
						standard No. A 117.1 and minimum patient room size [see 405.1134 (c) and (e)]
						in nursing facilities or parts thereof whose construction plans are approved
						and stamped by the appropriate state agency responsible therefore before
						October 28, 1971.
Facility
-an institution which provides
						services to residents which includes a Medicare skilled nursing
facility
(SNF), a swing bed hospital, and/or a nursing
facility
(NF).
Facility Administrator
-an individual
						currently licensed and registered with the Board of Examiners for Nursing
						Facility Administrators and is engaged in the daily administration of a nursing
						facility.
Fiscal Intermediary
-the private fiscal
						agent with which DHH contracts to operate the Medicaid management information
						system (MMIS). It processes the title XIX (Medicaid) claims for services
						provided under the Medicaid Program and issues appropriate payment.
Governing Body
-board of directors, board
						of trustees, or any other comparable designation of an individual or group of
						individuals who have the purpose of owning, acquiring, constructing, equipping,
						operating and/or maintaining a nursing facility and exercising control over the
						affairs of said nursing facility.
Health Care Financing Administration
(HCFA)
-a division under DHHS responsible for administering the
						Medicare Program and overseeing and monitoring the state's Medicaid
						Program.
HSS
-Health Standards Section of the
						Bureau of Health Services Financing.
Licensed Practical Nurse
(LPN)
-an individual currently licensed by the Louisiana State
						Board of Nurse Examiners for Practical Nurses.
Long Term Care (LTC)
-
long term
						care
is a set of health care, personal care, and social services
						delivered over a sustained period of time to persons who have lost, or never
						acquired, some degree of physical or cognitive capacity, as measured by an
						index of functional ability.
MAR
-abbreviation for medication
						administration record.
MDS
-abbreviation for minimum data
						set.
Medicaid
-
Medicaid
assistance provided under the state plan approved under title XIX of Social
						Security Act.
Medicaid Agency
-the single state agency
						responsible for the administration of the Medicaid Program. In Louisiana, the
						Department of Health and Hospitals is the single state agency.
Medical Director
-a physician licensed in
						Louisiana who directs and coordinates medical care in a nursing
						facility.
Medical Record Practitioner
(MRP)-qualified consultant. A person who:
a. is eligible for certification as a
					 registered record administrator (RRA), or an accredited record technician
					 (ART), by the American Record Association under its requirements in effect on
					 the publication of this provision; or
b. is a graduate of a school of medical
					 record science that is accredited jointly by the Council on Medical Education
					 of the American Medical Association and the American Medical Record
					 Association.
Misappropriation of Resident Property
-to
						take possession of, without permission, a resident's personal
						belongings.
Neglect
-
neglect
is
						defined as the facility's of employee's failure to provide the proper or
						required medical care, nutrition, or other care necessary for an
						applicant/resident's well-being.
Non-Nursing Personnel
-facility staff not
						assigned to give residents direct personal care. This includes administrators,
						secretaries, activity coordinators, social services designers, bookkeepers,
						cooks, janitors, maids, laundry workers, and yard maintenance workers.
Nursing Facility
(NF)
-the term "nursing facility" or "home" shall mean a
						private home, institution, building, residence, or other place serving two or
						more persons who are not related by blood or marriage to the administrator,
						whether operated for profit or not, and including those places operated by a
						political subdivision of the State of Louisiana which undertakes, through its
						ownership or management, to provide maintenance, personal care, or nursing for
						persons who, by reason of illness or physical infirmity or age, are unable to
						properly care for themselves. The term does not include the following:
a. a home, institution, or other place
					 operated by the federal government or agency, thereof, or by the State of
					 Louisiana;
b. a hospital,
					 sanitarium, or other medical institution whose principal activity or business
					 is the diagnosis, care, and treatment of human illness through the maintenance
					 and operation of organized facilities thereof;
c. a hospital, sanitarium, or other
					 institution whose principal activity or business is the care and treatment of
					 persons suffering from tuberculosis or from mental diseases;
d. any municipal, parish, or private child
					 welfare agency, maternity hospital, or lying-in-home required by law to be
					 licensed by some other department or agency;
e. any sanitarium or institution conducted by
					 and for Christian Scientists who rely on the practice of Christian Science for
					 treatment and healing.
Nursing Personnel
-registered nurses,
						registered nurse applicants, graduate practical nurses, licensed practical
						nurses, clinical nurse associates, and ward clerks.
PASAAR
-acronym for pre-admission
						screening and annual resident review.
Pharmacist
-a person who:
a. is licensed as a
pharmacist
by the state in which he or she is practicing;
					 and
b. has training or experience
					 in the specialized functions of institutional pharmacy, such as residencies in
					 hospital pharmacy, seminars on institutional pharmacy, and related training
					 programs.