reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter F - Administrative Hearings › Section I-10071 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Within
					 30 calendar days after receipt of the department's notice of violation or the
					 notice of the results of an informal dispute resolution, the nurse aide may
					 request an administrative hearing.
1. The
					 request for an administrative hearing must be made in writing to the
					 department's Division of Administrative Law or successor entity.
2. The request shall contain a statement
					 setting forth the specific charges with which the nurse aide disagrees and the
					 reasons for this disagreement.
3.
					 Unless a timely and proper request is received by the Division of
					 Administrative Law or successor entity, the findings of the department shall be
					 considered a final and binding administrative determination.
a. Notification of the finding of abuse,
					 neglect and/or misappropriation shall then be sent to the Nurse Aide Registry
					 to be recorded.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter F - Administrative Hearings › Section I-10073 - Preliminary Conferences

Current through Register Vol. 50, No. 6, June 20, 2024
A. Although
					 not specifically required, the Division of Administrative Law or successor
					 entity may schedule a preliminary conference. The purposes of the preliminary
					 conference include, but are not limited to:
1. clarification, formulations and
					 simplification of issues;
2.
					 resolution of controversial matters;
3. exchange of documents and
					 information;
4. stipulations of
					 fact to avoid unnecessary introduction of evidence at the formal
					 review;
5. the identification of
					 witnesses; and
6. other matters as
					 may aid disposition of the issues.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter F - Administrative Hearings › Section I-10075 - Witnesses and Subpoenas

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
					 party shall arrange for the presence of their witnesses at the
					 hearing.
B. A subpoena to compel
					 the attendance of a witness may be issued by the administrative law judge:
1. upon written request by a party and a
					 showing of the need for such action; or
2. on his own motion.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter F - Administrative Hearings › Section I-10077 - Continuances or Further Hearings

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 The administrative law judge may continue a hearing to another time or place,
					 or order a further hearing on his own motion or at the request of any party who
					 shows good cause.
B. Where the
					 administrative law judge, at his/her discretion, determines that additional
					 evidence is necessary for the proper determination of the case, he/she may:
1. continue the hearing to a later date and
					 order the party(s) to produce additional evidence; or
2. close the hearing and hold the record open
					 in order to permit the introduction of additional documentary evidence:
a. any evidence submitted shall be made
					 available to both parties and each party shall have the opportunity for
					 rebuttal.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter F - Administrative Hearings › Section I-10079 - Failure to Appear at Administrative Hearings

Current through Register Vol. 50, No. 6, June 20, 2024
A. If a nurse aide fails to appear at an
					 administrative hearing, a notice/letter of abandonment may be issued by the
					 Division of Administrative Law or successor entity dismissing the appeal. A
					 copy of the notice shall be mailed to each party.
B. Any dismissal may be rescinded upon order
					 of the Division of Administrative Law or successor entity if the nurse aide:
1. makes written application within 10
					 calendar days after the mailing of the dismissal notice; and
2. provides evidence of good cause for
					 his/her failure to appear at the hearing.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10081 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The LDH
					 establishes provisions for the use of MACs in LLCFs. The department shall
					 maintain a registry of individuals who have, at a minimum:
1. passed a qualifying CNA examination and
					 are in good standing;
2.
					 successfully completed a state-approved MAC training course and competency
					 evaluation administered by a state-approved testing source; and
3. passed drug screening/testing and a
					 statewide criminal background/security check conducted by the Louisiana State
					 Police, or its designee.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10082 - General Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A.Prior to
					 application for a certificate under this Chapter, all persons shall:
1. be proficient in reading, writing,
					 speaking, and understanding the English language at a minimum eighth grade
					 level as evidenced by the MAC training programs required entry placement test
					 scores.
a. - c. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10083 - Certification Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Initial
					 Certification
1. be a CNA in good standing;
a. - b. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10084 - Coordinators, Instructors, and Trainers

Current through Register Vol. 50, No. 6, June 20, 2024
A. Program Coordinator. The state-approved
					 MAC training program shall have a program coordinator who provides general
					 supervision of the training received by the MAC trainees.
1. The program coordinator shall be an RN and
					 shall have the following experience and qualifications:
a. a minimum of two years of nursing
					 experience, of which at least one year must be in caring for the elderly or
					 chronically ill, obtained through employment in any of the following:
i. a LLCF unit;
ii. a geriatrics department;
iii. a chronic care hospital;
iv. other long-term care setting;
					 or
v. experience in varied
					 responsibilities including, but not limited to, direct resident care or
					 supervision and staff education; and
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10085 - Training Curriculum

Current through Register Vol. 50, No. 6, June 20, 2024
A. The goal
					 of the MAC training and competency evaluation program is the provision of safe,
					 effective and timely administration of medication to residents by MACs who are
					 able to:
1. communicate and interact
					 completely on a one-to-one basis with residents as part of the team
					 implementing resident care;
2.
					 demonstrate sensitivity to the resident's emotional, social and mental health
					 needs through skillful, directed interactions;
3. exhibit behavior to support and promote
					 the rights of residents; and
4.
					 demonstrate proficiency in the skills related to medication
					 administration.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10086 - Competency Evaluation

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 competency evaluation shall be developed by the training entity and conducted
					 to ensure that each trainee, at a minimum, is able to demonstrate competencies
					 taught in each part of the training curriculum.
B. Written examinations shall be provided by
					 the training entity or organizations approved by the department. The
					 examination shall reflect the content and emphasis of the training curriculum
					 and will be developed in accordance with accepted educational principles.
1. - 12. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10087 - Authorized Duties

Current through Register Vol. 50, No. 6, June 20, 2024
A. The MAC may
					 perform certain duties and functions delegated by a licensed RN and under the
					 direct supervision of a licensed nurse who is on-site and on duty. These
					 authorized duties shall apply to MAC trainees under the supervision of the
					 clinical instructor. The ratio of MACs to licensed nurses shall not exceed two
					 medication attendants to one licensed nurse at any given time.
1. - 16. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10088 - Prohibited Duties

Current through Register Vol. 50, No. 6, June 20, 2024
A. Medication
					 attendants certified shall not:
1. administer
					 any controlled dangerous substances (schedules II through V) as set forth by
					 the Drug Enforcement Agency or the Louisiana Board of Pharmacy;
2. administer any medications by the
					 following parenteral routes:
a.
					 intramuscular;
b.
					 intravenous;
c.
					 subcutaneous;
d. intradermal;
					 or
e. other routes restricted in
					 department rules;
3.
					 administer any medication used for intermittent positive pressure breathing
					 (IPPB) treatments;
4. administer an
					 initial dose of a medication that has not been previously administered to a
					 resident as determined by the clinical record;
5. calculate medication doses for
					 administration;
6. administer
					 medications or feedings by way of a tube inserted in a cavity of the
					 body;
7. receive or assume
					 responsibility for writing any verbal or telephone order from an authorized
					 prescriber;
8. order new
					 medications or medications whose directions have changed from the
					 pharmacy;
9. apply topical
					 medications that involve the treatment of skin that is broken;
10. steal, divert or otherwise misuse
					 medication;
11. violate any
					 provision of this Chapter;
12.
					 procure or attempt to procure a certificate by fraudulent means;
13. neglect to administer prescribed
					 medications in a responsible and timely manner;
14. perform a task involving the
					 administration of a medication which requires:
a. an assessment of the patient's physical
					 status;
b. an assessment of the
					 need for the medication;
c. a
					 calculation of the dose of the medication; or
d. the conversion of the dose;
15. perform a task involving the
					 administration of a medication if the patient is unstable or has changing
					 nursing needs, unless the supervising nurse is able to monitor the patient and
					 the effect of the medication on the patient; or
16. administer medications if he/she is
					 unable to do so with reasonable skill and safety to the resident if the
					 resident is impaired by reason of excessive use of mood altering drugs,
					 narcotics, chemicals or any other type of material.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10089 - Allegations of Medication Attendant Certified Wrong-Doing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The department, through its Division of
					 Administrative Law or successor entity, has provided for a process of the
					 review and investigation of all allegations of resident abuse, neglect or
					 misappropriation of residents property or funds by MACs.
B. In the event of an allegation of
					 wrong-doing, MACs shall be bound by the department's established:
1. reporting requirements;
2. informal dispute resolution policies;
					 and
3. appeal and administrative
					 hearing provisions:
a. the formal hearing
					 shall be conducted according to formal hearing procedures set forth in the
					 Administrative Procedure Act.
4. - 4.a. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10090 - Suspension, Revocation or Denial of Renewal

Current through Register Vol. 50, No. 6, June 20, 2024
A. The department may revoke, suspend or deny
					 renewal of a certificate or reprimand a certificate holder for a violation of
					 this Chapter.
B. The following are
					 grounds for disciplinary actions:
1. stealing,
					 diverting or otherwise misusing medication;
2. procuring or attempting to procure a
					 certificate by fraudulent means;
3.
					 violating any provision of this Chapter; or
4. knowingly making false claims or providing
					 false, forged, or altered information in the resident's medical record or
					 providing false, forged, or altered documentation to the
					 department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter G - Medication Attendant Certified › Section I-10091 - Provider Participation and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. An LLCF with a license that is in good
					 standing with the department may apply to the department to utilize MACs. Upon
					 receipt of a facility's application, the department shall review the facility's
					 compliance history.
B. If a
					 facility is non-compliant with program regulations, the department shall take
					 into consideration the findings that resulted in the facility's noncompliance
					 before making a determination whether or not to allow the facility to utilize
					 MACs. Emphasis shall be placed on deficiencies cited in the area of medication
					 administration such as significant medication errors, medication error rates
					 and repeat deficiencies of such.
C.
					 The department may deny a facility's request to use MACs if it is determined
					 that, based upon the compliance history, the safety and well-being of residents
					 would be jeopardized. If the facility is denied participation, the facility may
					 ask for a reconsideration and review of the circumstances which contributed to
					 the denial of the application.
1. knowingly
					 making false claims, or providing false, forged, or altered information or
					 documentation to the department, law enforcement, or authorized agencies shall
					 permanently render revocation of the LLCF's participation in the MAC
					 program.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 101 - Introduction › Section I-10101 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. This health
				  planning document was first developed in 1980. Since that time it has been
				  revised periodically to reflect changing conditions in the state. It is, then,
				  a document in transition. In its current form, it contains health need
				  priorities which were first developed for the 1982-87 State Health Plan, but
				  were extensively revised in 1986 with input from 1,576 state, parish and local
				  organizations representing public, private, voluntary and professional
				  organizations involved in the planning and delivery of health care. Resource
				  goals contained in this document were also revised in 1986 and are, in fact,
				  updated each year. An original feature of the State Health Plan, "Louisiana
				  Medical Facilities Inventory," has not been retained, as the frequency of
				  change in this inventory results in almost immediate obsolescence. To maintain
				  a current inventory requires constant updating which is carried out by the
				  Division of Policy, Planning and Evaluation. Current inventories are available
				  from this source upon request.
B.
				  This document is the result of a planning effort involving many agencies and
				  organizations throughout Louisiana. It is intended to serve as a basis for
				  policy decisions and actions of state government and other public and private
				  entities concerned with health matters in the state. Most important, the plan
				  reflects the policies, programs and priorities of the state of Louisiana in
				  those areas which affect the health of the state's citizens and the system
				  through which health needs are met.
C. The State Health Plan was produced by the
				  Louisiana Statewide Health Coordinating Council with the support of the
				  Division of Policy, Planning and Evaluation which performs the health planning
				  functions mandated in P. L. 93-641 (as amended) for the Department of Health
				  and Human Resources. It is not an authoritarian mandate to force changes in
				  consumer or provider behavior. It is simply a document intended to promote a
				  better understanding of the health problems of the people of Louisiana, to
				  encourage dialogue among those who receive health services and those who
				  provide them, and, hopefully, to develop agreements on what should be done to
				  provide these services in as effective and efficient a manner as possible
				  within the expected resource capabilities of the state.
AUTHORITY NOTE:
					 Promulgated in accordance with P.L. 93-641 as amended by P.L. 96-79, and
					 R.S.
					 36:256 (b).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 101 - Introduction › Section I-10105 - Statutory Authority

Current through Register Vol. 50, No. 6, June 20, 2024
A.Public Law
				  93-641, the National Health Planning and Development Act of 1974 amends the
				  Public Health Services Act in order to assure the development of a national
				  health policy and effective state and area health planning and resource
				  development programs.
B.Public Law
				  93-641 states that:
1. "The achievement of
				  equal access to quality health care at a reasonable cost is a priority of the
				  federal government. The massive infusion of federal funds into the existing
				  health care system has contributed to inflationary increases in the cost of
				  health care and failed to produce an adequate supply or distribution of health
				  resources, and consequently has not made possible equal access for everyone to
				  such resources. The many and increasing responses to these problems by the
				  public sector on federal, state, and local levels and the private sector have
				  not resulted in a comprehensive, rational approach to the present [specifically
				  there is:]
a. lack of uniformly effective
				  methods of delivering health care;
b. maldistribution of health care facilities
				  and manpower; and
c. increasing
				  cost of health care.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 101 - Introduction › Section I-10107 - Purposes of the Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. Consistent
				  with the nature of any plan, this document reflects present conditions, desired
				  future conditions, and the means, resources, and strategies required to
				  progress from the present conditions to the desired future conditions.
				  Expressed in terms of health planning, this document sets forth the present
				  health status and relevant demographics of Louisiana, existing health related
				  policies and resources, desired health related goals, the prioritization of
				  these goals, and the actions that must be taken in order to achieve these
				  goals. It is best viewed as an instrument for bridging the gap between what
				  exists today and what is desired in the future in areas affecting the health of
				  Louisiana.
B. More specifically,
				  the purposes of this State Health Plan are:
1. to develop and articulate the Louisiana
				  State Government's health and health-related policies, programs, priorities,
				  and goals;
2. to serve as an
				  instrument for guiding state and federal resource allocations to meet existing
				  and emerging state health needs and priorities;
3. to encourage the development of a
				  coordinated approach to the identification and resolution of health problems
				  throughout the state;
4. to guide
				  the Louisiana State Health Planning and Development Agency and the Louisiana
				  State Health Coordinating Council in carrying out mandated functions;
				  and,
5. to promote needed changes
				  in the provision of health services, in the development of health facilities,
				  and in the supply and distribution of health manpower throughout the State of
				  Louisiana.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 103 - Overview of the State › Subchapter B - Population Description › Section I-10307 - Demographic Characteristics

Current through Register Vol. 50, No. 6, June 20, 2024
A. Rural
					 vs. Urban
1. In the last five years Louisiana
					 has become an urban state. Eight geographic areas now meet the definition of a
					 Metropolitan Statistical Area (MSA). The MSA's in Louisiana are listed in
					 Figure 3.3.
Figure 3.3
MSA
Parish
New Orleans-Orleans
Jefferson
St. Tammany
St. Bernard
St. John
St.Charles
Baton Rouge-East Baton Rouge
W. Baton Rouge
Livingston
Ascension
Shreveport-Caddo
Bossier
Lafayette-Lafayette
St. Martin
Houma-Thibodaux
Terrebonne
Lafourche
Lake Charles-Calcasieu
Monroe-Quachita
Alexandria-Rapides
Source: U.S. Department of Commerce, Bureau of
								  the Census current Population Report (P-26 No 82-18-C, April 1984)
2. Forty-five parishes meet the definition of
					 rural. (See Figure 3.1). However, approximately 70 percent of the state's
					 population reside in the state's eight MSA's according to 1985 estimates
					 prepared by the U.S. Bureau of Census. The urban vs rural factor is important
					 in health planning. Attempts must be made to assure that adequate emergency and
					 primary health care services are available to residents of sparsely populated
					 areas, while maintaining a cost effective and high quality health care
					 system.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 103 - Overview of the State › Subchapter B - Population Description › Section I-10309 - Health Status

Current through Register Vol. 50, No. 6, June 20, 2024
A. Death,
					 disease and disability patterns in a population provide insight into the health
					 of that population. There is no single indicator through which to make totally
					 valid observations about health status, but rather a number of indicators
					 through which a composite picture is sketched of the health of the
					 populace.
B. Mortality Statistics
1. Introduction
a. Statistics on death are essential tools
					 for understanding the impact of disease, evaluating health programs, allocating
					 health resources and establishing priorities for health improvement efforts.
					 Death statistics are the most widely used group of health status indicators
					 because of their availability, uniformity, reliability and low cost.
b. In the following sections of this
					 document, a variety of mortality statistics is presented, including
					 age-specific and age-adjusted rates, race and sex adjusted rates,
					 disease-specific rates and infant mortality rates.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 105 - Statewide Health Priorities › Section I-10503 - Priority Selection Methodology

Current through Register Vol. 50, No. 6, June 20, 2024
A. The three issues of High Costs of Health
				  Care, Alternatives to Long-Term Institutionalization and Health Promotion were
				  determined to represent the priority health needs of Louisiana upon completion
				  of the following priority selection process.
B. To facilitate the submission of
				  recommendations respecting priority health issues, a mail-out survey was
				  designed and sent to 1,576 individuals representing governmental health
				  agencies, a wide range of public and private health care providers, consumer
				  health advocacy organizations, the governing boards of the three Health System
				  Agencies and the Statewide Health Coordinating Council. A listing of the
				  individuals and groups surveyed can be found in Form A in the Appendix. The
				  survey design involved presenting as many potential priority topics as could be
				  identified to the surveyed population and requesting that they select the ten
				  topics they believed most important. The ten topics were then to be ranked by
				  respondents from one to ten in the order of priority they would assign.
				  Respondents were asked to consider priority selection in the following ways:
1. Impact on Population of the State
a. The number of people and the degree to
				  which the state as a whole is affected.
b. The pain, disability, discomfort or early
				  death caused to the individual citizen.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 105 - Statewide Health Priorities › Section I-10505 - Use of Statewide Health Priorities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The three priorities have been used
				  extensively in the development of this State Health Plan and served as a guide
				  for the selection of implementation strategies proposed by state health
				  agencies. The priorities are seen to be reflective of the State of Louisiana
				  and of the nation during the 1980's. Of the 17 national priorities, nine issues
				  are directed toward containing or lowering the cost of health care, two toward
				  the development of alternatives to long term institutionalization, and two
				  toward the development of better methods of preventing ill health and promoting
				  healthy lifestyles. The priorities selected for focus in Louisiana are bound
				  together by a concept of reducing the costs of health care while bringing about
				  improvements in the health status of the state's citizens and the health
				  system.
AUTHORITY NOTE:
					 Promulgated in accordance with P.L. 93-641 as amended by P.L. 96-79, and
					 R.S.
					 36:256(b).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 107 - Program Inventory: Priority Areas › Section I-10701 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. In order to
				  properly evaluate the elements of a health system, it is helpful to know what
				  components are already in place: to have an inventory of on-going programs and
				  services. The development of such an inventory does not proceed without
				  difficulty. To successfully accomplish the task, a clear and uniform taxonomy
				  is needed so that agencies and organizations can classify their activities and
				  programs into precise, well defined categories that permit
				  comparisons.
B. The design of the
				  required taxonomy is, in itself, a very demanding task. Many health system
				  taxonomies have been proposed, but none has achieved the goal of permitting the
				  comprehensive review of programs without problem. In each taxonomy there
				  appears to be some amount of overlap among categories, ambiguity in
				  definitions, and problems with syntax. Once developed, the application of a
				  taxonomy is complicated by ambiguities in program descriptions, the fact that
				  health system programs have multiple purposes, goals and target populations
				  making precise classification difficult, and the fact that the programs are
				  dynamic in nature causing initial classifications to become obsolete as program
				  changes occur.
C. To develop a
				  systematic inventory of existing health system programs in Louisiana, a very
				  simple taxonomy was devised, consisting of the selected priorities broken down,
				  where appropriate, by program type. Information on existing programs and
				  services was obtained initially through a survey of state and non-governmental
				  agencies and organizations. The review of state-administered programs was more
				  comprehensive because the organizational structure of the bureaucracy permitted
				  a more thorough survey. A Task Force composed of representatives from the state
				  agencies providing health-related services was formed and developed an
				  inventory of services and programs which were directed toward one or more of
				  the state's priority areas and goals (Alternatives to Long Term
				  Institutionalization, Health Promotion and High Costs of Health Care).
i. This inventory was as complete as the
				  agency representatives were able to produce, and certainly depicted a
				  substantial, if not exhaustive, record of what existed at the time within the
				  state-administered health system in the established priority areas.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 107 - Program Inventory: Priority Areas › Section I-10703 - Inventories

Current through Register Vol. 50, No. 6, June 20, 2024
A. The inventory of
				  on-going programs underlines the gaps and insufficiencies of services in the
				  identified areas.
B. Inventory of
				  State-Administered Programs
C. In
				  the left margin are initials designating which state agencies administer the
				  described service. Initials are:
1. DHHR
				  Department of Health and Human Resources;
2. OMR-DD Office of Mental
				  Retardation-Developmental Disabilities (DHHR);
3. OMR Office of Mental
				  Retardation;
4. OMH Office of
				  Mental Health (DHHR);
5. OHD Office
				  of Human Development (DHHR);
6. OH
				  Office of Hospitals (DHHR);
7.
				  OCHNO Office of Charity Hospital in New Orleans (DHHR);
8. OFS Office of Family Security
				  (DHHR);
9. OPPHS Office of
				  Preventive and Public Health Services (DHHR);
10. OPRADA Office of Prevention and Recovery
				  from Alcohol and Drug Abuse (DHHR);
11. D. EDUC. Department of
				  Education
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 109 - Implementation Strategies › Subchapter A - Developing the Implementation Plans › Section I-10901 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. The logical
					 step, after 1) determining the priority health needs of the state and
					 developing corresponding goals and 2) determining what programs or services are
					 currently in place to meet the needs, is to determine what can be done to meet
					 the unmet need remaining. The following section sets forth the objectives
					 developed to move toward these priority goals, the costs of achieving these
					 objectives (where available), and a target date for this achievement.
B. There is much uncertainty at this point
					 about how the state's predicted revenue shortfall will affect the offices of
					 the Department of Health and Human Resources. It appears quite possible that
					 sizeable funding cuts will occur, resulting in losses of manpower, programs and
					 services. Given the uncertain future, it is difficult to project a strategy for
					 one year, much less for five years. For this reason, the implementation
					 objectives in this State Health Plan, although ongoing in many instances, will
					 emphasize FY 1986-87 activities. It is hoped that, when conditions become more
					 stable, longer range objectives can be developed and published for the next
					 revision of the Plan.
C. It is also
					 expected that the next State Health Plan will reflect the increasing
					 communication and cooperation with non-state agencies on Plan implementation.
					 It is realized that no effort to meet the priority health needs of the state
					 can succeed without the input and cooperation of local and non-public health
					 related entities, but time and staff limitations precluded their inclusion in
					 this Plan.
D. The first Section of
					 this Chapter lists objectives which the Division of Policy, Planning and
					 Evaluation hopes to achieve directly during the fiscal year. The second lists
					 the objectives of other DHHR agencies under the priority goal to which they
					 pertain most directly.
AUTHORITY NOTE:
						Promulgated in accordance with P.L. 93-641 as amended by P. L .96-79, and
						R.S.
						36:256(b).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 109 - Implementation Strategies › Subchapter B - Implementation Plans › Section I-10905 - Division of Policy, Planning and Evaluation Implementation Activities

Current through Register Vol. 50, No. 6, June 20, 2024
A. To assure that
					 100 percent of the applications for capital expenditure which are recommended
					 for approval under Section 1122 are consistent with the criteria and standards
					 in the State Health Plan, including the priority health care goals, in order to
					 assure that unneeded health services and facilities are not approved.
1. Target completion date: June 30,
					 1987
2. Resource requirement:
					 Approximately $429,000.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 109 - Implementation Strategies › Subchapter B - Implementation Plans › Section I-10907 - Department of Health and Human Resources Health-Related Offices Implementation Activities

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Development of services at the community level directed toward informing,
					 educating and motivating the public to accept responsibility for protecting
					 their health.
1. Office of Preventive and
					 Public Health Services (OPPHS)
a. To motivate
					 industries and groups to initiate health promotion activities for their
					 employees and/or members. Planned activities include:
i. general Health Risk Appraisal (HRA)
					 information to new requestors;
ii.
					 HRA demonstration or orientation to a potential new user;
iii. follow-up HRA information or assistance
					 to potential new user;
iv. HRA
					 batch processing for client or potential new user group;
v. target completion date: June 30, 1987 (and
					 ongoing);
vi. resource requirement:
					 Continuation of state funding at standstill level.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 111 - Area Level Planning › Section I-11101 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. Most of the
				  planning which appears throughout this document can be considered "area level
				  planning" since analyses of the health status and the state's health system are
				  presented with emphasis on area-specific differences and needs. Many of the
				  implementation strategies planned for the 1982-87 period which appear in the
				  preceding chapter are directed toward identified locales. In developing this
				  look at area health needs, five core health system categories have been used
				  along with the general category of health status and pertinent information from
				  a number of sources synthesized. The Health System Plans and Annual
				  Implementation Plans of the three Health System Agencies in the state were
				  utilized, as well as planning documents of various state health-related
				  agencies and organizations.
B. All
				  recommended actions presented in this Section are not developed so specifically
				  as to include identification of the change agent and the cost and manner
				  through which change could be accomplished. Specific implementation planning is
				  found in Chapter VI. Criteria through which health system resource goals will
				  be implemented during 1122 review are found in Chapter IX. The recommended
				  actions delineated in this chapter are needs which have been identified and to
				  which attention should be drawn through all possible channels, public and
				  private, individual and organizational. It is acknowledged that at this time
				  resources are becoming scarcer and actions requiring excessive start-up costs
				  or subsidy from tax-generated funds must be limited. It is not realistic or
				  fair for this planning document to outline myriad desirable activities and
				  programs and, by implication, point an accusing finger at those agencies and
				  communities who may fail to accomplish the goals because of the unavailability
				  of funds. The area level planning which appears in this Section is, therefore,
				  a picture of ideal responses and initiatives of the health system.
AUTHORITY NOTE:
					 Promulgated in accordance with P.L. 93-641 as amended by P.L. 96-79, and
					 R.S.
					 36:256(b).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 111 - Area Level Planning › Section I-11109 - Mental Health/Substance Abuse

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following planning objectives for
				  mental health and substance abuse apply to all areas of the state.
1. By 1985, information on the availability,
				  accessibility, and appropriate use of primary mental health care services
				  should be available to all residents of the state.
2. By 1987, mental health education services
				  for the school-age population should be improved and extended throughout the
				  state.
3. By 1985, mental health
				  diagnosis and treatment services should be coordinated so that these services
				  are available to all individuals within the health service area within one hour
				  travel time.
4. By 1985, financial
				  barriers to private mental health diagnosis and treatment services should be
				  alleviated. The demand for services exceeds the treatment capacity of the
				  public facilities, with a resultant strain on consumers and providers within
				  the public system.
5. By 1987,
				  mental health, alcohol and substance abuse services provided in short-stay
				  inpatient settings should be consistent with the goals and standards
				  established for inpatient psychiatric beds and chemical dependency beds in the
				  State Health Plan 1982-87.
6. By
				  1987, the number of community-based small group homes and transitional
				  residences appropriate for emotionally disturbed persons should be increased by
				  100 percent.
7. By 1987, day care,
				  day treatment, education, training, and employment programs appropriate for the
				  needs of emotionally disturbed persons should be available in ambulatory
				  settings, within 1 hour travel time for rural residents and 30 minutes travel
				  time for urban residents.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 111 - Area Level Planning › Section I-11111 - Emergency Medical Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following planning objectives for emergency medical services apply to all areas
				  of the state:
1. By 1987, the resource goals
				  for emergency medical services established in the State Health Plan 1982-87
				  should be met.
2. By 1985, mobile
				  EMS resources conforming to the requirements. of Basic Life Support as defined
				  by the United States Department of Transportation should be available and
				  accessible to 95 percent of the population with 10 minutes in urban areas and
				  within 30 minutes in non-urban areas.
3. Educational programs to increase public
				  awareness of the available emergency medical services in the various areas and
				  the public's potential for emergency medical self-help should be developed and
				  implemented on a regional basis.
4.
				  By 1985, all regional disaster plans should include EMS components.
5. By 1985, regionalized emergency medical
				  services communication systems should be operational in all areas of the
				  state.
6. By 1987, emergency
				  transportation services for high risk groups such as high risk pregnancies, ill
				  neo-nates, mentally disturbed individuals, and offshore personnel in need of
				  emergency care should be developed.
7. By 1985, health care institutions and
				  ambulance services should coordinate emergency medical patient transport from
				  the scene to the critical care facility.
8. By 1983, public education strategies
				  emphasizing the need for the following two components of the emergency care
				  system should be developed:
a. legislation
				  requiring minimum staffing, standard equipment and regular maintenance of
				  equipment and vehicles;
b. a single
				  access (or 911) emergency number with direct communication to a central
				  ambulance dispatching center.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 111 - Area Level Planning › Section I-11113 - Health Status

Current through Register Vol. 50, No. 6, June 20, 2024
A. New
				  Orleans/Bayou-River Health System Area
1.
				  Planning goals for health status improvements in the New Orleans/Bayou-River
				  area:
a. Cancer Mortality: To reduce the
				  number of deaths attributable to cancer;
b. Premature Mortality from disease: To
				  reduce the number of deaths due to cardiovascular and cerebrovascular disease,
				  and diabetes mellitus;
c.
				  Alcoholism and Drug Abuse: To contain alcoholism and drug abuse in the area and
				  prevent increase beyond current levels;
d. Hypertension: To increase the percentage
				  of people with high blood pressure who have been identified and are under
				  treatment to a higher percentage than the national average;
e. Infant Mortality: To reduce the number of
				  infant deaths by over 25 percent;
f. Accidental Deaths: To reduce the number of
				  deaths from non-motor vehicular accidents among persons under 35-a high risk
				  group-by 10 percent;
g. Preventable
				  disease: To reduce the number of preventable diseases such as diptheria,
				  measles, mumps, polio, or tetanus to as close to zero as possible;
h. Dental Disease and Tooth Loss: To reduce
				  tooth decay among children, and tooth loss among adults;
i. Vision Problems and Loss of Sight: To
				  reduce uncorrected vision problems among children and adults, and to reduce the
				  number of people in the health service area who become blind;
j. Reportable Venereal Disease: To reduce the
				  number of cases of gonorrhea and syphilis, particularly in Orleans and
				  Jefferson Parishes.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 113 - State Health Policy Analysis › Subchapter A - Statutory Sources for Louisiana Health Policy › Section I-11301 - Introduction

Current through Register Vol. 50, No. 6, June 20, 2024
A. A policy is a
					 guiding principle or course of action adopted and pursued by a society through
					 its government as well as by various societal groups such as voluntary
					 associations and professional organizations. Social policy, as a type of
					 policy, addresses three areas which are considered its common domain:
1. a society's overall quality of
					 life;
2. the conditions of life
					 directly experienced by individuals and groups such as the family;
					 and
3. the quality of the
					 relationships among various societal groups and individuals.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 5 - Health Planning › Chapter 113 - State Health Policy Analysis › Subchapter A - Statutory Sources for Louisiana Health Policy › Section I-11303 - Methodology

Current through Register Vol. 50, No. 6, June 20, 2024
A. Health planning
					 should emerge from the analysis and interpretation of health policy if policy,
					 as a guiding principle, is considered to be a standing plan. However, analysis
					 and interpretation are dependent upon some conclusion as to how to
					 conceptualize that policy. Therefore based on considerations discussed in the
					 "Introduction" Section of this Chapter, the following definition was adopted.
1.
State Health Policy
-a
					 system of interacting and interdependent authoritative decisions relating to
					 health care delivery, promotion of the public health, and protection of the
					 public health, as codified in state legislation.