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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.1 - Hospital

Current through June 25, 2024
"Hospital means a place devoted primarily to the
						maintenance and operation of facilities for the diagnosis, treatment and care
						of individuals suffering from physical or mental infirmity, illness, disease,
						injury or deformity, or a place devoted primarily to providing obstetrical or
						other medical, surgical or nursing care of individuals, whether or not any such
						place be organized or operated for profit and whether any such place be
						publicly or privately owned. The term "hospital" does not include convalescent
						or boarding homes, children's homes, homes for the aged or other like
						establishments where room and board only are provided, nor does it include
						offices or clinics where patients are not regularly kept as bed
						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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.2 - Person

Current through June 25, 2024
"Person" means any individual, firm, partnership,
						corporation, company, association or joint stock association, and the legal
						successor thereof.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.3 - Governmental Unit

Current through June 25, 2024
"Governmental Unit" means the state, or any county,
						municipality or other political subdivision or any department, division, board
						or other agency of any of the foregoing, excluding all federal
						establishments.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.4 - Licensing Agency

Current through June 25, 2024
"Licensing agency" means the Mississippi Department of
						Health.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.5

Current through June 25, 2024
License:
No person or governmental unit
						shall establish, conduct, or maintain a hospital in this state without a
						license.
Provisional License.
Within its discretion,
						the Mississippi State Department of Health may issue a provisional license when
						a temporary condition of non-compliance with these regulations exists in one or
						more particulars. A provisional license shall be issued only if the Department
						of Health is satisfied that preparations are being made to qualify for a
						regular license and that the health and safety of patients will not be
						endangered. The license issued under this condition shall be valid until the
						issuance of a regular license but shall not exceed five months following date
						of issuance whichever may be sooner.
Miss.
						Code Ann. §
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.6 - Application for License

Current through June 25, 2024
An application for a license shall be made to the
						licensing agency upon forms provided by the licensing agency, and shall contain
						such information as the licensing agency reasonably requires.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.7 - Licensure Fees

Current through June 25, 2024
A licensure fee shall be paid to the licensing agency by
						check, draft or money order. A license shall not be issued to any hospital
						until such fee is received by the licensing agency.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.8 - User Fee

Current through June 25, 2024
A "user fee" shall be assessed by the licensing agency
						for the purpose of the required reviewing and inspections of the proposal of
						any hospital in which there are additions, renovations, modernizations,
						expansion, alterations, conversions, modifications or replacement of the entire
						facility involved in the proposal. This fee includes the reviewing of
						architectural plans in all required steps.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.9 - Renewal of License

Current through June 25, 2024
A license, unless suspended or revoked, shall be
						renewable annually, upon filing by the licensee, and approval by the licensing
						agency of an annual report upon such uniform dates and containing such
						information as the licensing agency requires and upon paying the annual fee for
						such license.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.10 - Issuance of License

Current through June 25, 2024
Each license shall be issued only for the premises and
						persons or governmental units names in the application and shall not be
						transferable or assignable except with the written approval of the licensing
						agency.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.11 - Posting of License

Current through June 25, 2024
Licenses shall be posted in a conspicuous place on the
						licensed premises.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 2 - DEFINITIONS › Rule 15-16-1-41.2.12 - Trauma Registry

Current through June 25, 2024
Collection of data on patients who receive hospital care
						for certain types of injuries. Such data are primarily designed to ensure
						quality of trauma care and outcomes in individual institutions and trauma
						systems, but have the secondary purpose of providing useful data for the
						surveillance of injury, morbidity and mortality.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 3 - DENIAL OR REVOCATION OF LICENSE › Rule 15-16-1-41.3.1

Current through June 25, 2024
The licensing agency, after notice and opportunity for
						hearing to the applicant or licensee, is authorized to deny, suspend or revoke
						a license in any case in which it finds that there has been a substantial
						failure to comply with the requirements established in these regulations and
						standards.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 4 - ADMINISTRATION: OWNERSHIP › Rule 15-16-1-41.4.1

Current through June 25, 2024
There shall be full disclosure of hospital ownership and
						control. In its Initial Application for Hospital License the hospital shall
						disclose:
1. The ownership of the
					 hospital, including the names and addresses of the following: all stockholders,
					 if the owner is a corporation; the partners, if the owner is a partnership; or
					 the owner(s), if individually owned.
2. The name, address, and capacity of each
					 officer and each member of the governing body, as well as the individual(s)
					 directly responsible for the operation of the hospital.
3. Owner's proof of financial ability for
					 continuous operation.
4. The name
					 and address of the resident agent for service of process within the State of
					 Mississippi if the owner shall not reside or be domiciled in 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 4 - ADMINISTRATION: OWNERSHIP › Rule 15-16-1-41.4.2

Current through June 25, 2024
Annually in its Application for Renewal of Hospital
						License the hospital shall report:
1.
					 The name and address of the owner.
2. The name and address of the
					 operator.
3. The name, address and
					 capacity of each officer and each member of the governing body, as well as the
					 individual(s) responsible for the operation of the 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 4 - ADMINISTRATION: OWNERSHIP › Rule 15-16-1-41.4.3

Current through June 25, 2024
When any changes shall be made in the constituency of
						the governing body, the officers or the individual(s) directly responsible for
						the operation of the hospital, the hospital shall notify the licensing agency
						in writing within 15 days of such changes, and shall also furnish to it a
						certified copy of that portion of the minutes of the governing body dealing
						with such changes.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 4 - ADMINISTRATION: OWNERSHIP › Rule 15-16-1-41.4.4

Current through June 25, 2024
When change of ownership of a hospital is contemplated,
						the hospital shall notify the licensing agency in writing at least 30 days
						prior to the proposed date of change of ownership, giving the name and address
						of the proposed new owner.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 4 - ADMINISTRATION: OWNERSHIP › Rule 15-16-1-41.4.5

Current through June 25, 2024
The hospital shall notify the licensing agency in
						writing within 24 hours after any change of ownership and shall surrender its
						license there with.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 5 - GOVERNING AUTHORITY › Rule 15-16-1-41.5.1

Current through June 25, 2024
The hospital shall have an organized governing body, or
						designated person(s) so functioning, that has overall responsibility for the
						conduct of the hospital in a manner consistent with the objective of making
						available high quality patient care. The governing body shall be the supreme
						authority in the hospital, responsible for the management of the hospital and
						appointment of the medical staff. The governing body shall adopt bylaws in
						accordance with legal requirements and with its community responsibility,
						identifying the purposes of the hospital and the means of fulfilling them, and
						shall at least:
1. Be in writing
					 available to all members of the governing body.
2. Contain the name of the governing
					 body.
3. State the manner in which
					 the members of the governing body, the officers and the administrative
					 personnel are selected, the terms for which they are elected or appointed, and
					 their duties and responsibilities.
4. Specify to whom authority for operation
					 and maintenance of the hospital, including evaluation of hospital practices,
					 may be delegated; and the methods established by the governing body for holding
					 such individuals responsible.
5.
					 Provide a schedule of meetings of the governing body at sufficiently frequent
					 intervals to permit it an evaluation of the performance of the hospital as an
					 institution and to carry on necessary planning for the proper developments and
					 growth of the hospital, with written minutes to be kept of all such
					 meetings.
6. Provide the method of
					 appointment, re-appointment, and removal of members of the medical
					 staff.
7. Provide mechanisms for
					 the formal approval of the organization, bylaws, and rules and regulations of
					 the medical staff and its department in the hospital.
Facility Discontinuation/Closure of
						Service:
1.
Discontinuation of Service:
Facilities proposing the
					 closure/discontinuation of patient medical care services that are listed on the
					 facility's hospital licensure application and/or a Certificate of Need (CON)
					 regulated service, shall notify the Department in writing a minimum of 30 days
					 prior to closure and include the effective closure date. The notification to
					 the Department shall include, but is not limited to:
A. The type of services that will no longer
					 be provided due to closure;
B. The
					 reason for closure;
C. The location
					 where the patients have been/will be transferred;
D. The plan for storage of patient medical
					 records; and
E. Plan for notifying
					 the public.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.1

Current through June 25, 2024
The governing body shall appoint an administrator whose,
						authority, and duties shall be defined in a written statement adopted by the
						governing body, the medical staff and all other branches and departments of the
						hospital. An administrator appointed on or after February 14, 2005 shall have
						at least a bachelor's degree and one (1) year experience in a health related
						field.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.2

Current through June 25, 2024
The administrator shall be vested with sufficient
						authority to adequately perform all of the duties and responsibilities of his
						position, both written and implied.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.3

Current through June 25, 2024
The governing body, through the administrator, shall
						provide appropriate physical resources and personnel required to meet the needs
						of the patients, and shall participate in planning to meet the health needs of
						the community.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.4

Current through June 25, 2024
The governing body, through its administrator, shall
						take all reasonable steps to comply with all applicable federal, state and
						local laws 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.5

Current through June 25, 2024
The governing body, through its administrator, shall
						provide for the control and use of the physical and financial resources of the
						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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.6

Current through June 25, 2024
The governing body shall delegate to the medical staff
						the authority to evaluate the professional competence of staff members and
						applicants for medical staff membership and/or clinical privileges. It shall
						hold the medical staff responsible for making recommendations to the governing
						body concerning initial staff appointments, re-appointments, removals and/or
						assignment or curtailment of clinical privileges.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.7

Current through June 25, 2024
The governing body shall have the authority and
						responsibility for the appointment, reappointment and removal of the members of
						the medical staff and other practitioners who have been granted clinical
						privileges.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.8

Current through June 25, 2024
Appointment, reappointment and removal of the members of
						the medical staff and other practitioners with clinical privileges shall be
						based upon well defined written criteria set forth in the
						bylaws.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.9

Current through June 25, 2024
The governing body shall utilize the advice of the
						medical staff in granting and defining the scope of clinical privileges to
						individual physicians, dentists and other practitioners requesting clinical
						privileges. If the medical staff does not include a physician or practitioner
						of the same specialty, the medical staff shall consult with the appropriate
						licensure boards regarding scope of practice before making recommendations to
						the governing body regarding clinical privileges.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.10

Current through June 25, 2024
No applicant shall be denied medical staff privileges in
						any publicly owned hospital on the basis of any criteria lacking professional
						justification.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.11

Current through June 25, 2024
A mechanism shall be established in the bylaws for
						review by a joint committee when the governing body disagrees with the
						recommendations of the medical 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.12

Current through June 25, 2024
All physicians, dentists and other practitioners
						applying for medical staff membership and/or clinical privileges must sign an
						agreement to abide by the medical staff by-laws and 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.13

Current through June 25, 2024
The governing body shall inform applicants for medical
						staff membership and/or clinical privileges of the disposition of their
						application in a reasonable time.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.14

Current through June 25, 2024
The medical staff bylaws and rules and regulations shall
						be subject to governing body approval, which shall not be unreasonably
						withheld. These shall include an effective formal means for the medical staff
						to participate in the development of hospital policy relative to patient
						care.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.15

Current through June 25, 2024
The governing body shall require that the medical staff
						establish controls that are designed to insure the achievement and maintenance
						of high standards of professional ethical practices, and shall:
1. Establish policies that insure that only
					 members of the medical staff dental staff or other practitioners designated by
					 the governing body admit patients to the hospital.
2. Insure that a physician member of the
					 medical staff is responsible for the care of each patient with respect to any
					 medical or psychiatric problem that is present on admission or develops during
					 hospitalization and is not specifically within the scope of practice of other
					 practitioners with clinical privileges as defined by State law.
3. Each individual hospital in the state
					 shall decide by its "credentialing committee", or by whatever name it uses for
					 the functions of credentialing, whether or not it chooses to abide by the
					 amendments as set out in Chapters 1, 2, 3, and 4 hereof, as pertaining to
					 dental 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.16

Current through June 25, 2024
If it shall be the policy of the hospital for physicians
						rendering consecutive services under contract with the hospital to bill
						hospital patients separately for their services, all hospital patients shall be
						advised, upon entering or prior to leaving the hospital, that they may expect a
						separate and additional bill for any such services as may have been rendered
						them.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.17 - Criminal History Record Checks

Current through June 25, 2024
1.
Employee.
For the purpose of fingerprinting and criminal
					 background history checks, employee shall mean any individual employed by a
					 covered entity. The term employee", also includes any individual who by
					 contract with the covered entity provides direct patient care in a patient's,
					 resident's, or client's room or in treatment rooms.
The term employee does not include healthcare
						professional/technical students, as defined in Section
						37-29-232, performing clinical
						training in a licensed entity under contracts between their schools and the
						licensed entity, and does not include students at high schools who observe the
						treatment and care of patients in a licensed entity as part of the requirements
						of an allied health course taught in the school if:
A. The student is under the supervision of a
					 licensed healthcare provider; and
B. The student has signed the affidavit that
					 is on file at the student's school stating that he or she has not been
					 convicted of or plead guilty or nolo contendere to a felony of possession or
					 sale of drugs, murder, manslaughter, armed robbery, rape, sexual battery, any
					 sex offenses listed in section
					 45-33-23(g),
					 child abuse, arson, grand larceny, burglary, gratification of lust, aggravated
					 assault, or felonious abuse and/or battery of a vulnerable adult, or that any
					 such conviction or plea was reversed on appeal, or a pardon was granted for the
					 conviction or plea.
C. Further,
					 applicants and employees of the University of Mississippi Medical Center for
					 whom criminal history record checks and fingerprinting are obtained in
					 accordance with Section
					 37-115-41 are exempt from
					 application of the term employee under Section
					 43-11-13.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 6 - MANAGEMENT › Rule 15-16-1-41.6.18 - Criminal History Record Checks

Current through June 25, 2024
1. Pursuant to
					 Section 43-11-13, Mississippi Code of
					 1972, the covered entity shall require to be performed a disciplinary check
					 with the professional licensing agency, if any, for each employee to determine
					 if any disciplinary action has been taken against the employee by the agency,
					 and a criminal history record check on:
A.
					 Every new employee of a covered entity who provides direct patient care or
					 services; and
B. Any individual
					 seeking new employment with a covered entity whose initial criminal history
					 record check is over two years old.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.1

Current through June 25, 2024
The hospital shall have an organized medical staff that
						has the overall responsibility for the quality of all medical 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. Each member of the
						medical staff shall be qualified for staff membership and for the exercise of
						the clinical privileges granted to him.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.2

Current through June 25, 2024
The medical staff shall be limited to individuals who
						are licensed to practice medicine, osteopathy, or dentistry in the State of
						Mississippi, and such other practitioners as determined by the governing body.
						Such members must be appropriately licensed or certified and shall be
						professionally and ethically qualified for the positions to which they are
						appointed.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.4

Current through June 25, 2024
All clinical privileges shall be based on training,
						experience, demonstrated competence, and judgment.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.5

Current through June 25, 2024
The medical staff shall be organized to accomplish its
						required functions; it shall provide for selection or appointment of its
						officers, executive committee, department head or service
						chiefs.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.6

Current through June 25, 2024
The medical staff must provide a framework in which the
						duties, functions, and responsibilities of the medical staff can be carried
						out. The complexity of the organization will depend on the size of the hospital
						and the scope of the activities of the medical 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.7

Current through June 25, 2024
There shall be such officers of the medical staff as to
						provide effective governing of the medical staff and to provide effective
						medical care. There should be at least a president, vice-president, and
						secretary-treasurer of the medical staff, or other similar
						titles.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.8

Current through June 25, 2024
The medical staff shall participate in the maintenance
						of high professional standards by representation on committees concerned with
						patient care.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.9

Current through June 25, 2024
The medical staff should participate in continuous study
						and evaluation of factors relating to patient care in the hospital's internal
						environment. This should include participation in the development of hospital
						policies and procedures in-so-far as they affect patient
						care.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.10

Current through June 25, 2024
The development and surveillance of pharmacy and
						therapeutic practices in relation to drug utilization must be performed by the
						medical staff in cooperation with the pharmacist.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.11

Current through June 25, 2024
The medical staff shall see that there is adequate
						documentation of medical events by a review of discharged patients that shall
						insure that medical records meet the required standards of completeness,
						clinical pertinence, and promptness or completion of following
						discharge.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.12

Current through June 25, 2024
The medical staff shall actively participate in the
						study of hospital-associated infections, and infection potentials, and must
						promote a preventive and corrective program designed to minimize their
						hazards.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.13

Current through June 25, 2024
The medical staff and the hospital's administration must
						evaluate their ability to manage internal and external disasters and other
						emergency situations. Medical staff responsibilities shall be clearly
						outlined.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.14

Current through June 25, 2024
There shall be regular medical staff meetings to review
						the clinical work of members and to complete medical staff administrative
						duties.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.15

Current through June 25, 2024
The medical staff shall provide a continuing program of
						professional education, or give evidence of participation in such a
						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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.16

Current through June 25, 2024
The medical staff shall develop and adopt bylaws and
						rules and regulations to establish a framework for self-government and a means
						of accountability to the governing body, such bylaws and rules and regulations
						to be approved by 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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 7 - THE MEDICAL STAFF › Rule 15-16-1-41.7.17

Current through June 25, 2024
The medical staff bylaws and rules and regulations, as a
						minimum, shall:
1. Contain the name of
					 the organization.
2. Delineate the
					 organizational structure of the medical staff.
3. Specify the qualifications and procedures
					 for admission to and retention of staff membership, including the delineation,
					 assignment, reduction, and withdrawal of clinical privileges.
4. Specify the method of reviewing the
					 qualifications of staff members.
5.
					 Provide an appeal mechanism relative to medical staff recommendations for
					 denial, curtailment, suspension, or revocation of clinical privileges in any
					 hospital having an open staff. This mechanism shall provide for review of
					 decisions including the right to be heard at each step of the process when
					 requested by the practitioner.
6.
					 Delineate clinical privileges of non-physician practitioners, as well as
					 responsibilities of the physician members of the medical staff in relation to
					 non-physician practitioners. A non-physician practitioner is a health
					 professional licensed or otherwise authorized by the state to provide a range
					 of independent or interdependent health services. Such providers include but
					 are not limited to chiropractors, licensed professional counselors, licensed
					 social workers, nurse practitioners/physician assistants (including nurse
					 anesthetists), psychologists, podiatrists, and optometrists.
7. Require a pledge that each practitioner
					 will conduct his practice in accordance with high ethical traditions and will
					 refrain from:
a. Rebating a portion of a fee,
					 or receiving other inducements in exchange for a patient referral.
b. Deceiving a patient as to the identity of
					 an operating surgeon or any other medical practitioner providing
					 services.
c. Delegating the
					 responsibility of hospitalized patients to another medical practitioner who is
					 not qualified to undertake this responsibility.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 8 - DESIGN AND CONSTRUCTION ELEMENTS: PHYSICAL PLANT › Rule 15-16-1-41.8.1 - General

Current through June 25, 2024
Every institution subject to these Minimum Standards
						shall be housed in a safe building which contains all the facilities required
						to render the services contemplated in the application for
						license.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 8 - DESIGN AND CONSTRUCTION ELEMENTS: PHYSICAL PLANT › Rule 15-16-1-41.8.2 - Codes

Current through June 25, 2024
The term "safe" as used in Rule 41.8.1 hereof shall be
						interpreted in the light of compliance with the requirements of the codes
						recognized by this agency on date of construction which are incorporated by
						reference as a part of these Minimum Standards; included are the Life Safety
						Code of the National Fire Protection Association, American National Standards
						Institute, Standards Number A-17.1, and A-17.3, Safety Code for Elevators and
						Escalators, the American Institute of Architects (AIA), Guidelines for Design
						and Construction of Hospital and Health Care Facilities, and references
						incorporated as body of all afore mentioned standards.
1. Life Safety Code compliance relative to
					 construction date:
a. Buildings constructed
					 after February 14, 2005 shall comply with the edition of the Life Safety Code
					 (NFPA 101) recognized by this agency on the date of construction.
b. Building constructed prior to February 14,
					 2005 shall comply with existing chapter of the Life Safety Code recognized by
					 this agency.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 9 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-41.9.1

Current through June 25, 2024
Construction shall not be started for any institution
						subject to these standards (whether new or remodeling or additions to an
						existing licensed hospital) until the plans and specifications for such
						construction or remodeling have been submitted to the Licensing Agency in
						writing and its approval of the changes given in writing.
1. Exception: Foundation changes made
					 necessary by unanticipated conditions, or any conditions which present a hazard
					 to life or property if not immediately corrected.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 9 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-41.9.2

Current through June 25, 2024
Plans and specifications for any substantial hospital
						construction or remodeling should be prepared by competent architects and
						engineers licensed to practice in the state and who assume responsibility for
						supervising the construction. The following plans shall be submitted to the
						Licensing Agency for review:
1.
					 Preliminary Plans - To include schematics of buildings, plot plans showing size
					 and shape of entire site, existing structures, if any, streets and location and
					 characteristics of all needed utilities, floor plans of every floor dimensioned
					 and with proposed use of each room or area shown. If for additions or
					 remodeling, provide plan or of existing building showing all proposed
					 alterations, outline specifications to include a general description of the
					 construction, type of finishes, and type of heating, ventilating, plumbing and
					 electrical systems proposed.
2.
					 Final Working Drawings and Specifications - Complete and in sufficient detail
					 to be the basis for the award of construction contracts.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 9 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-41.9.3

Current through June 25, 2024
All plans submitted for review must be accompanied in
						their first submission by an order of the governing board indicating the type
						and scope of license to be applied for or a Certificate of
						Need.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 9 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-41.9.4

Current through June 25, 2024
Plans receiving approval of the Licensing Agency upon
						which construction has not begun within six (6) months following such approval
						must be resubmitted for approval.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 9 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-41.9.5

Current through June 25, 2024
In all new facilities, plans must be submitted to all
						regulatory agencies, such as the County Health Department, etc., for approval
						prior to starting construction.
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 41 - MINIMUM STANDARDS OF OPERATION FOR MISSISSIPPI HOSPITALS › Subchapter 9 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-41.9.6

Current through June 25, 2024
Upon an inspection shall be made by the Licensing Agency
						and approval given prior to occupying the building or any part thereof. The
						state and county health departments shall have access to the job site during
						regular business hours and shall conduct construction progress inspections as
						deemed necessary by the agency.
Miss. Code Ann.
						§
												41-9-17