reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-8 - "Department" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 8.
"Department" means the Indiana department of
				  health.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-9 - "Division" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 9.
"Division" means the division of acute care of the
				  department.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-10 - "Governing body" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-18-2-149; IC
				  16-21-1
Sec. 10.
"Governing body" means:
(1) board of trustees;
(2) governing board;
(3) board of directors; or
(4) other body responsible for governing a
				center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-11 - "Health care provider" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-18-2-163; IC
				  16-21-1
Sec. 11.
"Health care provider" means a provider as defined in IC
				  16-18-2-163.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-12 - "Health care worker" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 12.
"Health care worker" means a person who provides services
				  whether as an individual health care provider, volunteer, or student at or
				  employee of a center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-13 - "Licensed health professional" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-23-1-27.1
Sec. 13.
"Licensed health professional" means an individual as
				  defined in IC
				  25-23-1-27.1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-14 - "Medical staff" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 14.
"Medical staff" means a group that is responsible to the
				  governing board for the following:
(1)
				The clinical and scientific work of the center.
(2) Advice regarding professional matters and
				policies.
(3) Review of the
				professional practices in the center for the purposes of reducing morbidity and
				mortality and for the improvement of the care of patients in the center,
				including the following:
(A) The quality and
				necessity of care provided.
(B) The
				preventability of complications and deaths occurring in the center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-15 - "Pharmacist" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-26-13
Sec. 15.
"Pharmacist" means an individual licensed under IC
				  25-26-13.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-16 - "Physician" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-22.5-5
Sec. 16.
"Physician" means an individual licensed under IC
				  25-22.5-5.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-17 - "Podiatrist" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 17.
"Podiatrist" means any person holding an unlimited license
				  to practice podiatry in the state of Indiana.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-18 - "Practitioner" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-1-9-2
Sec. 18.
"Practitioner" means an individual as defined in IC
				  25-1-9-2.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-19 - "Registered nurse" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  25-23-1
Sec. 19.
"Registered nurse" means an individual licensed under IC
				  25-23-1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.1 - Definitions; Ambulatory Outpatient Surgical Centers › Section 2.1-20 - "Supplier" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 20.
"Supplier", for HCFA reimbursement only, means an agency for
				  diagnosis and therapy, such as a laboratory, a clinic, and a physical therapist
				  office, rather than sustained patient care.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.2 - Compliance › Section 2.2-1 - Compliance with rules

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 1.
(a) All
				centers shall be licensed by the department and shall comply with all
				applicable federal, state, and local laws and rules.
(b) Components required for licensure as a
				center are the following:
(1) Governing
				body.
(2) Quality assessment and
				improvement.
(3) Infection control
				program.
(4) Laboratory
				services.
(5) Medical records,
				storage, and administration.
(6)
				Medical staff, anesthesia, and surgical service.
(7) Patient care services.
(8) Pharmaceutical services.
(9) Physical plant, equipment maintenance,
				and environmental services.
(10)
				Radiology services.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.2 - Compliance › Section 2.2-2 - Survey procedures

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1; IC
				  16-21-2-6
Sec. 2.
(a) The
				center shall fully cooperate with licensure and complaint investigation
				inspections conducted by representatives of the department.
(b) The center shall maintain documents,
				registers, and reports which show ownership and compliance with local, state,
				and federal laws and regulations and adherence to bylaws and regulations of the
				facility.
(c) All documents in
				legally reproducible form must be maintained within the center for the period
				required by statutes of limitations and must be made available upon request for
				inspection, including copying by representatives of the department as follows:
(1) Items to include, but not be limited to,
				the following:
(A) Documents showing ownership
				and a certified copy of articles of incorporation (if incorporated).
(B) Constitution and bylaws of governing
				body.
(C) Minutes of meetings of
				governing body and committees thereof.
(D) Minutes of meetings of the medical staff
				and committees thereof.
(E) All
				documents pertaining to quality assurance and improvement of patient care and
				medical care.
(F) A current roster
				of members of the medical staff with designated privileges.
(G) Personnel records.
(H) Medical records.
(I) Reports pursuant to IC
				16-21-2-6.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.3 - Licensure Requirements; Ambulatory Outpatient Surgical Centers › Section 2.3-1 - Issuance of license

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) The
				center shall file an application for licensure on a yearly basis with the
				division, prior to the expiration of the current license.
(b) A license is not transferable or
				assignable, and is issued only for the premises named in the
				application.
(c) If multiple
				buildings or sites (contracted, rented, or leased) are licensed under a single
				license, the licensee shall provide for these buildings as a single integrated
				system as follows:
(1) All buildings or
				portions of buildings under a single license must be governed by a single
				governing body and under the administrative control of a single chief executive
				officer.
(2) All facilities
				operating under a single license must have a single medical staff.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.3 - Licensure Requirements; Ambulatory Outpatient Surgical Centers › Section 2.3-2 - Posting of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 2.
(a) The
				license must be conspicuously posted on the premises.
(b) A copy must be conspicuously posted in an
				area open to patients and the public on the premises of each separate building
				of a multiple building system.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.3 - Licensure Requirements; Ambulatory Outpatient Surgical Centers › Section 2.3-3 - Suspension or revocation of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC 4-21.5; IC
				  16-21-1
Sec. 3.
(a) The
				commissioner may take any of the following actions on any of the grounds listed
				in subsection (b):
(1) Issue a letter of
				correction.
(2) Issue a
				probationary license.
(3) Conduct a
				resurvey.
(4) Deny renewal of a
				license.
(5) Revoke a
				license.
(6) Impose a civil penalty
				in an amount not to exceed ten thousand dollars ($10,000) per
				violation.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.3 - Licensure Requirements; Ambulatory Outpatient Surgical Centers › Section 2.3-4 - Complaint investigation

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 4.
(a) The
				division shall investigate all complaints that come under the department's
				jurisdiction, regardless of the method of communication.
(b) The complaints will be assigned a
				priority for investigation according to division policy.
(c) The complaint investigation will be
				unannounced and may evolve into a full survey.
(d) The division shall notify the center of
				the results of the investigation in writing.
(e) The center will have ten (10) days after
				notification of a noncompliance to respond in writing with an acceptable plan
				of correction for noncompliance with state rules noted as a result of the
				investigation before this information is made available to the
				public.
(f) Upon recommendation of
				the division, the survey report will be forwarded to the commissioner for
				action under section 3 of this rule.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.4 - Governing Body › Section 2.4-1 - Governing body; powers and duties

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 1.
(a) The
				governing body shall function as the supreme authority of the center. The
				governing body shall assume full legal responsibility for determining,
				implementing, and monitoring policies governing the center's total operation
				and for ensuring that these policies are followed so as to provide quality
				health care in a safe environment. The governing body is legally responsible
				for the conduct of the center as an institution. The governing body shall do
				the following:
(1) Ensure that the center:
(A) meets all rules and regulations for
				licensure and for certification, if applicable; and
(B) makes available to the commissioner or
				representatives of the department upon request all reports, records, minutes,
				documentation, information, and files required for licensure.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.4 - Governing Body › Section 2.4-2 - Quality assessment and improvement

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 2.
(a) The
				center must develop, implement, and maintain an effective, organized,
				center-wide, comprehensive quality assessment and improvement program in which
				all areas of the center participate. The program shall be ongoing and have a
				written plan of implementation that evaluates, but is not limited to, the
				following:
(1) All services, including
				services furnished by a contractor.
(2) All functions, including, but not limited
				to, the following:
(A) Discharge and
				transfer.
(B) Infection
				control.
(C) Medication
				errors.
(D) Response to patient
				emergencies.
(3) All
				services performed in the center with regard to appropriateness of diagnoses
				and treatments related to a standard of care and anticipated or expected
				outcomes.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.4 - Governing Body › Section 2.4-2.2 - Reportable events

Current through July 10, 2024
Authority: IC
				  16-19-3-4; IC
				  16-21-1-7
Affected: IC
				  16-19-3; IC
				  16-21-1; IC 25
Sec. 2.2.
(a) The
				center's quality assessment and improvement program under section 2 of this
				rule shall include the following:
(1) A
				process for determining the occurrence of the following reportable events
				within the center:
(A) The following surgical
				events:
(i) Surgery performed on the wrong
				body part, defined as any surgery performed on a body part that is not
				consistent with the documented informed consent for that patient. Excluded are
				emergent situations:
(AA) that occur in the
				course of surgery; or
(BB) whose
				exigency precludes obtaining informed consent; or both
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-1 - Infection control program

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) The
				center shall provide a safe and healthful environment that minimizes infection
				exposure and risk to patients, health care workers, and visitors.
(b) The center shall maintain a written,
				active, and effective center-wide infection control program. Included in this
				program must be a system designed for the identification, surveillance,
				investigation, control, and prevention of infections and communicable diseases
				in patients and health care workers.
(c) The infection control program must
				identify and evaluate trends or clusters of center generated infections or
				communicable diseases.
(d) The
				center shall designate a person qualified by training or experience as
				responsible for the ongoing infection control activities and the development
				and implementation of policies governing control of infections and communicable
				diseases.
(e) The chief executive
				officer, medical staff, and nursing manager shall:
(1) be responsible for the implementation of
				successful corrective action plans in affected problem areas and ensure that
				infection control policies are followed; and
(2) provide for appropriate infection control
				input into plans for renovation and new construction to ensure awareness of
				federal, state, and local rules that affect infection control practices as well
				as plan for appropriate protection of patients and employees during
				construction or renovation.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-2 - Laboratory services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC 16-21-1
Sec. 2.
(a) The
				center shall provide, or make available, those pathology and medical laboratory
				services and consultation necessary to meet the needs of patients as determined
				by the medical staff.
(b) The
				laboratory performs tests, examines specimens, and reports the evaluation only
				upon the written request of individuals and practitioners authorized by law and
				with governing body approval.
(c) A
				written description of available laboratory services, reference values,
				critical values, and expected turnaround time shall be available to the patient
				care staff.
(d) Frozen section
				shall be provided where surgical procedures are performed which require
				immediate pathological examination and if performed on site must meet
				42 CFR
				493 for high complexity pathology
				testing.
(e) The medical staff and
				a pathologist shall determine, as specified by medical staff rules and
				laboratory policy, what tissue specimen examination will be utilized on each
				specimen as follows:
(1) Microscopic
				examination only.
(2) Macroscopic
				examination only.
(3) Both
				microscopic and macroscopic examinations.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-3 - Medical records, storage, and administration

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 3.
(a) The
				medical record service has administrative responsibility for the medical
				records that must be maintained for every patient of the center.
(b) The organization of the medical record
				service must be appropriate to the scope and complexity of the services
				provided as follows:
(1) The services must be
				directed by a registered record administrator (RRA) or an accredited record
				technician (ART). If a full-time and/or part-time RRA or ART is not employed,
				then a consultant RRA or ART must be provided to assist the qualified person in
				charge. Documentation of the findings and recommendations of the consultant
				must be maintained.
(2) The medical
				record service must be provided with necessary direction, staffing, and
				facilities to perform all required functions in order to ensure prompt
				completion, filing, and retrieval of records.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-4 - Medical staff; anesthesia and surgical services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-18-2-14; IC
				  16-21-1; IC 25-22.5
Sec. 4.
(a) The
				medical staff of the center is accountable to the governing body of the center.
				The medical staff must be organized and operate under bylaws approved by the
				governing body. The medical staff is responsible to the governing board for the
				quality of medical care and surgical services provided to patients. The medical
				staff must be composed of one (1) physician, dentist, or podiatrist. The
				medical staff shall do the following:
(1)
				Conduct outcome-oriented performance evaluations of its member at least
				biennially.
(2) Examine credentials
				of candidates for appointment and reappointment to the medical staff by using
				sources in accordance with center policy and applicable state and federal
				law.
(3) Make recommendations to
				the governing body on the appointment or reappointment of the applicant for a
				period not to exceed two (2) years.
(4) Maintain a reasonably accessible hard
				copy or electronic file for each member of the medical staff, which includes,
				but is not limited to, the following:
(A) A
				completed, signed application.
(B)
				The date and year of completion of all Accreditation Council for Graduate
				Medical Education (ACGME) accredited residency training programs, if
				applicable.
(C) A current copy of
				the individual's credentials as follows:
(i)
				Indiana license showing date of licensure and number or available data provided
				by the health professions bureau. A copy of practice restrictions, if any,
				shall be attached to the license issued by the health professions bureau
				through the appropriate licensing board.
(ii) Indiana controlled substance
				registration showing number as applicable.
(iii) Drug Enforcement Agency registration
				showing number as applicable.
(iv)
				Documentation of experience in the practice of medicine.
(v)  Documentation of specialty board
				certification as applicable.
(vi)
				Documentation of privilege to perform surgical procedures in a hospital in
				accordance with IC
				16-18-2-14(3)(C).
(D) Category of medical staff appointment and
				delineation of privileges approved.
(E) A signed statement to abide by the rules
				of the center.
(F) Documentation of
				current health status as established by center and medical staff policy and
				procedure and federal and state requirements.
(G) Other items specified by the center and
				medical staff.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-5 - Patient care services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 5.
(a) All
				patient care services must meet the needs of the patient, within the scope of
				the service offered, in accordance with acceptable standards of practice.
				Patient care services must be under the direction of a qualified person or
				persons. Patient care services must require the following:
(1) That the patient care services rendered
				are reviewed and analyzed at regular meetings of patient care personnel and
				used as a basis for evaluating the quality of services provided.
(2) That personnel with appropriate training
				are available at all times to handle possible emergencies involving patients of
				the center.
(3) That a registered
				nurse serves as head nurse supervising patient care services
				personnel.
(4) That all registered
				nurses and licensed practical nurses must be currently licensed in
				Indiana.
(5) That an experienced
				registered nurse supervise all nursing personnel, including, but not limited
				to, registered nurses, licensed practical nurses, and surgical technologists,
				in surgical areas and recovery unit(s) as follows:
(A) Licensed practical nurses and surgical
				technologists may serve as scrub personnel under the supervision of a qualified
				registered nurse.
(B) Circulating
				duties in the operating room shall be performed by a qualified registered
				nurse. Licensed practical nurses and surgical technologists may assist in
				circulating duties under the supervision of a qualified registered nurse who is
				immediately available to respond to emergencies, in accordance with applicable
				state law and approved medical staff policies and procedures.
(6) A registered nurse must be in
				attendance in the postanesthesia recovery room during its operational period
				when patients are present.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-6 - Pharmaceutical services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 6.
The center shall provide drugs and biologicals in a safe and
				  effective manner, in accordance with accepted professional practice, and under
				  the direction of an individual designated responsible for pharmaceutical
				  services. Pharmaceutical services must have the following:
(1) A designated professional person with
				prescriptive authority, or a pharmacist, who is responsible for the control of
				drug stocks in the center.
(2)
				Records of stock supplies of all scheduled substances, including an accounting
				for all items purchased and dispensed.
(3) Written policies and procedures
				developed, implemented, maintained, and made available to personnel, including,
				but not limited to, the following:
(A) Drug
				handling, storing, labeling, and dispensing.
(B) Drug administration according to
				established center policies and acceptable standards of practice.
(C) Intravenous medications administration as
				it relates to sedation.
(D)
				Reporting of adverse reactions and medication errors to the practitioner
				responsible for the patient and the appropriate committee, and documented in
				the patient's record.
(E) Drugs
				must be accurately and clearly labeled and stored in specially-designated,
				well-illuminated cabinets, closets, or storerooms and the following:
(i) Drug cabinets must be accessible only to
				authorized personnel.
(ii) Drug
				cabinets for storage of controlled drugs listed in Schedule II of the
				Comprehensive Drug Abuse Prevention and Control Act of 1976 and other drugs
				subject to abuse must be permanently affixed compartments that are separately
				locked.
(iii) Drug carts with
				controlled drugs as designated in item (ii) must be securely affixed when not
				in use.
(F) Instructions
				to the patient on the use of take home medication is the responsibility of the
				prescribing practitioner.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-7 - Physical plant, equipment maintenance, and environmental services

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC
				  16-21-1
Sec. 7.
(a) The
				center shall be constructed, arranged, and maintained to ensure the safety of
				the patient and to provide facilities for services authorized under the center
				license as follows:
(1) The plant operations
				and maintenance service, equipment maintenance, and environmental services must
				be as follows:
(A) Staffed to meet the scope
				of the services provided.
(B) Under
				the direction of a person or persons qualified by education, training, or
				experience according to center policy approved by the governing body.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.5 - Required Ambulatory Outpatient Surgical Center Services › Section 2.5-8 - Radiology services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 8.
(a) The
				center shall provide or make available diagnostic radiology services and
				reports required in connection with any surgery to be performed, necessary to
				meet the needs of the patients, as determined by the medical staff.
(b) Radiology services solely under
				arrangement must meet the needs of the patient and meet all state and federal
				requirements. If all radiology services are under arrangement, the remainder of
				this section does not apply.
(c)
				All centers shall comply with all regulations set forth in this rule and with
				410 IAC 5, when radiology services are provided on-site by the center,
				including, but not limited to, the following:
(1) Radiology services must be supervised by
				a radiologist or radiation oncologist.
(2) All radiation therapy treatments,
				including all aspects of radium treatments, must be under the direct
				supervision of a radiation oncologist.
(3) If therapeutic or diagnostic nuclear
				medicine services are provided, they must comply with the applicable
				requirements of this section and with
				410 IAC 15-1.6-3.
(4) All diagnostic radiographic procedures
				must be conducted by an individual meeting the requirements of
				410 IAC 5-11.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.6 - Optional Ambulatory Surgical Center Services › Section 2.6-1 - Dietary services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) If
				nourishment and other dietary needs of the patients are provided in the center,
				the center shall comply with
				410 IAC 7-24.
(b) If nourishments are to be prepared, a
				nourishment area with hand washing lavatory and refrigeration must be
				provided.
(c) If prepackaged single
				service nourishments are provided, refrigeration storage must be provided in
				the clean area.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.6 - Optional Ambulatory Surgical Center Services › Section 2.6-2 - Other services

Current through July 10, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 2.
(a) If the
				center provides other services not covered in specific sections of
				410 IAC 15-2.1 through
				410 IAC 15-2.5, this rule, and
				410 IAC 15-2.7, the services must
				meet the needs of the patients served, within the scope of the service offered,
				and in accordance with acceptable standards of practice.
(b) The services shall be under the direction
				of a qualified person or persons.
(c) The services shall be staffed in
				accordance with written center policies and comply with the applicable state
				and federal rules.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 2.7 - Incorporations by Reference › Section 2.7-1 - Incorporation by reference

Current through July 10, 2024
Authority: IC
				  16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) When used
				in this article, references to the following publications shall mean the
				version of that publication listed and are hereby incorporated by reference:
(1) Guidelines for Design and Construction of
				Hospital and Health Care Facilities (2001 Edition). Copies are available from
				the American Institute of Architects, 1735 New York Avenue Northwest,
				Washington, D.C. 20006. Local purchase may be made from the Architectural
				Center Bookstore, 47 South Pennsylvania Avenue, Indianapolis, Indiana
				46204.
(2) National Fire Protection
				Association (NFPA) 99, Health Care Facilities (1993 Edition). Copies may be
				obtained from the National Fire Protection Association, 1 Batterymarch Park, P.
				O. Box 1901, Quincy, Massachusetts 02260-9904.
(3) National Fire Protection Association
				(NFPA) 101, Life Safety Code Handbook (2000 Edition). Copies may be obtained
				from the National Fire Protection Association, 1 Batterymarch Park, P. O. Box
				1901, Quincy, Massachusetts 02269-9904.
(4) National Committee on Radiation
				Protection (NCRP) Reports, Number 49, "Structural Shielding Design and
				Evaluation for Medical Use of X-rays and Gamma Rays of Energies Up to 10 MeV"
				(September 15, 1976, Edition). Copies may be obtained from the National Council
				on Radiation Protection and Measurements, 7910 Woodmont Avenue, Washington,
				D.C. 20014.
(5) National Committee
				on Radiation Protection (NRCP)
[sic.]
Reports, Number 102,
				"Medical X-ray, Electron Beam and Gamma Ray Protection for Energies Up to 50
				MeV (Equipment Design, Performance and Use)" (June 30, 1989, Edition). Copies
				may be obtained from the National Council on Radiation Protection and
				Measurements, 7910 Woodmont Avenue, Washington, D.C. 20014.
(6)
										42 CFR
				493 (Effective October 1, 1993,
				Edition).
(7)
										21 CFR
				606 (April 1, 1994, Edition).
(8)
										21 CFR
				640 (April 1, 1994, Edition).
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 3 - Hospital Financial Disclosure › Section 3-1 - Definitions

Current through July 10, 2024
Authority: IC 16-21-6-9
Affected: IC 16-21-6
Sec. 1.
As used in 410 IAC 15-3: "Ancillary service charges" means
				  the difference between total service charges per stay and the daily service
				  charges.
"Average patient length of stay by patient diagnosis" means
				  the arithmetic mean of the total of all patient lengths of stay for a given
				  patient diagnosis for each major payor category reported in days.
"Daily service charge" means the charge billed to a patient
				  for a day of stay in a facility without any ancillary services provided.
"Discharges by patient diagnosis" means the count of
				  discharges from a given fiscal period for each patient diagnosis/major payor
				  category combination, where the primary payor has been used to determine
				  assignment of each discharge to the appropriate major payor category.
"Major payor category" means categories of payors for
				  Medicare, Medicaid, and all other payors (including, but not limited to,
				  commercial insurance, Blue Cross, CHAMPUS, self-insured groups, HMOs and other
				  prepaid groups, other government programs, individuals, and all others).
"Patient diagnosis" means the principal diagnosis recorded
				  for billing purposes at the discharge of a patient.
"Preoperative preparation time by surgical procedure" means
				  the average length of time in days between admit date and date of the first
				  surgical procedure performed on the patient as counted based on the hospital's
				  policy for daily charge purposes.
"Primary payor" means the first category of major payor
				  categories which receives the bill for a patient stay.
"Surgical procedure" means a procedure reported as surgery
				  for the purposes of billing.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 3 - Hospital Financial Disclosure › Section 3-2 - Fiscal reports; filing

Current through July 10, 2024
Authority: IC 16-21-6-9
Affected: IC 16-21-6
Sec. 2.
(a) Each
				facility shall report the financial data required under IC 16-10-5-2(a)
[IC 16-10 was repealed by
				P.L.
				2-1993,
				SECTION
				209, effective April 30, 1993.]
by
				submitting a copy of audited financial statements and financial reports
				prepared for the hospital. Facilities audited by the Indiana state board of
				accounts may file a copy of that report as a means of satisfying this
				requirement.
(b) Each facility
				shall report the patient utilization data required under IC 16-10-5-2(a)
[IC 16-10 was repealed by
				P.L.
				2-1993,
				SECTION
				209, effective April 30, 1993.]
using the diagnosis reported for billing purposes. These should be reported on
				the Hospital Financial Disclosure Report Forms contained in
				410 IAC 15-3-6 or individual
				billing forms if approved by the board.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 3 - Hospital Financial Disclosure › Section 3-3 - Fiscal reports; extension of time for filing

Current through July 10, 2024
Authority: IC
				  16-21-6-9
Affected: IC 16-21-6
Sec. 3.
(a) Each
				facility requesting an extension of time for filing the reports required under
				IC 16-10-5-2
[IC 16-10 was repealed by P.L. 2-1993, SECTION 209,
				effective April 30, 1993.]
beyond the 120 days after the end of the
				facility's fiscal year must make such request in writing to the board prior to
				the deadline for submitting the reports.
(b) The board shall act upon a request for an
				extension of time in which the report must be filed within 30 days of receiving
				the written request by the facility. Failure to act within the required period
				shall be deemed as a grant of the extension.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 3 - Hospital Financial Disclosure › Section 3-4 - Fiscal reports; additional information to be supplied

Current through July 10, 2024
Authority: IC 16-21-6-9
Affected: IC 16-21-6
Sec. 4.
(a) The
				board shall notify, in writing, a facility of the need to submit further fiscal
				information as necessary to verify the accuracy of any information contained in
				the reports filed under these rules
[ 410 IAC 15-3 ]
by each
				facility.
(b) The board shall
				specify the period of time the facility has to supply the additional
				information. An extension of this time may be granted by the board upon written
				request by the facility.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 3 - Hospital Financial Disclosure › Section 3-5 - Commissioner's findings and recommendations

Current through July 10, 2024
Authority: IC
				  16-21-6-9
Affected: IC 16-21-6
Sec. 5.
Each year, the state health commissioner or his designee
				  shall make a compilation of the data obtained in these reports and report his
				  findings and recommendations regarding changes in the financial status and
				  patient utilization of facilities.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 3 - Hospital Financial Disclosure › Section 3-6 - Hospital financial disclosure report forms

Current through July 10, 2024
Authority: IC
				  16-21-6-9
Affected: IC 16-21-6
Sec. 6.
Click here to view
				  Image
Click here to view
				  Image
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-1 - Applicability

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 16-21; IC
				  16-41-2
Sec. 1.
The definitions in this rule apply throughout this
				  rule.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-2 - "CDC" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 16-21; IC
				  16-41-2
Sec. 2.
"CDC" means the United States Centers for Disease Control
				  and Prevention.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-2.5 - "CMS" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 16-21; IC
				  16-41-2
Sec. 2.5.
"CMS" means the United States Centers for Medicare and
				  Medicaid Services.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-3 - "Healthcare associated infection" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 16-21; IC
				  16-41-2
Sec. 3.
"Healthcare associated infection" means an infection
				  associated with health care delivery in any setting, for example, the
				  following:
(1) Hospitals.
(2) Long-term care facilities.
(3) Ambulatory settings.
(4) Home care.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-3.5 - "Health care facility" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 12-25; IC 16-21; IC 16-28; IC
				  16-41-2
Sec. 3.5.
"Health care facility" includes the following:
(1) Hospitals licensed under IC
				16-21-2.
(2) Private mental health institutions
				licensed under IC 12-25.
(3) Health
				facilities licensed under IC 16-28.
(4) Rehabilitation facilities.
(5) End stage renal/dialysis
				centers.
(6) Any institution,
				building, or agency or portion thereof, whether public or private where:
(A) nursing, rehabilitative, or preventive
				care;
(B) treatment;
(C) service; or
(D) procedure; to maintain, diagnose, or
				treat an individual's physical or mental condition is
				provided.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-4 - "National Healthcare Safety Network" or "NHSN" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 16-21; IC
				  16-41-2
Sec. 4.
"National Healthcare Safety Network" or "NHSN" means a
				  secure, Internet-based system developed and managed by the CDC to collect,
				  analyze, and report risk-adjusted healthcare associated infection data related
				  to the incidence of healthcare associated infections and the process measures
				  implemented to prevent these infections.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 4 - Reporting of Healthcare Associated Infections › Section 4-7 - Reportable healthcare associated infections

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-41-2-1
Affected: IC 16-21; IC
				  16-41-2
Sec. 7.
(a) A health
				care facility that participates in a CMS program of any type that requires data
				to be reported to NHSN shall confer to the Indiana department of health the
				NHSN access rights to its facility specific data contained in the NHSN for all
				CMS required data reported to NHSN.
(b) Health care facilities who are expelled
				from the NHSN shall submit the same information through electronic means to the
				department at the sole cost of the health care facility, if
				necessary.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 5 - License Fees for Hospitals, Ambulatory Outpatient Surgical Centers, Abortion Clinics, and Birthing Centers › Section 5-1 - Hospital license fees

Current through July 10, 2024
Authority: IC 16-21-2-12; IC 16-21-2-14
Affected: IC 16-21-1; IC 16-21-2; IC 16-21-6-3
Sec. 1.
(a) Each
				hospital licensed under IC 16-21-2 and this article shall pay a license fee or
				annual renewal fee.
(b) An
				application for a hospital license must be accompanied by a licensing fee at
				the rate set in the fee schedule in this subsection. Annual renewal fees will
				be due upon application, as provided by
				410 IAC 15-1.3, for an annual
				renewal of a hospital's license based upon total operating expenses as reported
				to the Indiana department of health on the most recently filed hospital fiscal
				report required by IC
				16-21-6-3. The fee schedule shall
				be as follows:
Total Operating Expenses
Fee
0 - $49,999,999
$1,000
$50,000,000 - $99,999,999
$2,000
$100,000,000 - $199,999,999
$3,000
$200,000,000 - $299,999,999
$4,000
$300,000,000 and above
$5,000
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 5 - License Fees for Hospitals, Ambulatory Outpatient Surgical Centers, Abortion Clinics, and Birthing Centers › Section 5-2 - Ambulatory outpatient surgical center license fees

Current through July 10, 2024
Authority: IC
				  16-21-2-12; IC
				  16-21-2-14
Affected: IC
				  16-21-1; IC
				  16-21-2
Sec. 2.
(a) Each
				ambulatory outpatient surgical center licensed under IC
				16-21-2 and this article shall pay
				a license fee or annual renewal fee.
(b) Ambulatory outpatient surgical center
				license fees will be due upon initial application for and annual renewal of the
				ambulatory outpatient surgical center's license based upon total annual
				procedures performed as reported to the Indiana department of health in section
				III, total patients and procedures, on the annual utilization review report .
				The fee schedule shall be as follows:
Total Annual Procedures
Fee
0 - 799
$500
800 - 3,499
$1,000
3,500 - 6,999
$2,000
7,000 and above
$3,000
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 5 - License Fees for Hospitals, Ambulatory Outpatient Surgical Centers, Abortion Clinics, and Birthing Centers › Section 5-3 - Abortion clinic license fees

Current through July 10, 2024
Authority: IC 16-21-2-12; IC 16-21-2-14
Affected: IC 16-21-1; IC 16-21-2
Sec. 3.
(a) Each
				abortion clinic licensed under IC 16-21-2 and 410 IAC 26 shall pay a license
				fee or annual renewal fee.
(b) An
				application for an abortion clinic license must be accompanied by a licensing
				fee at the rate set in the fee schedule in this subsection. Annual renewal fees
				will be due upon application for renewal of license, as provided by 410 IAC
				26-2, based upon total annual surgical abortion procedures performed as
				reported to the Indiana department of health on the terminated pregnancy report
				. The fee schedule shall be as follows:
Total Annual Surgical Abortion Procedures
Fee
0 - 799
$500
800 - 3,499
$1,000
3,500 - 6,999
$2,000
7,000 and above
$3,000
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15 - HOSPITAL LICENSURE RULES › Rule 5 - License Fees for Hospitals, Ambulatory Outpatient Surgical Centers, Abortion Clinics, and Birthing Centers › Section 5-4 - Birthing center license fees

Current through July 10, 2024
Authority: IC 16-21-2-12; IC 16-21-2-14
Affected: IC 16-21-1; IC 16-21-2
Sec. 4.
(a) Each
				birthing center licensed under IC 16-21-2 and 410 IAC 27 shall pay a license
				fee or annual renewal fee.
(b) An
				application for a birthing center license must be accompanied by a licensing
				fee at the rate set in the fee schedule in this subsection. Annual renewal fees
				will be due upon application for renewal of license, as provided by
				410 IAC 27-2, upon total annual
				births as reported to the Indiana department of health on the most recently
				filed annual birthing center report . The fee schedule shall be as follows:
Total Annual Deliveries
Fee
0 - 799
$500
800 - 3,499
$1,000
3,500 - 6,999
$2,000
7,000 and above
$3,000
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15.1 - MOBILE HEALTH CARE ENTITY › Rule 1 - Mobile Health Care Entity Registration › Section 1-1 - "Department" defined

Current through July 10, 2024
Authority: IC
				  16-41-42.1-10
Affected: IC 16-41-42.1
Sec. 1.
As used in this article, "department" means the Indiana
				  department of health.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15.1 - MOBILE HEALTH CARE ENTITY › Rule 1 - Mobile Health Care Entity Registration › Section 1-2 - "Health care entity" defined

Current through July 10, 2024
Authority: IC
				  16-41-42.1-10
Affected: IC 16-41-42.1
Sec. 2.
As used in this article, "health care entity" means an
				  entity that:
(1) is registered or
				licensed as a health care entity under the laws of:
(A) another state;
(B) a foreign country; or
(C) a province of a foreign country;
				and
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 15.1 - MOBILE HEALTH CARE ENTITY › Rule 1 - Mobile Health Care Entity Registration › Section 1-3 - Provision of services by health care entity

Current through July 10, 2024
Authority: IC
				  16-41-42.1-10
Affected: IC 16-41-42.1
Sec. 3.
A health care entity may not provide services in Indiana
				  until the health care entity is registered with the department.