Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 75 - Licensing of Rural Health Clinics › Subchapter A - General Provisions › Section I-7501 - Definitions and Acronyms

Current through Register Vol. 50, No. 6, June 20, 2024
The following words and terms, when used in this
						chapter, shall have the following meanings, unless the context clearly
						indicates otherwise.
CLIA
-Clinical Laboratories Improvement
						Act-requires a waiver or certificate to assure quality of laboratory
						testing.
DHH
-Louisiana Department of Health and
						Hospitals
Division of Research and
						Development
-Office of Primary and Rural Health Care Unit in
						DHH.
HCFA
-Health Care Financing
						Administration-federal regulatory agency for Medicaid, Medicare, and Child
						Health Insurance programs.
HSS
-Health Standards Section in the
						Bureau of Health Services Financing of DHH.
Midlevel Practitioner
-a certified nurse
						midwife, a certified nurse practitioner, or physician assistant.
OMB
-Office of Management and Budget of
						the Executive Office of the President of the United States.
OPH
-Office of Public Health in the
						Department of Health and Hospitals.
OSFM
-Louisiana Office of State Fire
						Marshal.
Primary Care
-services normally provided
						in a physician's office to diagnose, treat, or prevent illness or injury; and
						includes professional services provided by licensed professionals such as
						assessment, examination, approved laboratory services, and treatment services
						listed in §7519
Professional Services
-documented
						on-site visits at the clinic or in locations other than the clinic, such as the
						patient's home, for the purpose of providing professional level skilled
						services.
Professional Services
include physical assessment,
						any of the waived clinical laboratory tests and treatment/education for the
						illness diagnosed when provided by a qualified professional as defined
						below.
Qualified Professionals
-one of the
						following professionals qualified to provide services:
a. Physician-Doctor of Medicine (MD);
b. Advanced Practice Registered Nurse (APRN);
c. Licensed Physician's Assistant (PA);
d. Licensed Social Worker-Licensed Clinical Social Worker
						(LCSW);
e. Licensed Clinical Psychologist (LP).
Rural Area
-a non-metropolitan
						statistical area, as defined by the federal Office of Management and Budget and
						the Census Bureau/Population and Housing Unit Counts, which has a shortage of
						physicians and other health care providers as determined by the Department of
						Health and Hospitals.
Rural Health Clinic (RHC)
-an outpatient
						primary care clinic seeking or possessing certification by the Health Care
						Financing Administration (HCFA) as a rural health clinic, which provides
						diagnosis and treatment to the public by a qualified mid-level practitioner and
						a licensed physician.
Secretary-
secretary of the Department
						of Health and Hospitals.
Standards of Practice
-standards
						developed and issued by Louisiana professional practices boards that govern
						health care and allied health professions. Duties and delegation of duties by
						licensed/certified personnel shall be performed within the bounds of ethical
						and legal standards of practice. All patient care services must be provided in
						accordance with the orders of licensed and certified practitioners. Standards
						of practice pertinent to rural health clinic practice are listed in
						§7523 of this
						document.
Waiver or Variance
-written permission
						granted by the HSS or DHH Secretary or his designee to a facility to operate
						out of compliance with a specific portion of the standards when it is
						determined that the health and safety of the patients will not be
						jeopardized.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2197.