reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-11 - General medical records requirements

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each HCF shall maintain a medical record for each
			 patient that documents, in a timely manner and in accordance with acceptable
			 standards of practice, the patient's needs,
								 assessments, and services rendered.
			 Each medical record shall be legible and readily accessible to staff for use in
			 the ordinary course of treatment.
(B)
								
								Each HCF shall not disclose individual medical
			 records except as provided by state and federal laws and regulations.
(C)
								
								Each HCF shall systematically review the records
			 for conformance with acceptable standards of practice and the requirements of
			 Chapter 3701-83 of the Administrative Code.
(D)
								
								Each HCF shall maintain an adequate medical
			 record keeping system and take appropriate measures to protect medical records
			 against theft, loss, destruction, and unauthorized use.
(E)
								Each HCF shall
			 have policies and procedures to ensure the confidentiality of patient medical
			 records.
(F)
								
								Each HCF shall maintain medical records as
			 necessary to verify the information and reports required by statute or
			 regulation for at least six years from the date of discharge.
Effective: 7/1/2016
Five Year Review
				(FYR) Dates: 02/16/2016 and
				02/15/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3702.13,
				3702.30
Rule
				Amplifies: 3702.12,
				3702.13,
				3702.30
Prior
				Effective Dates: 1/13/1996, 9/5/02,
				4/24/11
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-12 - General quality assessment and performance improvement

Current through all regulations passed and filed through July 1, 2024
(A) Each HCF shall
			 establish a quality assessment and performance improvement program designed to
			 systematically monitor and evaluate the quality of patient care, pursue
			 opportunities to improve patient care, and resolve identified
			 problems.
(B) Each HCF shall
			 develop a written plan that describes the quality assessment and performance
			 improvement program's objectives, organization, scope, and mechanism for
			 overseeing the effectiveness of monitoring, evaluation, improvement and
			 problem-solving activities.
(C) The
			 quality assessment and performance improvement program shall do all of the
			 following:
(1) Monitor and evaluate all
			 aspects of care including effectiveness, appropriateness, accessibility,
			 continuity, efficiency, patient outcome, and patient satisfaction;
(2) Establish expectations, develop plans,
			 and implement procedures to assess and improve  quality of care and resolve identified
			 problems;
(3) Establish
			 expectations, develop plans, and implement procedures to assess and improve the
			 health care facility's governance, management, clinical, and support processes;
(4) Establish information systems and
			 appropriate data management processes to facilitate the collection, management,
			 and analysis of data needed for quality assessment and performance
			 improvement and to comply with the
			 applicable data collection requirements of Chapter 3701-83 of the
			 Administrative Code;
(5) Document
			 and report the status of the quality assessment and performance improvement
			 program to the governing body every twelve months;
(6) Document and review all unexpected
			 complications and adverse events, whether serious injury or death, that arise
			 during an operation or procedure; and
(7) Hold regular meetings, chaired by the
			 medical director of the HCF or designee, as necessary, but at least within
			 sixty days after a serious injury or death, to review all deaths and serious
			 injuries, and report findings. Any pattern that
			 might indicate a problem shall be investigated and remedied, if
			 necessary.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-13 - Complaints

Current through all regulations passed and filed through July 1, 2024
(A) Each HCF shall
			 develop and follow policies and procedures to receive, investigate, and report
			 findings on complaints regarding the quality or appropriateness of services
			 provided by the HCF. The documentation of
			 complaints shall, at a minimum, include the following:
(1) The date complaint was
			 received;
(2) The identity, if
			 provided, of the complainant;
(3) A
			 description of complaint;
(4) The
			 identity of persons or facility involved;
(5) The findings of the investigation;
			 and
(6) The resolution of the
			 complaint.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-14 - Variances; waivers

Current through all regulations passed and filed through July 1, 2024
(A) The director may grant a variance or
			 waiver from any building or safety requirement established by Chapter 3701-83
			 of the Administrative Code, unless the requirement is mandated by
			 statute.
(B) An HCF seeking a
			 variance or waiver must submit a written request to the director. Such written
			 request must include the following information:
(1) The specific nature of the request and the rationale for the request;
(2) The specific building or safety
			 requirement in question, with a reference to the relevant administrative code
			 provision;
(3) The time period for
			 which the variance or waiver is requested;
(4) If the request is for a variance, a
			 statement of how the HCF will meet the intent of the requirement in an
			 alternative manner; and
(5) If the
			 request is for a waiver, a statement regarding why application of the
			 requirement will cause undue hardship to the HCF and why granting the waiver
			 will not jeopardize the health and safety of any patient.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-15 - Definitions - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
For the purposes of rules 3701-83-15 to
				3701-83-22
				of the Administrative Code, the following definitions shall apply:
(A) "Ambulatory surgical facility" or "ASF"
			 means a facility in which surgical services are provided to patients who do not
			 require hospitalization for inpatient care, the duration of services for any
			 patient does not extend beyond twenty-four hours after the patient's admission,
			 and to which any of the following apply:
(1)
			 The surgical services are provided in a building that is separate from another
			 building in which inpatient care is provided, regardless of whether the
			 separate building is part of the same organization as the building in which
			 inpatient care is provided;
(2) The
			 surgical services are provided within a building in which inpatient care is
			 provided and the entity that operates the portion of the building where the
			 surgical services are provided is not the entity that operates the remainder of
			 the building; or
(3) The facility
			 is held out to any person or government entity as an ambulatory surgical
			 facility or similar facility by means of signage, advertising, or other
			 promotional efforts.
"Ambulatory surgical facility" does not include a hospital
				emergency department or an office of a physician, podiatrist, or
				dentist.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-16 - Governing body - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
(A) As required under paragraph (E) of rule
			 3701-83-03
			 of the Administrative Code, each ASF shall have a governing body.
(B) The governing body shall:
(1) At least every twenty-four months review,
			 update, and approve the surgical procedures that may be performed at the
			 facility and maintain an up-to-date listing of these procedures;
(2) Grant or deny clinical (medical-surgical
			 and anesthesia) privileges, in writing and reviewed or re-approved at least
			 every twenty-four months, to physicians and other appropriately licensed or
			 certified health care professionals based on documented professional peer
			 advice and on recommendations from appropriate professional staff. These
			 actions shall be and based on documented evidence of the following:
(a) Current licensure and certification, if
			 applicable;
(b) Relevant education,
			 training, and experience; and
(c)
			 Competence in performance of the procedures for which privileges are requested,
			 as indicated in part by relevant findings of quality assessment and improvement
			 activities and other reasonable indicators of current competency.
(3) In the case of an ASF owned
			 and operated by a single individual, provide for an external peer review by an
			 unrelated person not otherwise affiliated or associated with the individual.
			 The external peer review shall consist of a quarterly audit of a random sample
			 of surgical cases.
(4)
									Designate a qualified professional trained in infection
			 control to direct the infection control program required by paragraph (D) of
			 rule
			 3701-83-09
			 of the Administrative Code. For the purpose of this rule, a qualified
			 professional trained in infection control means a nurse or physician as defined
			 in rule
			 3701-83-01 of
			 Administrative Code, who has documentation of completion of training in
			 infection control, including, but not limited to, continuing education units,
			 in-service training, or academic or vocational course
			 completion.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-18 - Personnel and staffing requirements - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
(A) Each ASF shall
			 maintain qualified nursing and physician staff, and qualified dental staff, as
			 appropriate for the services provided. Each ASF shall, based on the services
			 provided and the number of patients served, maintain a sufficient number of
			 staff and other personnel and an appropriate schedule of staff time to meet the
			 needs of its patients in a timely manner.
(B) Each ASF shall have a medical director
			 and an administrator as defined in rule
			 3701-83-01 of
			 the Administrative Code. If the ASF limits its services:
(1) To dental/oral and maxillofacial surgery,
			 a dentist may serve as the medical director; or
(2) To podiatric surgery, a podiatrist may
			 serve as the medical director.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-19 - Service standards- ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each ASF
			 shall provide medical services, dental services, nursing services,
			 pharmaceutical services, and anesthesia services. Each service shall be
			 provided in a safe, effective manner that is consistent with the needs of the
			 patient.
(B)
								
								Each ASF
			 shall:
(1) Provide adequate space, equipment,
			 and staff for storage and the administration of drugs in compliance with state
			 and federal laws and regulations.
(2) Establish and implement a program for the
			 control and accountability of drug products throughout the facility and
			 maintain a list of medications that are always available.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-20 - Building and site requirements; equipment - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
(A) Each ASF shall
			 have one or more operating rooms or procedure rooms, each of which is designed
			 and equipped so that the types of surgery conducted can be performed in a
			 manner that protects the health and well-being of all individuals in the area.
			 The recovery area shall be adequately equipped for the proper care of post
			 anesthesia recovery of surgical patients.
(B) Each ASF shall have the following
			 equipment accessible to the operating suite and recovery area:
(1) Adequate resuscitation equipment:
(a) ASFs providing surgical procedures under
			 topical and local infiltration blocks with or without oral or intramuscular
			 preoperative sedation shall have: airways, bag mask respirator, oxygen source,
			 suction equipment, and age-appropriate resuscitative drugs;
(b) ASFs providing surgical procedures
			 performed in conjunction with oral, parenteral, or intravenous sedation or
			 under analgesic or dissociative drugs or providing surgical procedures that
			 require general or regional block anesthesia and support of vital bodily
			 functions shall have: airways, endotracheal tubes, laryngoscope, oxygen
			 delivery capability under positive pressure, suction equipment and suitable
			 resuscitative drugs.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-21 - Medical records - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
Each  medical record
				required by paragraph (A) of rule
				3701-83-11
				of the Administrative Code shall contain at least the following
				information as applicable for the surgery to be performed:
(A) Admission data:
(1) Name, address, date of birth, gender, and
			 race or ethnicity;
(2) Date and
			 time of admission; and
(3)
			 Pre-operative diagnosis, which shall be recorded prior to or at the time of
			 admission.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-22 - Quality assessment and performance improvement system - ambulatory surgical facilities

Current through all regulations passed and filed through July 1, 2024
As part of the quality assessment and performance improvement
				program required under paragraph (A) of rule
				3701-83-12
				of the Administrative Code, each ASF shall collect and maintain the following
				data on an annual basis and shall report such data to the director upon
				request:
(A) The total number of
			 patient visits;
(B) The total
			 number of patient transfers to a hospital and the reason why;
(C) The total number of deaths in the ASF;
			 and
(D) The total number of deaths
			 resulting either from the surgery or from surgical complications that occur in
			 the ASF.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-23 - Definitions - freestanding dialysis centers

Current through all regulations passed and filed through July 1, 2024
For purposes of rules 3701-83-23
								to 3701-83-24 of
				the Administrative Code the following definitions shall apply:
(A) "Chronic maintenance dialysis" means the
			 regular provision of dialysis for an end stage renal disease patient with any
			 level of patient involvement.
(B)
			 "Dialysis" means a process by which dissolved substances are removed from a
			 patient's body by diffusion from one fluid compartment to another across a
			 semipermeable membrane.
(C) "End
			 stage renal disease patient" or "patient" means an individual who is at a stage
			 of renal impairment that appears irreversible and permanent and who requires a
			 regular course of dialysis or renal transplantation to ameliorate uremic
			 symptoms and maintain life.
(D)
			 "Freestanding dialysis center" or "dialysis center" means a facility that
			 provides chronic maintenance dialysis to end stage renal disease patients on an
			 outpatient basis, including the provision of dialysis services in the patient's
			 place of residence. A freestanding dialysis center does not include the
			 following:
(1) A hospital or other entity that
			 
									provides dialysis services,
			 other than non-emergent chronic maintenance dialysis, within the same hospital
			 or facility or in another building located on the same property as the hospital
			 or facility, that are reviewed and accredited or certified as part of the
			 hospital's accreditation or certification as required by section
			 3727.02 of the Revised Code;
			 and
(2) Home dialysis as defined in
			 paragraph (E) of this rule.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-23.1 - Services standards- freestanding dialysis centers

Current through all regulations passed and filed through July 1, 2024
(A) Each dialysis
			 center shall:
(1) Develop and follow policies
			 and procedures for the provision of care consistent with national standards of
			 care or guidelines;
(2) Develop and
			 follow protocols for the prevention of disease and infection transmission
			 utilizing standards of care or guidelines for dialysis patients that comply
			 with the regulations for end stage renal disease services contained in
			 42 C.F.R.
			 494.30 (October 1, 2009);
(3) Provide services in accordance with the
			 clinical capabilities of the facility;
(4) Develop and follow policies and
			 procedures for the administration of medication;
(5) Develop and follow policies and
			 procedures for the provision of water and dialysate that comply with the
			 regulations for end stage renal disease services contained in
			 42 C.F.R.
			 494.40 (October 1, 2009 ) and are consistent
			 with the association for advancement of medical instrumentation (AAMI)
			 standards, including criteria for the biological and chemical composition of
			 the water;
(6) Develop and follow
			 policies and procedures for the re-use of hemodialyzers that comply with the
			 regulations for end stage renal disease services contained in
			 42 C.F.R.
			 494.50 (October 1, 2009) and are consistent
			 with the association for advancement of medical instrumentation (AAMI)
			 standards;
(7) Develop and follow
			 policies and procedures for direct care staff to notify appropriate health care
			 professionals of problems related to the provision of dialysis care;
(8) Develop and follow emergency plans to
			 include patient self disconnect;
(9) Provide each patient with both verbal and
			 written instructions for post treatment care and procedures for obtaining
			 emergency care; and
(10) Develop
			 and follow policies and procedures for documenting and responding to adverse
			 events. The policies and procedures shall include the course of action to be
			 taken by staff to respond to adverse events, including patient care and
			 evaluation of equipment, water, or dialysate solution. Each dialysis center
			 shall report to the director all adverse events involving the following:
(a) An event requiring emergency treatment,
			 or hospitalization;
(b) An
			 involuntary discharge of a patient;
(c) Contamination of the water or
			 dialysate;
(d) Development of
			 infection or communicable disease; and
(e) An event having a direct or immediate
			 impact on the health, safety, or security of a patient or staff
			 member.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-23.2 - Personnel and staffing requirements - freestanding dialysis centers

Current through all regulations passed and filed through July 1, 2024
(A)
								Each dialysis center shall maintain the
			 following:
(1)
									An established system of records sufficient for the director
			 to ascertain that all individuals employed by the dialysis center who function
			 in a professional capacity meet the standards applicable to that profession,
			 including but not limited to, possessing a current Ohio license, registration,
			 or certification, if required by law;
(2)
									Staffing
			 schedules, time-worked schedules, on-call schedules, and payroll records for at
			 least two years; and
(3)
									Documentation that the facility has offered the
			 hepatitis B vaccination to staff members.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-23.3 - Medical records - freestanding dialysis centers

Current through all regulations passed and filed through July 1, 2024
Each patient medical record required by paragraph (A) of rule
				3701-83-11
				of the Administrative Code shall contain at least the following
				information:
(A) Patient information
			 including:
(1) Name, address, date of birth,
			 gender, and race or ethnicity;
(2)
			 History and physical examination data including allergies, current medications,
			 past adverse drug reactions, and family medical history;
(3) Diagnosis; and
(4) Dialysis prescriptions.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-23.4 - Infection control and prevention - freestanding dialysis centers

Current through all regulations passed and filed through July 1, 2024
(A) In addition to
			 the requirements established in rules
			 3701-83-09
			 and 3701-83-23.1 of the Administrative Code, each dialysis center shall develop
			 and follow written policies and procedures for preventing and controlling
			 infections. The policies and procedures shall include, but are not limited to,
			 the following:
(1) The aseptic and isolation
			 techniques to be used;
(2) Use of
			 the isolation room or dedicated station or area,
			 where applicable;
(3) Handling and
			 disposal of biohazardous and potentially infectious waste;
(4) Cleaning and maintenance of
			 equipment;
(5) Cleaning and
			 disinfection of surfaces; and
(6)
			 Use of standard precautions and personal protective equipment.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-24 - Quality assessment and performance improvement - freestanding dialysis centers

Current through all regulations passed and filed through July 1, 2024
(A) Each freestanding dialysis center
			 governing body shall conduct an ongoing, comprehensive, integrated
			 self-assessment of the quality and appropriateness of care provided by the
			 facility, including:
(1) Adequacy of
			 dialysis;
(2) Vascular
			 access;
(3) Medical injuries and
			 medical error identification;
(4)
			 Infection control;
(5) Nutritional
			 status;
(6) Mineral metabolism and
			 renal bone disease;
(7) Anemia
			 management;
(8) Hemodialysizer
			 reuse program where applicable; and
(9) Patient satisfaction and grievance
			 resolution.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-25 - Definitions - freestanding inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
For purposes of rules 3701-83-25 to
				3701-83-32
				of the Administrative Code the following definitions apply:
(A) "Freestanding inpatient rehabilitation
			 facility" or "inpatient rehabilitation facility" means a facility operated for
			 the exclusive purpose of providing specialized rehabilitation services, on an
			 inpatient basis, to persons with functional limitations or chronic disabling
			 conditions who are in a medically stable condition and have the potential to
			 achieve significant improvement in independent functioning. Freestanding
			 inpatient rehabilitation facility does not include the following:
(1) A facility established and operated for
			 the primary purpose of providing rehabilitation treatment services for alcohol
			 or drug abuse;
(2) A general
			 hospital as defined in rule
			 3701-59-01 of the
			 Administrative Code or other entity that provides rehabilitation services that
			 are reviewed and accredited or certified as part of a general hospital's
			 accreditation or certification as required by section
			 3727.02 of the Revised Code;
			 or
(3) A
			 nursing home licensed under Chapter 3721. of the Revised Code, a skilled
			 nursing facility that meets the requirements for participation in medicare, or
			 a nursing facility that meets the requirements for participation in
			 medicaid.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-26 - Service standard and minimum services - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
(A) Each inpatient rehabilitation facility
			 shall provide services that meet the needs of its patients
			  in accordance with the
			 patient's individual plan of care. The facility
			 shall provide the patient or the patient's representative
			 with:
(1)
			 Information regarding the policies, procedures, and philosophy of the inpatient
			 rehabilitation facility and the services provided at the facility;
			 and
(2) Information concerning the
			 services to be performed.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-27 - Admission procedures and preliminary assessment - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each inpatient rehabilitation facility shall
			 develop written criteria for admission of patients to the facility that
			 includes a description of the programs and
			 services available at the facility.
(B)
								
								Each inpatient rehabilitation facility shall not
			 admit a patient to the facility unless the following conditions are met:
(1) The patient is able to tolerate a minimum
			 of three hours of rehabilitation therapy, five days per week;
(2) The patient is medically stable;
			 and
(3) The patient's prognosis
			 indicates a progressively improved medical condition with the potential for
			 increased independence.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-28 - Comprehensive inpatient rehabilitation evaluation, treatment plan, and discharge plan - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each inpatient rehabilitation facility shall
			 perform a written comprehensive inpatient rehabilitation evaluation for each
			 patient admitted to the facility. The comprehensive inpatient rehabilitation
			 evaluation shall be developed by the interdisciplinary team and include the
			 following:
(1) Purpose and source of
			 the patient's referral;
(2) Summary of the patient's clinical
			 condition;
(3) Functional strengths
			 and limitations of the patient; and
(4) A determination of the patient's need for
			 the following services:
(a) Medical;
(b) Nursing;
(c) Rehabilitation nursing;
(d) Dietary;
(e) Occupational therapy;
(f) Physical therapy;
(g) Prosthetics and orthotics;
(h) Psychological assessment and
			 therapy;
(i) Therapeutic
			 recreation;
(j) Rehabilitation
			 medicine; and
(k) Speech-language
			 pathology.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-29 - Personnel and staffing requirements - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each
			 inpatient rehabilitation facility shall provide or arrange for the services of
			 personnel in sufficient number and with appropriate qualifications to meet the
			 rehabilitation and medical needs of the patients being served
			 in the facility.
								Personnel shall be
			 scheduled in sufficient number:
(1)
									To meet the needs of all patients in a timely manner;
			 and
(2)
									Provide services to each patient as required in rule
			 3701-83-26
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-30 - Building and site requirements - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
(A) Each inpatient
			 rehabilitation facility shall have patient bedrooms that, at a minimum, meet
			 the following requirements:
(1) Sufficient
			 open floor space  to allow
			 each patient or personnel to easily maneuver a wheelchair and to allow for
			 the transfer of each patient from the
			 wheelchair to the bed;
(2) Maximum
			 bedroom capacity shall be no more than four patients;
(3) A call system that is connected
			 electrically, electronically, by radio frequency transmission, or in a like
			 manner  that:
(a) Provides for independent operation by
			 each patient from the patient's bed; and
(b) Effectively alerts the staff
			 member or members on duty of emergencies or patient needs;
(4) A bed of adjustable height with
			 appropriate supports, which facilitates patient transfer from a wheelchair to
			 the bed,  for each
			 patient; and
(5) Appropriate
			 furnishings and adequate storage space designed to meet the special needs of
			 rehabilitation patients 
			 for each patient.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-31 - Equipment and supplies - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each
			 inpatient rehabilitation facility shall have equipment and supplies of
			 
								the type
			 and quantity sufficient to meet the needs of individual patients and to provide
			 services in accordance with rule
			 3701-83-26
			 of the Administrative Code.
(B)
								
								Each
			 inpatient rehabilitation facility shall maintain all equipment and supplies,
			 including  equipment and supplies not
			 used for rehabilitation purposes, in a safe and sanitary manner.
(C)
								
								Each inpatient rehabilitation facility shall
			 develop, maintain, and implement a preventive maintenance plan for all
			  equipment, designed to
			 assure that the  equipment is
			 maintained in a safe manner. The preventive maintenance plan shall include
			 periodic cleaning, adjustment and inspection  in accordance with manufacturer's
			 instructions.
Effective: 7/1/2016
Five Year Review
				(FYR) Dates: 02/16/2016 and
				02/15/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3702..12, 3702.13
Rule
				Amplifies: 3702.30
Prior
				Effective Dates: 1/13/1996
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-32 - Quality assessment and performance improvement - inpatient rehabilitation facilities

Current through all regulations passed and filed through July 1, 2024
As part of the quality assessment and performance improvement
				
								program
				required under rule
				3701-83-12
				of the Administrative Code, each inpatient rehabilitation facility shall
				collect and maintain the following data on an annual basis and shall report
				such data to the director upon request:
(A) The total number of patients admitted to
			 the facility;
(B) The total number
			 of patients discharged from the facility;
(C) The total number of patients transferred
			 to an acute care setting such as, but not limited to, a hospital;
(D) The total number of patients transferred
			 to a long-term care setting such as, but not limited to, a nursing home;
(E) The total number of patients who achieved
			 discharge goals; and
(F) The total
			 number of patients readmitted to the facility for rehabilitation needs based on
			 the same episode.
Effective: 7/1/2016
Five Year Review
				(FYR) Dates: 02/16/2016 and
				02/15/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3702.13,
				3702.13
Rule
				Amplifies: 3702.12,
				3702.13,
				3702.30
Prior
				Effective Dates: 1/13/1996, 9/5/02,
				4/24/11
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-33 - Definitions - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
As used in rules 3701-83-33 to
				3701-83-42
				of the Administrative Code:
(A)
			 "Certified nurse-midwife" or "CNM" means an individual with a certificate to
			 practice nurse-midwifery issued under Chapter 4723. of the Revised
			 Code.
(B) "Director of patient
			 services" means the individual responsible for managing and directing the
			 provision of patient services at the freestanding 
								birthing
			 center.
(C) "Family" means the
			 individual or individuals designated by the expectant mother to participate in
			 the 
								birthing center's program.
(D) "Freestanding birthing center" or
			  "center"
			 means a facility, or part of a facility, which provides care during pregnancy,
			 delivery, and the immediate postpartum period to the low-risk expectant mother.
			 "Freestanding birthing center" does not include a hospital registered under
			 section 3701.07 of the Revised Code, or
			 an entity that is reviewed as part of a hospital accreditation or certification
			 program.
(E) "Low-risk expectant
			 mother" means an expectant mother that does not exhibit evidence of:
(1) Diabetes mellitus or gestational diabetes
			 that is not controlled by diet;
(2)
			 Heart disease in which there is any limitation of physical activity and
			 ordinary physical activity does not cause undue fatigue, palpitation, dyspnea,
			 or anginal pain;
(3) Renal
			 disease;
(4) Endocrine disorder,
			 except treated hypothyroidism;
(5)
			 Hematologic disorder;
(6) Severe
			 anemia (hemoglobin less than ten grams/deciliter);
(7) Chronic or gestational hypertension or
			 pre-eclampsia;
(8) Rh factor
			 sensitization or other isoimmunization;
(9) Respiratory disease with significant
			 chance of fetal hypoxia or maternal respiratory distress;
(10) Active herpes;
(11) Prior uterine incisions other than low
			 transverse uterine incisions;
(12)
			 Prematurity (less than thirty-seven weeks gestation);
(13) Human immunodeficiency virus
			 positive;
(14) Known congenital
			 anomalies except for anomalies that do not require services beyond the extent
			 of services the center is authorized by law to provide;
(15) Previous abruption;
(16) Known or suspected drug or alcohol
			 abuse;
(17) Suspected or documented
			 intrauterine growth retardation or fetal macrosomia;
(18) Placental abnormalities;
(19) Multiple births;
(20) Non-vertex presentation; or
(21) Deep venous thrombophlebitis.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-34 - General provisions - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Freestanding
			 
								birthing centers are licensed to provide care during
			 pregnancy, birth, and the immediate postpartum period to the low-risk expectant
			 mother and her newborn. Each center shall admit and retain only low-risk
			 expectant mothers anticipating a normal full-term, spontaneous vaginal
			 birth.
(B) Freestanding
			 
								birthing centers shall consult with the attending
			 physician or the CNM in consultation with the physician prior to providing
			 services to low-risk expectant mothers exhibiting evidence of the following:
(1) Previous low transverse cesarean
			 birth;
(2) Previous postpartum
			 hemorrhage requiring treatment by transfusion;
(3) Epilepsy or seizures controlled by
			 medication;
(4) Postmaturity
			 (greater than forty-two weeks gestation);
(5) Grand multiparity;
(6) No prenatal care, sporadic prenatal care,
			 or prenatal care beginning after the first trimester;
(7) Known or suspected drug or alcohol
			 use;
(8) Cephalopelvic
			 disproportion; or
(9) Other medical
			 conditions, except those listed in paragraph (E) of rule
			 3701-83-33
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-35 - Governing body - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) The governing body of each freestanding
			 
								birthing center shall include at least one
			 member who is a consumer
			 
								and is
			 not a health care provider.
(B) The
			 governing body shall:
(1) Meet regularly to
			 execute responsibilities for the operation of the  center and shall maintain
			 minutes of each
									meeting;
(2) Maintain records of the names and
			 addresses of all owners,
									 controlling parties, directors, and
			 officers and shall establish a policy on conflict of interest
			 disclosure;
(3) Formulate the
			 mission, goals and long range 
									plans for the center;
(4) Adopt bylaws and establish an
			 organizational structure which clearly delineates lines of authority,
			 responsibility, and accountability;
(5) Adopt policies and procedures for the
			 orderly development, management, and operation of the center to ensure its
			 compliance with applicable rules and regulations;
(6) Appoint the administrator and the
			 director of patient services;
(7)
			 Approve the qualifications for the center staff and ensure that all staff have
			 the qualifications required by Chapter 3701-83 of the Administrative
			 Code;
(8) Establish the quality
			 assessment and performance improvement program required under rule
			 3701-83-12
			 of the Administrative Code;
(9)
			 Establish policies and procedures for the handling of all legal matters
			 relating to the operation of the center;
(10) Approve all contracts and agreements
			 with individuals or service agencies, such as hospitals, laboratories,
			 emergency transport, consulting specialists, teaching institutions, and
			 organizations conducting research; and
(11) Encourage collaboration and networking
			 with community agencies and special interest groups.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-36 - Service standards - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding 
								birthing center shall provide services that meet the
			 needs of 
								the
			 center's patients and  are in
			 accordance with the patient's plan of care. The center shall provide the
			 patient or the patient's representative:
(1)
			 Information regarding the policies, procedures, and philosophy of the
			  center and the services provided at
			 the center;
(2) Information
			 concerning the services to be performed, including the process of pregnancy,
			 process of labor, birth and postpartum care of the mother and the
			 newborn;
(3) Information about
			 immunizations, vaccines, and state of Ohio newborn screening
			 requirements;
(4) Written
			 information about how to obtain appointments and needed services both during
			 and after normal hours of operation; and
(5) Verbal and written instructions for
			 post-treatment care and procedures for obtaining emergency care.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-37 - Admission; discharge; transfer - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding birthing center shall establish policies and procedures for the
			 assessment of expectant mothers to determine:
(1) If the expectant mother meets the
			 low-risk requirements for admission to the center; and
(2) If a normal, full term, spontaneous
			 vaginal birth is anticipated.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-38 - Personnel and staffing requirements- freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding 
								birthing center shall have an administrator.
(B) Each  center shall have a director of
			 patient services who shall be a physician or a CNM who has contracted with a
			 collaborating physician.
(C) Each
			  center shall establish
			 a personnel 
								file for
			 
								each
			 staff member that shall be
								retained
								
			 for two years after 
								the staff member is no longer associated with the
			 center.,
								
								, is maintained
			 in a manner to ensure confidentiality, as provided by law, and
			 contains, at a minimum, the following:
(1) Documentation of the qualifications of
			 the staff to provide services;
(2)
									An established
			 system of records sufficient for the director to ascertain that all individuals
			 employed by the center who function in a professional capacity meet the
			 standards applicable to that profession, including but not limited to,
			 possessing a current Ohio license, registration, or certification, if required
			 by law;
(3) Documentation of
			 any malpractice insurance carrier, if applicable;
(4) Reports of malpractice claims, if
			 applicable;
(5) The regular
			 performance evaluations required under paragraph (G) of rule
			 3701-83-08
			 of the Administrative Code;
(6)
			 Documentation of current certification from the American heart association in
			 cardiac life support or current certification from the American academy of
			 pediatrics in neonatal resuscitation, if applicable; and
(7) Documentation of compliance with
			 paragraph (D) of rule
			 3701-83-08
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-39 - Building and site requirements - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding 
								birthing center shall provide sufficient space for the
			 number of patients and patient families and staff members to assure privacy for
			 patients and families including:
(1) A
			 waiting room;
(2) An examination
			 room;
(3) A staff area, conference
			 area, or classroom; and
(4) A
			 family room with a designated play area for children.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-40 - Equipment standards - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding 
								birthing center shall have a readily accessible and
			 securely stored emergency cart or tray for the newborn, equipped in accordance
			 with national standards of care or guidelines, to carry out the written
			 emergency procedures established by the center.
(B) Each  center shall have a readily
			 accessible and securely stored emergency cart or tray for the resuscitation of
			 the mother, equipped in accordance with national standards of care or
			 guidelines, to carry out the written emergency procedures of the
			 center.
(C) Each
			  center shall designate
			 an area for the maternal and newborn emergency equipment and supplies that
			 shall be immediately accessible to any room in which a birth may occur, but out of the direct line of traffic within the
			 facility.
(D) Each
			  center shall develop and
			 implement 
								an
			 equipment preventive maintenance and repair program in accordance with
			 manufacturer's specifications. The center shall maintain records of equipment
			 performance, maintenance and malfunctions for the
			 lifetime of the equipment's use at the center and a minimum of three
			 years following the decommissioning or discontinuation
			 of use of any piece of equipment.
Effective: 7/1/2016
Five Year Review
				(FYR) Dates: 02/16/2016 and
				02/15/2021
Promulgated
				Under: 119.03
Statutory
				Authority: 3702.13,
				3702.30
Rule
				Amplifies: 3702.12,
				3702.13,
				3702.30
Prior
				Effective Dates: 1/13/1996, 9/5/02
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-41 - Supplies and medications - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding 
								birthing center shall maintain an inventory of
			 supplies and medications in the type and quantity necessary to meet the needs of and
			  care for the number of
			 patients served by the center.
(B) Each  center shall establish and
			 follow protocols in accordance with standards established by the American
			 college of obstetrics and gynecology for the use of medications during labor or
			 at the time of birth.
(C) Each
			  center shall:
(1) Monitor the shelf life of all medications
			 and supplies and dispose of expired items according to
			 industry standards or practices;
(2) Secure, store or dispose of all
			 disposable supplies such as needles and prescription pads appropriately in
			 accordance with state and federal laws;
(3) Maintain controlled drugs in a
			 double-locked secured cabinet and provide refrigeration for biologicals;
			 and
(4) Establish and follow
			 written policies and procedures for accountability of all medications and
			 supplies.