reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 12 - Administrative Procedures › Subchapter 9 - Billing › Section 130:12-9-1 - Billing

Current through Vol. 41, No. 20, July 1, 2024
(a)
Inpatients.
(1)
General.
The Center shall bill and attempt to collect the established full daily rate for all inpatient services unless the inpatient has been admitted to a charity care bed. Upon admission, the inpatient or legal guardian shall provide all information necessary to collect payment from third party payors if applicable.
(2)
Medicaid.
Medicaid shall be filed and accepted as payment in full for those Medicaid eligible inpatients except for Medicaid spend-downs that are the inpatient's responsibility.
(3)
Third party payor(s).
Claims shall be filed with third party payors in accordance with appropriate procedures. In cases where the third party payor does not cover the full amount of the bill, the inpatient shall be responsible for the remaining amount. In cases where an inpatient requests services that are not covered or for which authorization has been denied, the inpatient shall be responsible for the full amount of the bill.
(4)
No Medicaid or third party payor.
Inpatients having no Medicaid or third party payor shall be expected to pay the full amount of the bill. If a household believes they can not afford to pay the full amount, they may request, to apply for a payment plan or fee reduction. If the household still feels they can not pay the fees in accordance with the reduced rate, they may contact the Director, listing the reason(s) they can not meet their obligation and request a fee waiver.
(5)
Therapeutic services contracts.
The Center may additionally enter into contractual agreements with a third party to provide therapeutic services. These individual agreements shall specify the negotiated amounts for services rendered.
(6)
Charity beds.
The Center shall provide charity care not to exceed 10% of utilized beds. The legal guardian shall be notified in advance if admission will be as charity care status. Charity care inpatients shall otherwise meet admission and continued stay requirements. If it is determined that an inpatient should be discharged for failure to meet admission and continued stay requirements and the legal guardian shall be provided a written notice that the full daily rate shall be charged for each day the person remains at the Center.
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 1 - General Provisions › Section 130:13-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this chapter provide regulations relating to the services provided by the Center including inpatient services, outpatient services, dental services, isolation and disease spread prevention services, emergency services, outreach and contractual services.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 1 - General Provisions › Section 130:13-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.
"
Center
" means the J.D. McCarty Center for Children with Developmental Disabilities.
"
Commission
" means the Cerebral Palsy Commission.
"
Director
" means the chief executive officer of the Center.
"
Habilitation
" means ongoing therapeutic treatment designed to promote or increase a patient's functional capabilities. "Habilitation" does not include education services required to be provided by a local education agency.
"
Patient
" means a person age 0 to 21 who is admitted to the Center for either inpatient or outpatient services.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 1 - GENERAL PROVISIONS › Section 130:13-3-1 - Inpatient services

Current through Vol. 41, No. 20, July 1, 2024
(a) Services available at the Center for inpatients include Pediatric Orthopedic, Ophthalmology, Physical Therapy, Speech Therapy, Occupational Therapy, Social Services, Special education provided by Norman Public Schools, Psychological Testing and Counseling, Food and Nutritional Services, nursing care to include post-operative care, referral services, follow-up services, and Independent Living Training.
(b) Inpatients are medically supervised by a physician with specialized training or experience in developmental disabilities and rehabilitation, receive 24 hour nursing and receive at least 2 hours of therapeutic training services per day. One hour of the required therapeutic services shall be from Speech-language Therapy, Occupational Therapy, Physical Therapy or any combination of the three. Therapy shall be provided in at least two different sessions daily. The second hour of the required therapeutic training services shall be a combination of the therapeutic services.. Because the Center's primary purpose is the treatment of children and recognizing the emotional and social needs of children, the Center shall provide recreation to all patients.
(c) As discussed more thoroughly in Chapter 15 of this title, the Center shall cooperate with each patient's local education agency to allow patients to receive special education when not receiving therapeutic services, unless they have completed school requirements.
(d) The Center offers a comprehensive multi-disciplinary program designed to enable each patient to reach the patient's potential. While each department provides therapies and treatment within a specific discipline, they all compliment each other, and it is the totality of the program that makes improvement possible. The formal "treatment day" at the Center is from 8:00 A.M. to 4:00 P.M. However, the activities of the Recreation Department, Nursing, Food and Nutritional Services and Social Work may extend beyond these hours.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 1 - GENERAL PROVISIONS › Section 130:13-3-2 - Respite care

Current through Vol. 41, No. 20, July 1, 2024
(a) Respite care may be offered to the legal guardian of a person with developmental disabilities to allow a brief period of relief from stresses associated with caring for the person, or to allow coping with a transitory event or situation during which the burden of caring for the person would be an excessive strain on the mental or psychological welfare, the health situation or other household concerns.
(b) Respite care is available for no less than four days and no more than seven days. A person shall not be scheduled more than once a year. Exceptions to the above limitations for crisis or genuine medical emergencies or both may be considered by the Director on an individual basis.
(c) Respite care includes nursing care services, recreational activities and nutritional services. The treatment team shall be composed of a social worker, physician, registered nurse and dietitian.
(d) Prior to admission the person shall have an admission screening on file. The initial request for respite care shall be taken by the rehabilitation administrative worker two months prior to the requested month. The legal guardian shall be informed of the decision, and a respite admission packet shall be sent prior to the scheduled date. While every effort shall be made to give a final decision as soon as possible, special circumstances may render this impossible.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 1 - GENERAL PROVISIONS › Section 130:13-3-3 - Identification system

Current through Vol. 41, No. 20, July 1, 2024
In order to ensure high-quality care, all inpatients shall use an individualized identification system. Acceptable methods shall consist of photographs, identification bracelets or badges, paper adhesive label to clothing and staff verification.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 1 - GENERAL PROVISIONS › Section 130:13-3-4 - Education

Current through Vol. 41, No. 20, July 1, 2024
The Center is not a local education agency and does not provide educational services to inpatients. Educational services are provided by the Norman Public Schools pursuant to applicable state and federal laws. The Center will provide the Norman Public Schools with facility space for conducting classes and make every reasonable effort to accommodate the school district's needs in providing education services to inpatients.
Added at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 3 - DAILY CARE SERVICES › Section 130:13-3-10 - Hygiene

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center shall provide for the personal hygiene of inpatients.
(b) The Center shall provide care and assistance with glasses, contacts and hearing aids.
(c) Patients shall be weighed and height obtained to maintain a record of weight gain or loss and height growth.
(d) Patients shall be prepared for bed with the supervision and assistance of nursing.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 3 - DAILY CARE SERVICES › Section 130:13-3-11 - Meal services

Current through Vol. 41, No. 20, July 1, 2024
(a) Meal service shall be provided to all inpatients. Individual meals shall be assembled according to the diet ordered by the physician.
(b) The Food and Nutrition Services Department is dedicated to observing quality control guidelines both those developed internally and those imposed by regulating agencies.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 3 - DAILY CARE SERVICES › Section 130:13-3-12 - Outside foods

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center is committed to insuring that wholesome, nourishing, and safe food is provided for patient consumption.
(b) Foods prepared outside the Center and offered to our patients must be approved in advance by the Dietician. Criteria for approval may include food prepared in an environment licensed for operations by the State Health Department, food prepared by a patient's household members for consumption by that patient only, foods offered that maintain the prescribed diets for patients involved.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 5 - HABILITATION SERVICES › Section 130:13-3-20 - Treatment participation

Current through Vol. 41, No. 20, July 1, 2024
(a) The patient or legal guardian shall be provided adequate information to allow them to understand the medical condition, the nature of the proposed treatment, be aware of the risks, and understand the chances for success.
(b) The Center shall provide the patient or designated representative the right to know of any experimental research or other educational activities that are involved in the patient's treatment. The patient has the right to accept or refuse participation.
(c) The Center encourages patients and their households to be active in the course of the patient's daily nursing and personal care, therapeutic and medical treatment. When conflicts arise with respect to any of these areas of collaboration, the Center shall attempt to resolve such conflicts in a manner that is compassionate and sensitive to the needs and feelings of the patient and household while at the same time maintaining the essential standards and continuity of care requisite to sustaining the Center's primary mission for the welfare of all patients.
(d) Recognizing that the perspectives of patients and their households, staff and others are essential to the development of a continuous quality improvement program, the Center shall elicit feedback through a regular and planned process.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 5 - HABILITATION SERVICES › Section 130:13-3-21 - Treatment areas

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center shall provide necessary service and technology to facilitate a patient's overall communication. Patient demonstrating deficits in oral or verbal communication skills to such a degree that functional communicative interaction with others is reduced, restricted, or prevented may be candidates for augmentative communication assessment.
(b) The Center shall seek to train patients in basic transfer skills where appropriate and necessary. Transfer activities are indicated for patients with the capability or potential for learning transfers to the floor, chair, toilet, bed, car or other place.
(c) The Center shall attempt to help each patients establish successful elimination into the toilet on a regular basis and so avoid unscheduled soiling of clothing, avoid skin irritation, avoid social embarrassment, develop a sense of personal price and responsibility and develop good habits of personal hygiene.
(d) The Center shall attempt to assess and determine pain accurately, to ensure respectful and responsive treatment and to establish protocols and a procedure for pain management that will incorporate the patient's values, beliefs and philosophy. All patients will have the right to be as pain-free as possible. Pharmacological and non-pharmacological management and techniques shall be used.
(e) Psychological counseling for the patient or household is a component of the services available at the Center.
(f) The emotional well being of the patient shall be monitored and addressed.
Emotional concerns include, but are not limited to: substance abuse, depression, loss of self-esteem and social adjustment.
(g) The Center may provide diagnostic radiology services. All radiological procedures shall be conducted in compliance with established policies to ensure the safety of both personnel and the public.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 5 - HABILITATION SERVICES › Section 130:13-3-22 - Treatment training

Current through Vol. 41, No. 20, July 1, 2024
(a) As an integral part of each patient's program, patient and household education and training will be provided to promote continuity of care, increase the patient's and household's knowledge and skill base, offer support, referral, and recommendations to assist in meeting each patient's needs. Patients and households will be provided education and training according to the patient's assessed needs, abilities and readiness to learn. The assessment and plan will incorporate the patient's values, beliefs, philosophy, literacy, language, physical and or cognitive limitations and current support systems.
(b) The Center seeks to train patients and households in therapy techniques and use and care of equipment which will enhance the effectiveness of treatment in the home setting. The therapeutic staff shall demonstrate, instruct, and train patients and households in techniques, activities, and equipment use, care, and safety during evaluation, habilitation, discharge, and during outpatient status.
(c) The Center seeks to educate patients and households in the safe use of medications, side effects, contraindications, potential drug interactions, and food-drug interactions. Patients and households shall receive education on identified health needs or concerns.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-30 - Recreational Services

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center recognizes the need to provide recreation to inpatients. The Center further recognizes that Oklahoma law does not provide for recreational therapy, as such. However, recreation shall be provided for the emotional and social wellbeing of patients.
(b) Recreation shall be scheduled to the extent allowed by the staffing of the Center and the ability of each patient to take part. No patient shall be scheduled for recreational activities beyond the proper abilities of the patient as determined by the patient's attending physician.
(c) Patients may be granted permission to participate in activities off the premises, when approval is on record from the legal guardian. A member of the Center's staff shall accompany patients on off-premises activities and an appropriate patient to staff ratio is required when patients are taken from the premises.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-31 - Evening and weekend recreational activities

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center considers socialization and development of effective interpersonal skills to be as important as the traditional therapies, and these facets of the Center's program continue into the evening and on weekend.
(b) Evening Recreational Department activities are held from 4:00 p.m. - 8:00 p.m. Evening activities shall provide small and large group experiences. Patients shall be encouraged to attend the evening program activities.
(c) For patients who remain at the Center on Saturday and Sunday, a recreation program shall be offered from 8:00 a.m. - 8:00 p.m. The major goal of this program is to involve the patients in fun, informative, interesting and age appropriate recreational activities. The activities will attempt to accommodate small and large groups of patients as is appropriate for the number of helpers and volunteers that can be recruited. Other activities may include field trips (large or small groups), cookouts and picnics, walks and vehicle riding, crafts and games.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-32 - Films [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg 2604, eff 7-11-02; Revoked at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-33 - Swimming pool

Current through Vol. 41, No. 20, July 1, 2024
(a) The swimming pool at the Center shall be used solely for aquatic and rehabilitative therapy. Any person using the swimming pool shall comply with the following rules:
(1) No diving or running in the pool area.
(2) No food, drink, glass or litter shall be allowed in the pool area.
(3) The last person in the pool area shall clean up the area around the pool, straighten equipment, hang up life jackets in the designated area, turn off lights and lock all doors or means of access to the pool.
(4) All accidents or injuries shall be reported immediately to the charge center nurse.
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-34 - Wading pool [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg 2604, eff 7-11-02; Revoked at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-35 - Field trips

Current through Vol. 41, No. 20, July 1, 2024
The therapeutic value of a field trip is of sufficient significance that a minimum of one field trip that involves a majority of the inpatient population will be planned and executed each month. During the summer program (approximately 8 weeks between June 15, and August 15) each year, field trips may be planned and executed weekly.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 3 - Inpatient Services › Part 7 - RECREATIONAL SERVICES › Section 130:13-3-36 - Special Olympics

Current through Vol. 41, No. 20, July 1, 2024
(a) The Special Olympics Competitions permit each patient to function to the best of the patient's ability and to receive an appropriate reward for their effort.
(b) Patients at the Center may participate in as many district level Special Olympics events as possible. Some of these events include art, track and field, swimming and walley-ball/volleyball, music and bowling.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 5 - Outpatient Services › Section 130:13-5-1 - Outpatient services

Current through Vol. 41, No. 20, July 1, 2024
(a) Patients admitted for daily outpatient services at the Center shall be scheduled for departmental services based upon identified patient needs and responsibilities to inpatients. Requests for individual outpatient therapy services shall be reviewed on a case-by-case basis, reviewing the nature of request, staff availability and departmental capability of performing requested service.
(b) Therapy departments will evaluate and treat outpatients who have a signed physician's order for treatment.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 7 - Dental Services › Section 130:13-7-1 - Dental care

Current through Vol. 41, No. 20, July 1, 2024
(a) Based upon availability, dental services shall be provided to relieve pain and infection, to provide adequate medications and function, to restore and maintain the oral cavity in a health condition, to develop with the patients the desire to retain and maintain their natural dentition, and to provide reasonable restoration as authorized.
(b) Antibiotic therapy is required for patients with a shunt or patients with cardiac problems.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 7 - Dental Services › Section 130:13-7-2 - Emergency dental treatment

Current through Vol. 41, No. 20, July 1, 2024
The Center shall provide for emergency dental care to inpatients.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 9 - Isolation and Disease Spread Prevention Services › Section 130:13-9-1 - Isolation precautions

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center complies with Center for Disease Control recommendations regarding isolation precautions.
(b) Patients who have been diagnosed with or show signs or symptoms of a communicable condition that would require isolation precautions shall be reviewed individually to determine the following:
(1) The ability of the Center to provide required therapies for the patient in accordance with utilization review criteria while maintaining appropriate isolation precautions.
(2) The ability of the Center to provide appropriate medical care to the patient.
(3) The ability of the Center to provide appropriate isolation precautions for the patient to prevent the spread of disease.
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 9 - Isolation and Disease Spread Prevention Services › Section 130:13-9-2 - Needle stick or other body fluid substance exposure

Current through Vol. 41, No. 20, July 1, 2024
(a) Parenteral, mucous membrane non-intact skin exposures to blood and other body fluids may result in exposure to the Hepatitis B virus or HIB or both. Exposure shall be managed in accordance with CDC State Health Department and State Department of Labor standards.
(b) The blood of any person identified as a source of a needle stick or other body fluid substance may be drawn and tested for HBs Ag and HIB antibody when:
(1) the identified person or legal guardian provides written consent, or
(2) a health care worker provides a written statement that the worker as been exposed to the bodily fluids of the identified person in an occupational setting, and the exposure placed the work at risk for transfer of bodily fluids, or
(3) a court of competent jurisdiction orders the withdrawal and testing of the blood [63:1-502.3(A)(1), (2) and (3)]
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 11 - Emergency Services › Section 130:13-11-1 - Emergency medical care, limits

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center has no emergency room, critical care unit, surgical or anesthesia capabilities and does not have the capability to provide long-term life sustaining support. If a person has or develops an incurable or irreversible condition, or other medical conditions that cannot be treated at the Center, the person shall be provided manual life support until the person can be transported to Norman Regional Hospital or an appropriate facility.
(b) An emergency is defined as acute chest pain, respiratory difficulty non responsive to prescribed treatment, status epilepticus, sudden loss of consciousness, long-bone fracture(s) or any other condition which may be life-threatening.
(c) Emergency first aid that can be provided includes: cardiopulmonary resuscitation, administration of oxygen, fracture support, hemostasis, bandaging, eye irrigation and treatment for anaphylactic shock. Resuscitative measures shall be limited to non-invasive procedures. Invasive procedures may be performed by a Staff Physician, if present, or Trained Emergency Medical Technicians upon their arrival.
(d) Other emergencies, such as rape, sexual molestation, child abuse, severe emotional illness, multiple trauma or violence shall be managed by activating the emergency medical system (911) with appropriate nursing first aid being provided.
(e) In the event a person not eligible for treatment is presented at the Center for any form of treatment, whether of an emergency nature or otherwise, Center personnel on duty, which may or may not include a licensed physician, shall attempt to stabilize the person's condition to the extent of the knowledge, experience and licensure of the personnel on duty, and make arrangements to transport the person to a facility which can provide suitable care.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 11 - Emergency Services › Section 130:13-11-2 - Life-sustaining treatment

Current through Vol. 41, No. 20, July 1, 2024
(a) Life sustaining treatment shall not be withheld or withdrawn by the physicians of the Center. All patients admitted to the Center shall receive appropriate medical care, treatment, nutrition, hydration and pain management throughout their stay except as provided in paragraphs (b) and (c).
(b) If a qualified patient has an advance directive to withhold or withdraw life-sustaining treatment, the Center shall honor that request and abide by that decision. A qualified patient is one who is eighteen (18) years of age or older, who has issued an advance directive and who is in a terminal condition or in a persistently unconscious state.
(c) If a patient has a DNR (Do Not Resuscitate) order, the Center shall abide by that order.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 11 - Emergency Services › Section 130:13-11-3 - Procedures following death of a patient

Current through Vol. 41, No. 20, July 1, 2024
(a) If a patient dies at the Center, the attending physician or the physician in charge shall pronounce the death, notify the legal guardian of the death, contact the state medical examiner prior to release of the body, sign the death certificate within 48 hours, submit a written report within 36 hours with a copy of the patient's medical records as requested by the State Medical Examiner, and complete the death certificate and file it with the local registrar within 3 days.
(b) Mortuary personnel shall be required to sign for release of the body.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 13 - Outreach and Contractual Services › Section 130:13-13-1 - Outreach services

Current through Vol. 41, No. 20, July 1, 2024
(a) Outreach services shall provide consultation and services to maintain benefits of patient care in include, but are not limited to: seating/positioning recommendations or evaluations, augmentative communication evaluation or in-service, feeding/nutritional program, behavior modification, home physical therapy program, home visit evaluation, and nursing care in-service.
(b) Outreach services may be provided to people with developmental disabilities from birth to 21 years of age who have received services from the Center either as an inpatient, outpatient or a recipient of an interdisciplinary admission screening. This service shall be offered and scheduled when appropriate as part of discharge planning and on follow-up services for our inpatients or as part of an admission screening.
(c) Requests for outreach services shall be reviewed on a case-by-case basis, reviewing the requests, staff availability and needs of the patient and distance. If approved, a social worker shall act as case manager for the patient receiving an outreach service. Patients approved for Center-based outreach services shall be notified of approval in writing.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 13 - Outreach and Contractual Services › Section 130:13-13-2 - Contractual services

Current through Vol. 41, No. 20, July 1, 2024
(a) Contractual therapeutic services to include evaluation and treatment may be provided to individuals with developmental disabilities based upon contractual guidelines and identified patient needs.
(b) Contractual services may be provided to the following programs, facilities and public agencies.
(1) DDSD
(2) Sooner Start
(3) Oklahoma Public Schools
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 15 - Other Services › Section 130:13-15-1 - Library services

Current through Vol. 41, No. 20, July 1, 2024
The patient's library will be used for the benefit of the patients of the Center.
Added at 19 Ok Reg 2604, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 15 - Other Services › Section 130:13-15-2 - Cultural awareness

Current through Vol. 41, No. 20, July 1, 2024
The Center will acknowledge and facilitate the exhibition and practice of a patient's cultural behaviors and activities to the extent that they do not interfere with the treatment of the patient or the treatment of other patients in the Center.
Added at 19 Ok Reg 2604, eff 7-11-02; Amended at 27 Ok Reg 2462, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 13 - Center Services › Subchapter 15 - Other Services › Section 130:13-15-3 - Home environment assessments

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center offers home environment assessments to facilitate patient care, treatment, discharge and aftercare planning.
(b) A request for home environment assessments may be made in writing by the attending physician.
(c) The assessment will address the following areas:
(1) Individuals who reside in the home and their relationship and roles with the patient.
(2) Physical aspects of the home including accessibility and locality with respect to community resource
(3) Other areas that are specified by the attending physician.
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 1 - General Provisions › Section 130:14-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this chapter provide regulations relating to personal and medical entitlements and freedoms of patients at the Center.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 1 - General Provisions › Section 130:14-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.
"
Center
" means the J.D. McCarty Center for Children with Developmental Disabilities.
"
Commission
" means the Cerebral Palsy Commission.
"
Director
" means the chief executive officer of the Center.
"
Habilitation
" means ongoing therapeutic treatment designed to promote or increase a patient's functional capabilities. "Habilitation" does not include education services required to be provided by a local education agency.
"
Patient
" means a person age 0 to 21 who is admitted to the Center for either inpatient or outpatient services.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 1 - General Provisions › Section 130:14-1-3 - Statement of rights

Current through Vol. 41, No. 20, July 1, 2024
(a) Each patient of the Center shall be provided the full protection of the rights established by these rules.
(b) Each patient, upon admission to the Center, shall be notified of rights guaranteed in this Bill of Rights. If the patient is a minor, the patient's legal guardian shall be informed. Notification shall be accomplished by providing the new patient with a copy of this chapter. If the patient cannot read, an oral explanation of the chapter shall be provided. The legal guardian of a minor shall be provided a copy of this chapter.
(c) Each inpatient shall be notified of the Center's standards and sanctions which can be imposed for violations of the standards. Staff shall explain to each inpatient all standards whose violation may result in loss of privileges or use of property, etc. by providing the inpatient with a written copy of the standards, and explaining them orally if the inpatient cannot read, and posting the standards in a conspicuous place in each area where inpatients have access.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 1 - General Provisions › Section 130:14-1-4 - Basic rights

Current through Vol. 41, No. 20, July 1, 2024
(a) Each patient has the right to receive services suited to the patient's condition and to a safe, sanitary and humane living environment.
(b) Each patient shall receive proper care, treatment and services, including medical treatment, recreation, nutrition, education, training, therapeutic rehabilitation, psychological and social services suited to the patient's needs, regardless of race, religion, sex, ethnicity, degree of disability or handicapping condition.
(c) All persons shall be free from harassment based on sex, race, color, religion, national origin, political affiliation or physical handicap.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 1 - General Provisions › Section 130:14-1-5 - Ethics forum

Current through Vol. 41, No. 20, July 1, 2024
The Center will provide patient care within an ethical framework established by the Center's ethics forum. The ethics forum shall include the patient or patient's designee, the physician and the social worker. This forum shall give due regard and respect to the wishes of the patient or the patient's designated representative where ethical issues arise.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 1 - PROPERTY › Section 130:14-3-1 - Mail, telephone, visitation

Current through Vol. 41, No. 20, July 1, 2024
(a) Each inpatient is entitled to unimpeded, private, and uncensored communications with others by sealed mail and telephone and to visit with persons of the patient's choice, except as otherwise limited by this chapter or law. Toll charges for long distance telephone calls shall be the responsibility of the inpatient or the legal guardian.
(b) The right of an inpatient to communicate by mail, email, or telephone or to visit with persons of the inpatient's choice may be limited by staff if:
(1) the limitation is essential to prevent the inpatient from violating a law,
(2) the limitation is essential to prevent substantial and serious physical or mental harm to the inpatient,
(3) an individual has complained to the Center of previous telephone harassment by the inpatient and has requested that the inpatient be prevented from telephoning the individual in the future. In this instance, the limitation shall apply solely to telephoning the individual making the complaint.
(4) an inpatient's legal guardian has requested that the inpatient not be allowed to communicate with specific individual(s).
(5) a visitor's behavior is disruptive to the functioning of the Center, or
(6) the limitation has been ordered by the Department of Human Services.
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 1 - PROPERTY › Section 130:14-3-2 - Patient money

Current through Vol. 41, No. 20, July 1, 2024
(a) For the purposes of this rule, "money" includes any legal tender, note, draft, certificate of deposit, stock, bond, check or credit card.
(b) An inpatient has the right to easy access to money in the inpatient's personal account at the Center and to spend or otherwise use the money as the inpatient chooses. Inpatients shall be allowed to carry up to $5.00 for therapeutic purposes. If indicated in the treatment plan. Amounts in excess of $5.00 shall be coordinated on a case-by-case basis with the treatment team and the Finance Office.
(c) All money which is on the person of an inpatient, which comes to an inpatient, or which the Center receives in place of the inpatient under a benefit arrangement or otherwise, shall be deposited with the Business Manager for safekeeping in a personal account in the inpatient's name. The money, and transactions affecting it, shall be accounted for in the name of the inpatient and recorded in the inpatient's account records. The Center shall be liable for any discrepancies or losses from the inpatient's account. The inpatient or the inpatient's legal guardian shall be provided a copy of the account and transactions on request.
(d) Nursing staff shall direct inpatients or legal guardians to the Finance Office upon discharge to collect all money including earnings in an inpatient's personal account.
(e) The Center shall not withdraw funds from an inpatient's personal account to pay for services rendered by the Center.
Added at 19 Ok Reg 2610, eff 7-11-02; Amended at 27 Ok Reg 2467, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 1 - PROPERTY › Section 130:14-3-3 - Personal property

Current through Vol. 41, No. 20, July 1, 2024
(a) Each inpatient may receive, possess, and use all personal property, including clothing, except as otherwise provided in this section. Inpatients are encouraged to leave all valuables at home. However, if an inpatient brings personal property such as jewelry or other items valued at more than $100.00, excluding therapeutic and adaptive equipment items, they will be tagged with the inpatient's C.P.C. number and placed in the fireproof safe in the Finance Office. If the inpatient chooses to maintain items in the inpatient's custody, the Center shall not assume liability for these articles. An inpatient may request items that are valued less than $100.00 be secured in the safe too.
(b) The Center may bar particular kinds of personal property from the Center. A written list of banned items may be obtained from the Center staff.
(c) Authorized staff may limit the operation of subsection (a) above for a specific inpatient regarding specific property if such limitation is essential:
(1) to prevent theft, loss or destruction of property,
(2) to prevent the inpatient from physically harming the inpatient or others,
(3) to achieve a treatment objective if the personal property would interfere with the inpatient's treatment plan, or
(4) to eliminate the introduction of functionally unsafe devices and equipment into the Center.
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 1 - PROPERTY › Section 130:14-3-4 - Access to records

Current through Vol. 41, No. 20, July 1, 2024
Patients, or their legal representatives, shall have access to their own medical records in a manner that complies with all applicable state and federal law.
Added at 19 Ok Reg 2610, eff 7-11-02; Amended at 27 Ok Reg 2467, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 3 - SELF › Section 130:14-3-10 - Privacy

Current through Vol. 41, No. 20, July 1, 2024
All patients shall be afforded privacy of their bodies to the greatest extent possible. To ensure patient safety, security cameras are installed throughout the Center. To ensure inpatient privacy, each inpatient room has curtains that can be drawn to provide privacy.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 3 - SELF › Section 130:14-3-11 - Labor by patients

Current through Vol. 41, No. 20, July 1, 2024
Inpatients shall not be used to provide a source of labor, except when the plan of care requires such activities for therapeutic reasons.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 3 - SELF › Section 130:14-3-12 - Patient safety

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center shall provide a safe and secure environment for patients. All persons shall comply with safety rules. Any one observed committing an unsafe act shall be reported to the Director, the Safety Officer, the Deputy Director or a department head.
(b) No person shall use or possess illegal drugs or intoxicating beverages on Center premises.
(c) All weapons of any kind are prohibited on Center property except lawfully owned firearms stored in a locked vehicle on the Center's parking lot pursuant to 12O.S.Supp.2004, § 1289.7a. However, no firearms will be permitted in vehicles parked on the parking lot adjacent to the Education Building where elementary and secondary classes are held pursuant to 12 O.S.Supp.2003, § 1280. This prohibition shall not apply to private vehicles driven to the Education Building for the sole purpose of transporting students as long as the vehicles are not left unattended.
(d) Knives with blades of 3 inches or less shall not be considered weapons for the purpose of this section.
(e) Questions concerning what constitutes an intoxicating beverages, weapons, or drugs should be directed to the Director the Deputy Director or the Personnel Officer.
Added at 19 Ok Reg 2610, eff 7-11-02; Amended at 27 Ok Reg 2467, eff 7-25-10
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 3 - Personal Rights › Part 3 - SELF › Section 130:14-3-13 - Policy on abuse and neglect

Current through Vol. 41, No. 20, July 1, 2024
(a) The Center acknowledges its responsibility to secure, protect, and maintain the physical and psychological well being of all patients; therefore, no patient shall be neglected or physically, psychologically, sexually, verbally or otherwise abused by staff, volunteers or others having direct contact with the patient population. The Center's emphasis is on positive actions and interactions with patients. Any behavior, which does not meet this criteria, shall be subject to immediate review and questioning.
(b) Oklahoma law requires any person with reason to believe that a minor patient (age birth to 18) is being or has been abused or neglected to report the condition or incident in question to the Department of Human Services (Children Welfare Services) for investigation. A report can also be made to the statewide Child Abuse Hotline.
(c) It is the policy of the Center for any person with reason to believe that an adult patient (age 18-21) who is being or has been abused or neglected to report the condition or incident in question to the Cleveland County Department of Human Services (Adult Protective Services) for investigation.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 5 - Medical Rights › Section 130:14-5-1 - Individualized treatment

Current through Vol. 41, No. 20, July 1, 2024
(a) Upon completion of an evaluation, each patient shall be afforded individualized treatment. An individualized treatment plan shall be developed with the active involvement of the patient. The plan for a minor patient shall be developed with the active participation of the patient's legal guardian.
(b) The patient or legal guardian shall be informed of the patient's clinical status and progress at reasonable intervals.
(c) The patient or legal guardian shall be informed of the names, professional titles and relative duties of all persons rendering treatment to the patient.
(d) The patient or legal guardian shall be informed of the nature of the care, procedures and treatment that the patient shall receive.
(e) The patient or legal guardian shall be advised of any proposed change, and the reasons for such change, in the clinical staff responsible for the patient or any transfer of the patient within or outside of the program.
Added at 19 Ok Reg 2610, eff 7-11-02
Oklahoma Administrative Code › Title 130 - Cerebral Palsy Commission › Chapter 14 - Patient Bill of Rights › Subchapter 5 - Medical Rights › Section 130:14-5-2 - Medications

Current through Vol. 41, No. 20, July 1, 2024
All patients shall be free from unnecessary, inappropriate or excessive medications.
Added at 19 Ok Reg 2610, eff 7-11-02