reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-1.3 - Initial and comprehensive assessment of the patient

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
The hospice must
				conduct and document in writing a patient-specific comprehensive assessment
				that identifies the patient's need for hospice care and services, and the
				patient's need for physical, psychosocial, emotional, and spiritual care. This
				assessment includes all areas of hospice care related to the palliation and
				management of the terminal illness and related conditions.
(b)
Initial assessment.
The
				hospice registered nurse must complete an initial assessment within forty-eight
				(48) hours after the physician's order for hospice care is received (unless the
				physician, patient, or representative requests that the initial assessment be
				completed in less than 48 hours.)
(c)
Timeframe for completion of the
				comprehensive assessment.
The hospice interdisciplinary group, in
				consultation with the individual's attending physician (if any), must complete
				the comprehensive assessment no later than five (5) calendar days after the
				election of hospice care.
(d)
Content of the comprehensive assessment.
The comprehensive
				assessment must identify the physical, psychosocial, emotional, and spiritual
				needs related to the terminal illness that will be addressed in order to
				promote the hospice patient's well-being, comfort, and dignity throughout the
				dying process. The comprehensive assessment must take into consideration the
				following:
(1) The nature and condition
				causing admission (including the presence or lack of objective data and
				subjective complaints);
(2)
				Complications and risk factors that affect care planning;
(3) Functional status, including the
				patient's ability to understand and participate in his or her own
				care;
(4) Imminence of
				death;
(5) Severity of
				symptoms;
(6) A review of all of
				the patient's prescription and over-the-counter drugs, herbal remedies and
				other alternative treatments that could affect drug therapy. This includes, but
				is not limited to, identification of the following:
(A) Effectiveness of drug therapy;
(B) Drug side effects;
(C) Actual or potential drug interactions;
(D) Duplicate drug therapy; and
(E) Drug therapy currently
				associated with laboratory monitoring.
(7) An initial bereavement assessment of the
				needs of the patient's family and other individuals focusing on the social,
				spiritual, and cultural factors that may impact their ability to cope with the
				patient's death. Information gathered from the initial bereavement assessment
				is incorporated into the plan of care and considered in the bereavement plan of
				care; and
(8) The need for
				referrals and further evaluation by appropriate health
				professionals.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-2 - Plan of care

Current through Vol. 41, No. 20, July 1, 2024
(a) A written plan
				of care must be established and maintained for each patient admitted to a
				hospice program and the care provided to an individual is in accordance with
				the plan.
(b) The plan must be
				established by the attending physician, the medical advisor, and the
				interdisciplinary group.
(c) The
				plan of care must be reviewed and updated by the hospice team at intervals
				specified in the plan and documented by the team members.
(d) The content of the plan must include an
				assessment of the patient's needs and identify the services provided. The plan
				must state in detail the scope and frequency of services needed to meet the
				patient's and family's needs.
(e)
				Continuous care must be provided under a plan of care that is developed
				specifically to resolve the patient's medical crisis. These plans must include:
(1) Caregiver education;
(2) Anticipated duration of the continuous
				care;
(3) Necessity of continuous
				care;
(4) Interventions
				required;
(5) Identification of
				interdisciplinary team members developing the plan; and,
(6) Physician orders for continuous care.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-2.1 - Interdisciplinary group, care planning, and coordination of services

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
The hospice must
				designate an interdisciplinary group or groups which, in consultation with the
				patient's attending physician, will prepare a written plan of care for each
				patient. The plan of care will specify the hospice care and services necessary
				to meet the patient and family-specific needs identified in the comprehensive
				assessment as such needs relate to the terminal illness and related
				conditions.
(b)
Approach to
				service delivery.
(1) The hospice must
				designate in writing an interdisciplinary group or groups composed of
				individuals who work together to meet the physical, medical, psychosocial,
				emotional, and spiritual needs of the hospice patients and families facing
				terminal illness and bereavement. Interdisciplinary group members must provide
				the care and services offered by the hospice, and the group, in its entirety,
				must supervise the care and services. The hospice will designate a registered
				nurse that is a member of the interdisciplinary group to provide coordination
				of care and to ensure continuous assessment of each patient's and family's
				needs and implementation of the interdisciplinary plan of care. The
				interdisciplinary group must include individuals who are qualified and
				competent to practice in the following professional roles:
(A) A doctor of medicine or osteopathy (who
				is an employee or under contract with the hospice);
(B) A registered nurse;
(C) A social worker; and
(D) A pastoral or other counselor.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-2.2 - Core Services

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
A hospice must provide substantially all core services
				directly by hospice trained and oriented employees. These services include
				nursing services, medical social services, and bereavement and spiritual
				counseling. The hospice may contract for physician services.
(b)
Physician services.
The
				hospice medical advisor, physician employees, and contracted physician(s) of
				the hospice, in conjunction with the patient's attending physician, are
				responsible for the palliation and management of the terminal illness and
				conditions related to the terminal illness.
(1) All physician employees and those under
				contract, must function under the supervision of the hospice medical
				advisor.
(2) All physician
				employees and those under contract must meet this requirement by either
				providing the services directly or through coordinating patient care with the
				attending physician.
(3) If the
				attending physician is unavailable, the medical advisor, contracted physician,
				and/or hospice physician employee is responsible for meeting the medical needs
				of the patient.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-2.3 - Physical therapy, occupational therapy, speech-language pathology

Current through Vol. 41, No. 20, July 1, 2024
Physical therapy services, occupational therapy services,
				  and speech-language pathology services must be available.
Added at 26 Ok Reg 2042,
				  eff 6-25-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-2.4 - Licensed Professional Services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Licensed professional services provided directly or under arrangement must be
				authorized, delivered, and supervised only by health care professionals who
				meet the appropriate qualifications specified by the State and who practice
				under the hospice's policies and procedures.
(b) Licensed professionals must actively
				participate in the coordination of all aspects of the patient's hospice care,
				in accordance with current professional standards and practice, including
				participating in ongoing interdisciplinary comprehensive assessments,
				developing and evaluating the plan of care, and contributing to patient and
				family counseling and education.
(c) Licensed professionals must participate
				in the hospice's quality assessment and performance improvement program and
				hospice sponsored in-service training.
Added at 26 Ok Reg 2042,
				  eff 6-25-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-3 - Quality assurance

Current through Vol. 41, No. 20, July 1, 2024
(a) The hospice
				must develop, maintain, and conduct a comprehensive quality assurance program
				that includes an evaluation of services, quarterly clinical record audits, and
				organizational review.
(b) The
				hospice must ensure that appropriate and quality care is provided to include
				inpatient care, home care, and care provided under arrangements.
(c) The quality assurance program must be
				reviewed at least once a year. Policies and procedures will be revised as
				needed, reviewed, and approved annually. Goals will be established and problems
				identified with documented results.
Added at 9 Ok Reg 1985,
				  eff 6-11-92; Amended at 14 Ok Reg 2106, eff 4-7-97 (emergency); Amended at 14
				  Ok Reg 2269, eff 6-12-97
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-3.1 - Quality Assessment/Performance Improvement

Current through Vol. 41, No. 20, July 1, 2024
(a) The hospice must develop, implement, and
				maintain an effective, ongoing, hospice-wide data-driven quality assessment and
				performance improvement program. The hospice's governing body must ensure that
				the program: Reflects the complexity of its organization and services; involves
				all hospice services (including those services furnished under contract or
				arrangement); focuses on indicators related to improved palliative outcomes;
				and takes actions to demonstrate improvement in hospice performance. The
				hospice must maintain documentary evidence of its quality assessment and
				performance improvement program and be able to demonstrate its operation to the
				Department of Health.
(b)
Program scope.
(1) The program
				must at least be capable of showing measurable improvement in indicators
				related to improved palliative outcomes and hospice services.
(2) The hospice must measure, analyze, and
				track quality indicators, including adverse patient events, and other aspects
				of performance that enable the hospice to assess processes of care, hospice
				services, and operations.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-4 - Rights and responsibilities

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Every hospice must provide, before or at the time of admission, a written
				statement of rights and responsibilities to each patient, or patient
				representative, or available family member. The hospice shall ensure that all
				staff members are familiar with and observe the rights and responsibilities
				enumerated in the statement.
(b)
				The statement must inform the patient that he/she has a right to:
(1) A listing of available services, charges,
				billing process, and services that may be covered by private payment, private
				insurance, or state or federal medical care payment programs, including
				Medicaid or Medicare;
(2) Advance
				notice of any change in fees or billing as soon as possible but no later than
				thirty (30) calendar days before the effective date of the change;
(3) Receive information explaining the
				Medicare, Medicaid and insurance benefits which are no longer available to the
				patient while the patient receives hospice care, any applicable benefit
				periods, length of time of each benefit period, and the process of revoking and
				transferring from one hospice to another if the patient desires;
(4) Be informed of the right to participate
				in the planning of care, the right to be advised in advance of any changes in
				the plan of care, the disciplines that shall furnish care, the proposed
				frequency of care, the title of the person supervising the patient's care and
				the manner in which that person may be contacted;
(5) Revoke the hospice benefit, without
				coercion from the hospice;
(6)
				Expect that the hospice shall enter no further into family life and affairs
				than is required to meet the goals of the hospice care plan;
(7) A grievance procedure that includes the
				right to register a grievance with the hospice regarding treatment or care
				received or lack of treatment or care without reprisal or discrimination from
				the hospice; and
(8) File a
				complaint with the Oklahoma State Department of Health at its current mailing
				address.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-4.1 - Additional rights of the patient

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
The patient has the right to be informed of his or her
				rights, and the hospice must protect and promote the exercise of these
				rights.
(b)
Notice of rights
				and responsibilities.
(1) During the
				initial assessment visit in advance of furnishing care the hospice must provide
				the patient or representative with verbal and written notice of the patient's
				rights and responsibilities in a language and manner that the patient
				understands.
(2) The hospice must
				inform and distribute written information to the patient concerning its
				policies on advance directives, including a description of applicable State
				law.
(3) The hospice must obtain
				the patient's or representative's signature confirming that he or she has
				received a copy of the notice of rights and
				responsibilities.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-5 - Continuous care

Current through Vol. 41, No. 20, July 1, 2024
Every hospice must provide continuous care as necessary to
				  meet the medical crisis needs of the hospice patient and family. The provision
				  of continuous care must meet the following requirements:
(1) A skilled nurse provides at least 51% of
				the care in a 24-hour period, and a qualified home health aide must provide the
				balance of care.
(2) A registered
				nurse reassesses the patient at least every 24-hours to determine the
				effectiveness of interventions and the need for continued care.
(3) Continuous care is ordered by a physician
				upon initiation of the care and every 24-hour period thereafter of the
				uncontrolled medical crisis.
Added at 19 Ok Reg 2094,
				  eff 6-27-02
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-6 - Infection Control

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
The hospice must maintain and document an effective
				infection control program that protects patients, families, visitors, and
				hospice personnel by preventing and controlling infections and communicable
				diseases.
(b)
Prevention.
The hospice must follow accepted standards of practice
				to prevent the transmission of infections and communicable diseases, including
				the use of standard precautions.
(c)
Control.
The hospice must
				maintain a coordinated agency-wide program for the surveillance,
				identification, prevention, control, and investigation of infectious and
				communicable diseases that:
(1) Is an
				integral part of the hospice's quality assessment and performance improvement
				program; and
(2) Includes the
				following:
(A) A method of identifying
				infectious and communicable disease problems; and
(B) A plan for implementing the appropriate
				actions that are expected to result in improvement and disease
				prevention.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-7 - Supervision of hospice aides

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				registered nurse must make an on-site visit to the patient's home:
(1) No less frequently than every fourteen
				(14) calendar days to assess the quality of care and services provided by the
				hospice aide and to ensure that services ordered by the hospice
				interdisciplinary group meet the patient's needs. The hospice aide does not
				have to be present during this visit.
(2) If an area of concern is noted by the
				supervising nurse, then the hospice must make an on-site visit to the location
				where the patient is receiving care in order to observe and assess the aide
				while he or she is performing care.
(3) If an area of concern is verified by the
				hospice during the on-site visit, then the hospice must conduct, and the
				hospice aide must complete a competency evaluation.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-8 - Drugs and Biologicals, Medical Supplies, Durable Medical Equipment

Current through Vol. 41, No. 20, July 1, 2024
(a)
General.
Medical supplies
				and appliances; durable medical equipment; and drugs and biologicals related to
				the palliation and management of the terminal illness and related conditions,
				as identified in the hospice plan of care, must be provided by the hospice
				while the patient is under hospice care.
(b)
Managing drugs and
				biologicals.
(1) The hospice must
				ensure that the interdisciplinary group confers with an individual with
				education and training in drug management as defined in hospice policies and
				procedures and State law, who is an employee of or under contract with the
				hospice to ensure that drugs and biologicals meet each patient's
				needs.
(2) A hospice that provides
				inpatient care directly in its own facility must provide pharmacy services
				under the direction of a qualified licensed pharmacist who is an employee of or
				under contract with the hospice. The provided pharmacist services must include
				evaluation of a patient's response to medication therapy, identification of
				potential adverse drug reactions, and recommended appropriate corrective
				action.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 5 - Minimum Standards › Section 310:661-5-9 - Short-term inpatient care

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Inpatient care must be available for pain control, symptom management, and
				respite purposes.
(b) If the
				hospice has an arrangement with another facility to provide for short-term
				inpatient care, the arrangement is described in a written agreement,
				coordinated by the hospice, and at a minimum specifies that:
(1) the hospice supplies the inpatient
				provider a copy of the patient's plan of care and specifies the inpatient
				services to be furnished;
(2) the
				inpatient provider has established patient care policies consistent with those
				of the hospice and agrees to abide by the palliative care protocols and plan of
				care established by the hospice for its patients;
(3) the hospice patient's inpatient clinical
				record includes a record of all inpatient services furnished and events
				regarding care that occurred at the facility; that a copy of the discharge
				summary be provided to the hospice at the time of discharge; and that a copy of
				the inpatient clinical record is available to the hospice at the time of
				discharge;
(4) the inpatient
				facility has identified an individual within the facility who is responsible
				for the implementation of the provisions of the agreement; and
(5) the hospice retains responsibility for
				ensuring that the training of personnel who will be providing the patient's
				care in the inpatient facility has been provided and that a description of the
				training and the names of those giving the training are
				documented.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-1 - General

Current through Vol. 41, No. 20, July 1, 2024
(a) Each hospice program that operates a
				hospice inpatient facility must comply with service requirements specified in
				this subchapter.
(b) Patients are
				allowed to receive visitors at any hour, including small children and house
				pets.
(c) Smoking or possessing a
				lighted tobacco product is prohibited in a hospice inpatient facility and
				within fifteen (15) feet of each entrance to a facility and of any air intakes;
				provided however, the facility may provide a smoking room for use by patients
				and their visitors. The walkway to the main entrance must also be smoke free.
				Ashtrays cannot be located closer than fifteen (15) feet to an entrance, except
				in an indoor smoking room. An indoor smoking room may be provided if:
(1) It is completely enclosed;
(2) It is exhausted directly to the outside
				and maintained under negative pressure sufficient to prevent any tobacco smoke
				from entering non-smoking areas of the building;
(3) It allows for visual observation of the
				patients from outside of the smoking room; and
(4) The plans are reviewed and approved by
				the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-2 - Compliance with health and safety requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) Each hospice inpatient facility must
				comply with all Federal, State, and local laws, regulations, codes and
				ordinances as required.
(b) The
				facility must have written policies and procedures relating to advance
				directives with respect to all patients receiving care. These policies and
				procedures will comply with existing Federal and State laws.
Added at 21 Ok Reg 1303,
				  eff 5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-3 - Nursing services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				must provide twenty-four (24) hour nursing services sufficient to meet the
				needs of the hospice inpatients.
(b) Each patient must receive treatments,
				medications, and diet as prescribed, and kept comfortable, clean, well-groomed,
				and protected from accident, injury, and infection.
(c) Each shift must include at least one (1)
				registered nurse to supervise the facility and provide direct patient care.
(d) There must be adequate numbers
				of other licensed nurses and support staff to provide services established in
				the patient's plan of care while the patient is in the facility.
Added at 21 Ok Reg 1303,
				  eff 5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-4 - Dietary services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				must provide dietary service adequate to meet the dietary needs of the
				patients. Services may be provided on a contract basis as long as dietary needs
				of patients are met.
(b) Each
				facility must serve at least three (3) meals or their equivalent each day at
				regular times, with not more than fourteen (14) hours between a substantial
				evening meal and breakfast.
(c)
				Menus must be planned and followed to balance patient choice with nutritional
				needs of patients, in accordance with physicians' orders and to the extent
				medically possible, in accordance with the Dietary Reference Intakes (DRIs) of
				the Food and Nutrition Board of the Institute of Medicine, National Academy of
				Sciences.
(d) The facility must
				procure, store, prepare, distribute, and serve all food under sanitary
				conditions in compliance with Chapter 257 of this Title.
(e) Nourishments are available for all
				patients at anytime in accordance with approved diet orders.
(f) There must be adequate trained staff
				available to manage and provide dietary services. A licensed/registered
				dietitian must be available to provide consultation on patients' dietary needs,
				supervise services, and ensure medically prescribed special diets are provided
				as ordered.
(g) The system to be
				used for dishwashing must be approved by the Department and operated in
				accordance with approved procedures and requirements of Chapter 257 of this
				Title.
(h) Garbage and refuse must
				be kept in durable, easily cleanable, insect-proof and rodent-proof containers
				that do not leak and do not absorb liquids. Adequate carriers and containers
				will be provided for the collection and transportation, in a sanitary manner,
				of garbage and refuse from food service areas of the hospice to the place of
				disposal in accordance with the requirements of Chapter 257 of this
				Title.
Added at 21 Ok Reg 1303,
				  eff 5-27-04; Amended at 24 Ok Reg 2004, eff
				  6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-6 - Disaster preparedness

Current through Vol. 41, No. 20, July 1, 2024
The hospice inpatient facility must have an acceptable
				  written plan, periodically rehearsed with staff, with procedures to be followed
				  in the event of an internal or external disaster and for the care of casualties
				  arising from such disasters.
Added at 21 Ok Reg 1303,
				  eff 5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-7 - Infection control

Current through Vol. 41, No. 20, July 1, 2024
Each hospice inpatient facility must establish an infection
				  control program to provide a sanitary environment and avoid sources and
				  transmission of infections. The program must include written policies and
				  procedures for identifying, reporting, evaluating and maintaining records of
				  infections among patients and personnel, for ongoing review and evaluation of
				  all aseptic, isolation and sanitation techniques employed in the facility, and
				  development and coordination of training programs in infection control for all
				  facility personnel.
Added at 21 Ok Reg 1303,
				  eff 5-27-04
1In 2009, permanent amendments
				  were incorrectly promulgated as amendments to this section number (310:661-6-7)
				  instead of 310:661-6-5, as intended [see 26 Ok Reg 2042, effective 6-25-09].
				  This error was editorially corrected, and the amendments were codified as
				  amendments to the correct number
				  (310:661-6-5).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 7 - Infractions › Section 310:661-7-1 - Inspections

Current through Vol. 41, No. 20, July 1, 2024
Any duly authorized representative of the Department has the
				  right to conduct such inspections as necessary in order to determine compliance
				  with the provisions of the Act and this Chapter. The right of inspection also
				  extends to any hospice the Department has a reason to believe is advertising or
				  operating a hospice service without a license.
Added at 9 Ok Reg 1985,
				  eff 6-11-92; Amended at 21 Ok Reg 1303, eff
				  5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 7 - Infractions › Section 310:661-7-2 - Complaints and investigations

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				complaint may be registered by any person who believes a hospice is operating
				contrary to the Act or is posing a serious threat to the health and welfare of
				a patient in its care. The complaint may be registered verbally or in writing
				to the Department. An investigation will be conducted by the Department to
				determine the validity of the complaint and to instigate necessary action
				thereto. The Department must notify the complainant in writing of the findings,
				if a name and address is furnished.
(b) If the Department determines there are
				reasonable grounds to believe that a hospice is operating in violation of the
				Act or the rules, the Department must follow the notice and hearing procedure
				established by the Act and the Procedures of the Department, Chapter 2 of this
				Title.
Added at 9 Ok Reg 1985,
				  eff 6-11-92; Amended at 14 Ok Reg 2106, eff 4-7-97 (emergency); Amended at 14
				  Ok Reg 2269, eff 6-12-97; Amended at 21 Ok Reg 1303, eff
				  5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 7 - Infractions › Section 310:661-7-3 - Penalties

Current through Vol. 41, No. 20, July 1, 2024
After notice and hearing pursuant to the Act, the Department
				  may use any and all of the remedies provided by the Act and by the general
				  statutory authority of the Commissioner of Health.
Added at 9 Ok Reg 1985,
				  eff 6-11-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 7 - Infractions › Section 310:661-7-4 - Appeals

Current through Vol. 41, No. 20, July 1, 2024
Final orders of the Department may be appealed to the
				  Supreme Court. Appeals must be in accordance with 63 O.S. § 1-860.11.
Added at 9 Ok Reg 1985,
				  eff 6-11-92; Amended at 14 Ok Reg 2106, eff 4-7-97 (emergency); Amended at 14
				  Ok Reg 2269, eff 6-12-97
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-2 - Location

Current through Vol. 41, No. 20, July 1, 2024
(a)
Access.
The site of any
				hospice inpatient facility shall be convenient to the public and to service
				vehicles, including fire protection apparatus, etc.
(b)
Environment.
Quietness and
				sanitary features of the immediate environment shall be considered in locating
				a hospice inpatient facility.
(c)
				The site for a hospice inpatient facility shall conform to all local zoning
				regulations in cities where zoning ordinances are in effect.
(d)
Security.
A hospice
				inpatient facility shall have security measures for patients, personnel, and
				the public consistent with the conditions and risks inherent in the location of
				the facility. These measures shall include a program designed to protect human
				and capital resources.
(e)
Availability of utilities.
The facility shall be located to
				provide reliable utilities (water, gas, sewer, electricity). The water supply
				shall have the capacity to provide normal usage plus fire-fighting
				requirements. The electricity shall be of stable voltage and
				frequency.
(f)
Roads.
Paved or all weather surface roads shall be provided within the property for
				access to all entrances and to loading and unloading docks for delivery trucks.
				Vehicular or pedestrian traffic shall not conflict with access to the emergency
				transport station. In addition, access to emergency transport services shall be
				located to incur minimal damage from floods and other natural disasters. Paved
				walkways shall be provided for pedestrian traffic.
(g)
Parking.
Each hospice
				inpatient facility shall provide not less than one (1) space for each day shift
				staff member plus one (1) space for every one (1) patient bed. At least two (2)
				handicap accessible parking spaces, but not less than what is required by the
				ICC/ANSI A117.1 Standard, shall be provided. This ratio may be increased in
				areas convenient to the public transportation system or to public parking
				facilities if proper justification is included and compliance with applicable
				local codes or zoning standards is achieved. Space shall be provided for
				emergency and delivery vehicles.
Added at 21 Ok Reg 1303,
				  eff 5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-3 - Submission of plans and construction inspection

Current through Vol. 41, No. 20, July 1, 2024
(a) Before construction is begun, plans and
				specifications covering the construction of new buildings or major alterations
				to existing buildings shall be submitted to the Department for review and
				approval.
(b) Each construction
				project submission shall be accompanied by a check for the appropriate review
				fee based on the cost of design and construction of the project as specified at
				310:661-2-7.
(c) All construction project submittals shall
				be reviewed within 45 calendar days of receipt by the Department.
(d)
Preparation of plans and
				specifications.
(1)
Stage
				one.
Preliminary plans and outline specifications shall be submitted and
				include sufficient information to establish the following: scope of project;
				project location; required fire-safety and exiting criteria;
				building-construction type, compartmentation showing fire and smoke barriers,
				bed count and services; the assignment of all spaces, areas, and rooms for each
				floor level, including the basement.
(2)
Stage two.
A proposed
				construction document shall be submitted that includes final drawings and
				specifications adequate for proposed contract purposes. All final plans and
				specifications shall be appropriately sealed and signed by an architect
				registered by the State of Oklahoma. All construction modifications of approved
				documents are subject to review and approval, and shall be submitted
				timely.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-4 - Space occupied by other entities

Current through Vol. 41, No. 20, July 1, 2024
(a) Areas within the same building as a
				hospice inpatient facility that are leased to, or occupied by, a separate
				entity and comply with Health Care Occupancy requirements as specified by NFPA
				101, 2000 edition, shall be separated from the licensed hospice by demising
				partitions that are rated not less than one (1) hour fire resistance. Lease
				areas that do not comply with Health Care Occupancy requirements as specified
				by NFPA 101, 2000 edition, shall be separated from the licensed hospice by
				demising partitions that are rated not less than two (2) hour fire
				resistance.
(b) Lease areas shall
				have signage that clearly identifies tenant areas from the hospice inpatient
				facility area.
(c) The lease
				between the hospice and the tenant entity shall require that the tenant area
				shall be:
(1) Maintained to comply with NFPA
				101 for Health Care Occupancies;
(2) Included in the hospice's sprinkler
				systems, fire alarm systems, and fire drills; and
(3) Accessible to representatives of the
				Department to determine compliance with these standards.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-6 - Dietary facilities

Current through Vol. 41, No. 20, July 1, 2024
(a) The following
				facilities shall be provided in such size as required to implement the type of
				food service system selected:
(1) Control
				station for receiving food supplies.
(2) Storage space including cold
				storage.
(3) Food preparation as
				required by the program. Conventional food preparation systems require space
				and equipment for preparing, cooking, and baking. Convenience food service
				systems such as frozen prepared meals, bulk packaged entrees, individual
				packaged portions, or systems using contractual commissary services require
				space and equipment for thawing, portioning, cooking, and/or baking.
(4) Hand washing facilities in the food
				preparation area equipped with wrist, knee, or foot controls. Disposable towels
				shall be provided.
(5) Patient meal
				service space including facilities for tray assembly and
				distribution.
(6) Dishwashing shall
				be in a room or alcove separate from food preparation and serving areas. The
				dishwashing equipment shall be of a commercial-type with a separate air balance
				system.
(7) Space for receiving,
				scraping, sorting, and stacking soiled tableware and for transferring clean
				tableware to the using areas. A lavatory shall be conveniently available with
				wrist, knee, or foot controls.
(8)
				Pot washing facilities with a three (3) compartment sink.
(9) Sanitizing facilities and storage areas
				for cans, carts, and mobile tray conveyers.
(10) Garbage storage facilities in a separate
				area, which is easily accessible to the outside for direct pickup or
				disposal.
(11) Toilet for dietary
				staff with hand washing facility immediately available.
(12) Janitors' closet for the dietary
				department shall be located in or adjacent to the department. It shall contain
				a floor receptor or service sink and storage space for housekeeping equipment
				and supplies used exclusively for the dietary department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-7 - Administrative and public areas

Current through Vol. 41, No. 20, July 1, 2024
The following areas shall be provided:
(1) Public lobby area including:
(A) Reception and information counter or
				desk.
(B) Waiting spaces.
(C)Public toilet facilities (handicapped
				accessible).
(D) Public
				telephone(s).
(E) Drinking
				fountain(s).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-8 - Linen service

Current through Vol. 41, No. 20, July 1, 2024
(a) If linen is to
				be processed on the site, the following shall be provided:
(1) Laundry processing room with hand washing
				facilities and commercial-type equipment, which can process seven (7) days'
				needs within a regularly scheduled workweek.
(2) Soiled linen receiving, holding, and
				sorting room with hand washing facilities.
(3) Storage for laundry supplies.
(4) Clean linen storage, issuing, and holding
				room separate from the soiled linen storage, processing and holding
				area.
(5) Janitors' closet
				containing a floor receptor or service sink and storage space for
				housekeeping.
(6) Sanitizing
				facilities and storage area for carts, unless a disposable bagging system is
				used.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-9 - Engineering service and equipment areas

Current through Vol. 41, No. 20, July 1, 2024
(a) Central Stores. General storage room(s)
				shall have a total area of not less than five (5) square feet per bed and
				should be generally concentrated in one (1) area.
(b) Room(s) or separate building(s) for
				boilers, mechanical equipment, and electrical equipment shall not be used for
				storage.
(c) Waste Processing
				Services. Storage and Disposal. Space and facilities shall be provided for the
				sanitary storage and disposal of waste by incineration, mechanical destruction,
				compaction, containerization, removal or by a combination of these
				techniques.
Added at 21 Ok Reg 1303,
				  eff 5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-12 - Plumbing and other piping systems

Current through Vol. 41, No. 20, July 1, 2024
(a)
				All plumbing systems shall be designed and installed in accordance with the
				requirements of the appropriate edition of the International Plumbing
				Code.
(b) Plumbing Fixtures.
(1) The material used for plumbing fixtures
				shall be of non-absorption and acid-resistant material.
(2) The water supply spout for lavatories and
				sinks required in patient care areas shall be mounted so that its discharge
				point is a minimum distance of one (1) inch above the rim of the fixture. All
				fixtures shall be trimmed with valve, which can be operated without the use of
				hands. Where blade handles are used for this purpose, they shall not exceed
				four and one-half (4 1/2) inches in length, except that handles on clinical
				sinks shall be not less than six (6) inches long.
(3) Clinical sinks shall have an integral
				trap in which the upper portion of a visible trap seal provides a water
				surface.
(4) Shower bases and tubs
				shall provide no slip surfaces for standing patients. All towel bars shall be
				of the handicapped type meeting the two hundred fifty pound (250 lb.) dead load
				requirement. Shower curtain rods shall be of rigid metal and anchored to insure
				a two hundred fifty pound (250 lb.) dead load is met.
(5) Floor and wall penetrations by pipes,
				ducts, and conduits shall be tightly sealed to minimize entry of rodents and
				insects. Joints of structural elements shall be similarly sealed.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-13 - Electrical requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) All
				electrical requirements shall comply with National Electrical Code (NEC) as
				adopted.
(b) Receptacles
				(Convenience Outlets)
(1) Patient room. Each
				patient room shall have duplex grounding type receptacles as follows: one (1)
				located near the head of each bed; one (1) for television if used; and at least
				one (1) on each wall.
(2)
				Corridors. Duplex receptacles for general use shall be installed approximately
				fifty feet (50' 0") apart in all corridors and within twenty-five feet (25' 0")
				of ends of corridors.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-14 - Physical plant requirements for facilities with three (3) beds or less

Current through Vol. 41, No. 20, July 1, 2024
(a) This section shall be applicable to small
				homes serving three (3) or less residents. Homes qualifying under this section
				shall be exempt from other sections of this subchapter except as may be
				specifically referenced in this section.
(b) The requirements of
				310:661-8-1 are
				applicable except as follows:
(1) These
				requirements are intended as minimum standards for constructing and equipping a
				hospice inpatient facility projects containing, at a maximum, three (3)
				beds.
(2) All new and renovation
				projects shall comply with the applicable sections of International Residential
				Code as required for residential construction.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 662 - Home Care Agencies › Subchapter 1 - General Provisions › Section 310:662-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The purpose of this Chapter is to establish the minimum
				  criteria for the issuance, maintenance and renewal of a home care agency
				  license and the procedure for enforcement thereto.
Added at 11 Ok Reg 3185,
				  eff 6-27-94
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 662 - Home Care Agencies › Subchapter 2 - Licenses › Section 310:662-2-1 - Licensure

Current through Vol. 41, No. 20, July 1, 2024
(a)
Base of operation.
Any home
				care agency providing home care services in Oklahoma shall operate from a place
				of business which is accessible to the public and physically located in
				Oklahoma. Staff providing services from each home care agency shall be
				supervised by personnel at that location.
(b)
Applicant.
Any person,
				corporation, partnership, association or other legal entity desiring to obtain
				a license to establish, or to obtain a renewal license to operate, a home care
				agency in this State shall make application to the State Department of Health
				in such form and accompanied by such information as the State Commissioner of
				Health shall prescribe. All applications shall include disclosure statements
				completed by the applicant which shall include, but not be limited to, the
				following information:
(1) The full name and
				address of the applicant, and all affiliated persons;
(2) The full name and address of any legal
				entity in which the applicant holds a debt or equity interest of at least five
				percent (5%) or which is a parent company or subsidiary of the
				applicant;
(3) A description of any
				ongoing organizational relationships as they may affect operations within the
				state;
(4) The names, locations,
				and dates of ownership, operation, or management for all current and prior home
				care agencies owned, operated or managed in this State or in any other State by
				the applicant or by any affiliated persons;
(5) The name and location of the home care
				agency for which a license is sought;
(6) The full name and address of the
				applicant, and all affiliated persons, under whose ownership, operation,
				management, or supervision the home care agency will be conducted;
				and
(7) An affidavit attesting to
				the information provided.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 662 - Home Care Agencies › Subchapter 3 - Administration › Section 310:662-3-1 - Licensure [AMENDED AND RENUMBERED TO 310:662-2-1]

Current through Vol. 41, No. 20, July 1, 2024
Added at 11 Ok Reg 3185,
				  eff 6-27-94; Amended at 11 Ok Reg 4641, eff 8-15-94 (emergency); Amended at 12
				  Ok Reg 3442, eff 5-10-95 (emergency); Amended at 12 Ok Reg 2789, eff 7-27-95;
				  Amended and renumbered to 310:662-2-1 at 14 Ok Reg 2111, eff 4-7-97
				  (emergency); Amended and renumbered to 310:662-2-1 at 14 Ok Reg 2274, eff
				  6-12-97