New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.9 - Operating revenue-daily hospital services

Current through Register Vol. 46, No. 28, July 10, 2024
[3211]
This group of accounts (3000-3990)
						  is used to report the gross revenue, measured in terms of the hospital's full
						  established rates, earned from daily hospital services rendered to inpatients.
						  These revenues must be reported at the hospital's full established rates,
						  regardless of the amounts actually collected.
(b) Daily hospital services generally are
						those services included by the provider in a daily service charge-sometimes
						referred to as the "room and board" charge. Included in daily hospital services
						are the regular room, dietary and nursing services, minor medical and surgical
						supplies, medical social services, and the use of certain equipment and
						facilities for which the hospital does not customarily make a separate
						charge.
(c) Daily hospital services
						are categorized into broad areas: acute care, intensive care, nursery, and
						sub-acute care.
(d)
Acute
						Care.
This group of accounts (3010 - 3290) is used to report
						  the gross revenues, measured in terms of the hospital's full established rates
						  earned from daily hospital services provided to patients who are in an acute
						  phase of illness but not to the degree which requires the concentrated and
						  continuous observation and care provided in the intensive care units of a
						  hospital.
(e)
Intensive Care.
(1) This group of
						accounts (3310 - 3490) is used to report the gross revenues measured in terms
						of the hospital's full established rates earned from inpatients who require
						extraordinary observation and care on a concentrated basis.
(2) The intensive care unit must meet the
						following conditions:
(i) The unit must be
						physically and identifiably separate from other areas. There cannot be a
						concurrent sharing of nursing staff between an intensive care type unit and
						units or areas furnishing different levels or types of care. However, two or
						more intensive care type units that concurrently share nursing staff can be
						reported as one combined intensive care type unit if all other criteria are
						met. Float nurses (nurses who work in different units on an as-needed basis)
						can be utilized in the intensive care type unit.
(ii) There must be specific written policies
						that include criteria for admission to, and discharge from, the unit.
(iii) Registered nursing care must be
						furnished on a continuous 24-hour basis. At least one registered nurse must be
						present in the unit at all times.
(iv) A minimum nurse/patient ratio of one
						nurse to two patients per patient day must be maintained. Included in the
						calculation of this nurse/patient ratio are registered nurses, licensed
						vocational nurses, licensed practical nurses, and nursing assistants who
						provide patient care. Not included are general support personnel such as ward
						clerks, custodians and housekeeping personnel.
(v) The unit must be equipped with, or have
						available for immediate use, lifesaving equipment necessary to treat the
						critically ill patients for which it is designed. This equipment may include,
						but is not limited to, respiratory and cardiac monitoring equipment,
						respirators, cardiac defibrillators, and wall or canister oxygen and compressed
						air.