reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.3 - Surgery services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) a surgeon or anesthesiologist who meets
					 the definition of a qualified specialist, and is licensed by and currently
					 registered with the New York State Education Department, is responsible for the
					 surgery service and may fulfill the requirement for medical director;
(b) all surgical procedures are performed in
					 accordance with current standards of professional practice;
(c) all tissues removed during surgery are
					 examined by a qualified pathologist, except for those exempted by the operator
					 on recommendation of the medical staff consistent with current standards of
					 professional practice; and
(d)
					 blood and blood products are maintained and used in accordance with Subpart
					 58-2 of this Title and are administered by only physicians or registered
					 professional nurses.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.4 - Anesthesia services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) an anesthesiologist, licensed by and
					 currently registered with the New York State Education Department, and who
					 meets the definition of a qualified specialist, is responsible for the
					 anesthesia services and may fulfill the requirement for medical
					 director;
(b) administration of
					 anesthesia is in accordance with current standards of professional
					 practice;
(c) anesthesia is
					 administered by only a qualified anesthesiologist, or a physician or dentist
					 qualified to administer anesthesia, or a certified registered nurse
					 anesthetist;
(d) when nonphysicians
					 administer anesthesia, the anesthetist must be under the direct personal
					 supervision of a qualified physician, who may be the operating
					 surgeon;
(e) the person
					 administering the anesthesia, other than local anesthesia, is not the operating
					 surgeon; and
(f) a physician
					 examines each patient immediately prior to surgery to evaluate the risk to
					 anesthesia and the procedure to be performed.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.5 - Nursing services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) nursing services are staffed to assure
					 that the nursing needs of all patients are met;
(b) patient care responsibilities are
					 delineated in writing for all nursing service personnel;
(c) nursing services are provided in
					 accordance with current standards of professional practice;
(d) a registered professional nurse is in
					 charge of the nursing services in the operating room; and
(e) only registered professional nurses
					 function as circulating nurses in the operating room.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.6 - Patient admission and discharge

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) patients shall be admitted only under the
					 care of a licensed and currently registered physician or dentist, who shall be
					 a member of the staff. The patient's condition and provisional diagnosis shall
					 be established on admission by the patient's physician or dentist;
(b) the patient receives a history and
					 physical examination and preoperative studies. The data and information are
					 incorporated into the medical record prior to surgery;
(c) informed consent of the patient or, if
					 applicable, the patient's representative, is obtained before surgery;
(d) each patient is evaluated by a physician
					 or by an individual qualified to administer anesthesia as set forth in section
					 755.4(c) of this
					 Part for proper anesthesia recovery, and discharged upon the written order of a
					 physician;
(e) verbal instructions
					 understandable to the patient, confirmed by written instructions, are provided
					 to each patient at discharge, and include at least the following:
(1) information about complications that may
					 arise;
(2) telephone number(s) to
					 be used by the patient should complications or questions arise;
(3) directions for medications prescribed, if
					 any;
(4) date, time and location of
					 the follow-up visit or return visit; and
(5) designated place to go for treatment in
					 the event of emergency; and
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.7 - Medical record system

Current through Register Vol. 46, No. 28, July 10, 2024
In addition to the requirements of section
						751.7 of this Title, the medical
						record shall contain the following information:
(a) a history, physical examination,
					 pertinent preoperative diagnostic studies and a preoperative diagnosis
					 incorporated into the medical record prior to surgery;
(b) a record of any allergies and abnormal
					 drug reactions;
(c) evidence of the
					 appropriate written informed consent for surgery;
(d) preoperative and post-operative
					 instructions;
(e) anesthesia
					 record;
(f) an operative report
					 describing surgical procedures performed and findings, completed by the
					 individual performing the operation;
(g) post-operative follow-up report,
					 including any post-operative abnormalities or complications;
(h) pathology reports on anatomical parts and
					 tissues removed during surgery;
(i)
					 a discharge diagnosis; and
(j)
					 follow-up plans.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.8 - Emergency care

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) emergency supplies and equipment are
					 provided in accordance with the scope of surgical services provided at the
					 facility, and include at least the following:
(1) an emergency call system;
(2) oxygen;
(3) airways, manual breathing bag and
					 ventilator;
(4) cardiac
					 defibrillator;
(5) cardiac
					 monitoring equipment;
(6)
					 thoracotomy set;
(7) tracheostomy
					 set;
(8) laryngoscope and
					 endotracheal tubes;
(9) suction
					 equipment; and
(10) emergency drugs
					 and supplies as specified by the medical staff; and
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.9 - Quality assurance

Current through Register Vol. 46, No. 28, July 10, 2024
In addition to the requirements set forth in section
						751.8 of this Title, the operator
						shall ensure that there are reviews of the appropriateness and necessity of
						procedures performed, operative complications and circumstances leading to
						hospitalization.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.10 - Data requirements

Current through Register Vol. 46, No. 28, July 10, 2024
(a) All
					 facilities having freestanding ambulatory surgery services shall submit to the
					 department, for each patient visit to the service, the following information:
					 permanent facility identifier number assigned by the department; an
					 identity-shielded patient record number; the patient's birthdate, sex and ZIP
					 code; the date of the visit; the hour of the admission and discharge for the
					 visit; operating room time used; principal diagnosis code; principal procedure
					 code; other procedure code; primary reimbursement code; county of the patient's
					 residence; the disposition of the patient on discharge; physician's or
					 dentist's license number; and method of anesthesia and such additional elements
					 as are approved by the commissioner upon finding that they are recommended by
					 the National Uniform Billing Committee and the National Committee on Vital and
					 Health Statistics or are necessary for permitted uses of SPARCS data under
					 section 400.18(e) of this
					 Title.
(b) Facilities which are
					 using their own computer facilities to process and maintain such data, and
					 those with contracted services for the processing of such data, shall submit
					 such data in computer-readable format according to specifications provided by
					 the commissioner. Resulting reports and any hospital owned magnetic media will
					 be returned to the facility after use by the department.
(c) Facilities certified to provide
					 freestanding ambulatory surgery services shall submit such data within 30 days
					 of the end of each calendar quarter. Data will be submitted in the form and
					 manner prescribed by the commissioner.
(d) Facilities which do not submit corrected
					 data within 30 days of receipt of the department's error report concerning such
					 data will not be reimbursed under section
					 86-1.41 of this Title until
					 compliance with this section is certified by the commissioner or his
					 designee.
(e) Requests for deniable
					 individual or aggregate data or data reports based on data submitted pursuant
					 to this section shall be processed pursuant to section
					 400.18(e) of this
					 Title.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 755 - Free-standing And Off-site Hospital Based Ambulatory Surgery Services › Section 755.11 - Renumbered

Current through Register Vol. 46, No. 28, July 10, 2024
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 756 - Abortion Services › Section 756.1 - General requirements

Current through Register Vol. 46, No. 28, July 10, 2024
When abortion services are provided, the operator shall
						ensure that:
(a) the center complies
					 with the requirements set forth in section
					 755.3(b)-(d) and,
					 if there are anesthesia services, section
					 755.4, and also complies with
					 sections 755.6 through
					 755.8 of this Title;
(b) there is a documented plan and procedure
					 for the transfer of patients to a nearby hospital when hospitalization is
					 indicated. Such plans shall include arrangements for an ambulance service and,
					 when appropriate, escort of the patient to the hospital by a clinical staff
					 member of the abortion service; and
(c) services are provided in accordance with
					 current standards of professional practice.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 756 - Abortion Services › Section 756.2 - Medical director

Current through Register Vol. 46, No. 28, July 10, 2024
In addition to the requirements set forth in section
						751.4 of this Title, if the
						medical director is not an obstetrician/gynecologist who meets the definition
						of a qualified specialist as set forth in section
						700.2 of this Title, there shall
						be consultation from an obstetrician/gynecologist in the development of
						policies and procedures governing the provision of abortion
						services.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 756 - Abortion Services › Section 756.3 - Patient management

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) prior to the abortion service, the
					 patient receives a clinically relevant examination, which may be satisfied,
					 when clinically appropriate, through a review of the patient's medical history
					 and discussion of patient symptoms conducted through telemedicine. The results
					 of such examination shall be documented in the patient's medical
					 record;
(b) after a procedure, an
					 evaluation of the status of the patient is made and documented in the patient's
					 medical record;
(c) information and
					 counseling about methods of contraception are made available to all patients
					 who want such information;
(d)
					 referral is made to another facility for family planning services, if not
					 available at the center, and if desired by the patient; and
(e) a determination of blood group and Rh
					 type, if clinically indicated, is made in accordance with evidence based
					 clinical guidelines. If the use of Rh immune globulin is indicated and the
					 patient consents, an appropriate dosage is administered within 72 hours after
					 the termination of pregnancy.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 756 - Abortion Services › Section 756.4 - Health care practitioner services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) a health care practitioner licensed,
					 certified, or authorized under title eight of the education law, acting within
					 such practitioner's lawful scope of practice, performs the abortion;
					 and
(b) an abortion is performed
					 only when, according to the practitioner's reasonable and good faith
					 professional judgment based on the facts of the patient's case, the patient is
					 within twenty-four weeks from the commencement of pregnancy, or there is an
					 absence of fetal viability, or the abortion is necessary to protect the
					 patient's life or health.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 756 - Abortion Services › Section 756.5 - Nursing services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) nursing services are staffed to assure
					 that the nursing needs of all patients are met;
(b) patient care responsibilities are
					 delineated in writing for all nursing service personnel;
(c) as a minimum, a licensed nurse is present
					 in each treatment room when an abortion procedure is being performed;
(d) the recovery area is staffed to allow for
					 continual observation of post-procedure patients;
(e) if abortions are performed in operating
					 rooms, a registered professional nurse is in charge of the nursing services in
					 the operating rooms;
(f) if there
					 are rooms for post-operative recovery of patients, a registered professional
					 nurse is in charge of the nursing services for the recovery rooms to ensure
					 continual observation of post-operative patients; and
(g) only registered professional nurses
					 function as circulating nurses in the operating room.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 756 - Abortion Services › Section 756.6 - Quality assurance

Current through Register Vol. 46, No. 28, July 10, 2024
In addition to the requirements set forth in section
						751.8 of this Title, the operator
						shall ensure that there is a review of any abortion procedure complication with
						the use of these findings in the development and revision of policies and in
						consideration of renewing or granting staff privileges.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 757 - Chronic Renal Dialysis Services › Section 757.1 - Codes and Standards

Current through Register Vol. 46, No. 28, July 10, 2024
Operators of chronic renal dialysis centers shall comply
						with the codes and standards referred to in this section. Nothing herein shall
						preclude the operator of a chronic renal dialysis center from exceeding any
						codes and standards relating to the quality of care set forth in this Part. If
						a conflict occurs between the codes and standards set forth herein, or between
						them and regulations found elsewhere in this Chapter, the operator of a chronic
						renal dialysis center shall comply with the more restrictive requirement. The
						following codes and standards are hereby incorporated by reference, with the
						same force and effect as if fully set forth at length herein. Copies of such
						codes and standards are available for inspection and copying at the Regulatory
						Affairs Unit, New York State Department of Health, Corning Tower, Empire State
						Plaza, Albany, NY 12237. Copies are also available from the publisher or
						issuing organization at the addresses listed below.
(a) Title 42 of the Code of Federal
					 Regulations, Part 494, Conditions for Coverage for End-Stage Renal Disease
					 Facilities, 2008 edition, including all standards incorporated therein. These
					 regulations are published by the Office of the Federal Register National
					 Archives and Records Administration. Copies may be obtained from the
					 Superintendent of Documents, United States Government Printing Office,
					 Washington, D. C. 20402.
(b) In the
					 document entitled ''Guidelines for the Prevention of Intravascular Catheter
					 Related Infections'', the provisions entitled ''Recommendations for Placement
					 of Intravascular Catheters in Adults and Children'', Parts I -IV; and ''Central
					 Venous Catheters, Including PICCs, Hemodialysis and Pulmonary Artery Catheters
					 in Adult and Pediatric Patients'', pages 16 through 18, Morbidity and Mortality
					 Weekly Report, volume 51, number RR-10, August 9, 2002. This publication is
					 available for inspection at the CMS Information Resource Center, 7500 Security
					 Boulevard, Central Building, Baltimore, MD or at the National Archives and
					 Records Administration, United States Government Printing Office, Washington,
					 D. C. 20402.
(c) ''Recommendation
					 for Preventing Transmission of Infections Among Chronic Hemodialysis
					 Patients'', developed by the Centers for Disease Control and Prevention,
					 Morbidity and Mortality Weekly Report, volume 50, number RR05, April 27, 2001.
					 This publication is available for inspection at the CMS Information Resource
					 Center, 7500 Security Boulevard, Central Building, Baltimore, MD or at the
					 National Archives and Records Administration, United States Government Printing
					 Office, Washington, D. C. 20402.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 757 - Chronic Renal Dialysis Services › Section 757.2 - Additional requirements for chronic renal dialysis centers

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Whenever
					 referred to in this Part, the following definitions shall have the following
					 meanings
(1) Dialysis station means an
					 individual patient treatment area that accommodates the dialysis equipment and
					 the routine and emergency care indicated, and is sufficiently separate from
					 other dialysis stations to afford protection from cross-contamination with
					 blood-borne pathogens. A hemodialysis station shall be equipped with a chair or
					 a bed, a hemodialysis machine, and access to a purified water source and
					 dialysate concentrates.
(2)
					 End-Stage Renal Disease (ESRD) network means entities contracted with the
					 federal government that collect and share data and other information with the
					 Centers for Medicare and Medicaid Services (CMS), New York State and chronic
					 renal dialysis centers within a specific geographic area.
(3) Chronic renal dialysis center means an
					 ambulatory care facility approved by CMS to provide chronic renal dialysis
					 services and licensed by the New York State Department of Health to provide
					 such services.
(4) Home dialysis
					 means dialysis provided at home by a patient or care partner who is trained by
					 a registered professional nurse to deliver dialysis (peritoneal or
					 hemodialysis) treatments at the patient's place of residence. The nurse
					 responsible for home dialysis training must be a registered professional nurse
					 who meets the licensure and practice requirements of New York State, has 12
					 months experience providing nursing care and 3 months experience working as a
					 nurse in the specific dialysis modality (peritoneal or hemodialysis).
(5) Dialysate means aqueous fluid containing
					 electrolytes and, usually, dextrose, which is intended to exchange solutes with
					 blood during hemodialysis. It is the fluid made from water and concentrates
					 delivered to the dialyzer by the dialysate supply system.
(6) Product water means water produced by a
					 water treatment system or by an individual component of a system.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 758 - Outpatient Rehabilitation Services For Persons With Head Injury › Section 758.1 - Definition of services

Current through Register Vol. 46, No. 28, July 10, 2024
Outpatient head injury rehabilitation services shall mean
						comprehensive services provided on an outpatient basis to persons with
						traumatic head injuries, who have residual cognitive and behavioral deficits
						and functional disabilities. The facility shall provide services which include
						goal directed assessment, treatment and support services for the purpose of
						preventing or minimizing chronic disabilities, restoring the individual to the
						optimal level of physical, cognitive and behavioral functioning, or maintaining
						optimal functional abilities. These services are a necessary part of a
						continuum of care of rehabilitative services which are provided to persons with
						head injuries who no longer are in need of inpatient rehabilitative services,
						but who are still in need of care and services provided in an ambulatory
						setting. Services shall be provided in accordance with the requirements set
						forth in this Part and in Parts 751 and 752 of this Title. Outpatient services
						may be provided on a full day, half day or less than half day basis, depending
						on the needs of the individuals.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 758 - Outpatient Rehabilitation Services For Persons With Head Injury › Section 758.2 - General requirements

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure:
(a) that in addition to the requirements in
					 section 751.5 of this Title, policies and
					 procedures shall include the program goals and objectives, a description of the
					 program, the type of patients served, admission criteria used to determine the
					 appropriateness of an applicant and discharge criteria;
(b) that services shall be provided in an
					 environment which is consistent with the behavior and cognitive limitations of
					 individuals with head injuries and shall be provided in accordance with current
					 standards of professional practice;
(c) distraction free treatment rooms shall be
					 available for all treating services;
(d) there is ongoing inservice training, and
					 that continuing education shall be conducted on a regular basis for all
					 personnel caring for such patients;
(e) the development and consistent
					 application of written admission and discharge criteria for this service which
					 include but are not limited to:
(1) patients
					 admitted have traumatically acquired head injuries or have diffuse brain damage
					 caused by such factors as anoxia, toxic poisoning, cerebral vascular accident,
					 or encephalitis which resulted in residual cognitive and behavioral deficits
					 and functional disabilities, and who have been considered appropriate for an
					 outpatient head injury rehabilitation program;
(2) patients admitted have potential for
					 functional improvement or need to minimize chronic disability or are in need of
					 diagnostic assessment;
(3) services
					 offered by the program must be appropriate and necessary to meet the patients'
					 needs and level of recovery or functioning; and
(4) patients admitted must not be in need of
					 inpatient rehabilitative care.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 758 - Outpatient Rehabilitation Services For Persons With Head Injury › Section 758.3 - Management and staffing

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) an individual shall be designated as
					 program director who has administrative responsibility for the outpatient head
					 injury program;
(b) an individual
					 with experience and training in the treatment of head injured individuals shall
					 be designated as having clinical management responsibility and for ensuring
					 appropriateness and quality and continuity of care provided by the head injury
					 program. If this is not the medical director of the facility, the individual
					 shall be accountable to the medical director for quality of care;
(c) assessment and treatment shall be
					 provided by an interdisciplinary care team who have training and experience in
					 treatment of individuals with head injuries, as needed to manage the
					 functional, behavioral and cognitive needs of individuals served and to carry
					 out the goals and objectives of the program;
(d) the service shall provide or make formal
					 arrangements for vocational rehabilitation, special education, rehabilitation
					 engineering or other services as needed;
(e) case management shall be provided which
					 shall:
(1) ensure the coordination of
					 treatment;
(2) provide ongoing
					 contact with third party payors;
(3) advocate for the patient and provide
					 linkage to support services in the community, communicate with other agencies
					 and insure an appropriate plan for follow-up care;
(4) serve as liaison among patient, family
					 and staff to ensure that patient and family concerns are addressed;
					 and
(5) include documented
					 follow-up after discharge at three, six and 12 months to assess the patient's
					 response to the discharge plan;
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 758 - Outpatient Rehabilitation Services For Persons With Head Injury › Section 758.4 - Interdisciplinary care planning

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall ensure that:
(a) each patient is assessed upon admission
					 by the physician to determine appropriateness for admission, care to be
					 rendered and services needed. The assessment shall include a physical
					 examination, medical history, medication review, summary of treatment to date,
					 assessment of current conditions and the patient's response to therapeutic
					 interventions;
(b) an initial
					 functional assessment of the patient is performed by the interdisciplinary team
					 members within two weeks of admission; and
(c) a written comprehensive care plan for
					 each patient, based upon initial and ongoing interdisciplinary assessments,
					 which establishes rehabilitation goals and objectives, and which specifies
					 which professional staff are responsible for care consistent with their scope
					 of practice and expertise, including timeframes for accomplishment of goals,
					 shall be developed and implemented. The care plan shall be reviewed at least
					 every 30 days and modified by the team according to the patient's needs. The
					 care plan shall address at a minimum the following areas: medical assessment,
					 physical function, cognitive function, psychosocial function, independent
					 living skills, vocational and educational information and discharge
					 planning.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
As used in this Part, unless the context otherwise
						requires:
(a) For purposes of this
					 Part, AIDS shall mean acquired immune deficiency syndrome and other human
					 immunodeficiency virus (HIV) related illnesses.
(b) Registrant means a person who either has
					 AIDS or HIV-related illness or is otherwise considered to be part of a
					 high-need population that, regardless of HIV status and in the discretion of
					 the Commissioner, would benefit from receiving adult day health care services
					 and:
(1) who is not a resident of a
					 residential health care facility, is functionally impaired and not homebound,
					 and requires certain preventive, diagnostic, therapeutic, rehabilitative or
					 palliative care or services but does not require the continuous 24-hour-a-day
					 inpatient care and services provided by a general hospital, or residential
					 health care facility;
(2) whose
					 assessed social and health care needs can satisfactorily be met, in whole or in
					 part, by the delivery of appropriate services in the community setting;
					 and
(3) who has been accepted by an
					 adult day health care program based on an authorized practitioner's order or a
					 referral from a managed care organization or care coordination model and a
					 comprehensive assessment conducted by the adult day health care program or by
					 the managed care organization or care coordination model.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.2 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
(1) The operator of a diagnostic and
					 treatment center or a residential health care facility may provide adult day
					 health care services to registrants when approved pursuant to Part 710 of this
					 Title.
(2) A diagnostic and
					 treatment center or a residential health care facility which has been approved
					 by the Department to operate an adult day health care program at its primary
					 site may provide adult day health care services at an extension site approved
					 by the Department under the provisions of section
					 710.1 of this Title.
(3) A diagnostic and treatment center or a
					 residential health care facility which does not operate an adult day health
					 care program at its primary site may provide such a program at an extension
					 site approved by the Department in accordance with section
					 710.1 of this Title if there is
					 not sufficient suitable space within the center or residential health care
					 facility to accommodate a full range of adult day health care program
					 activities and services. The Department may conduct an onsite survey of the
					 extension clinic or offsite location of the residential health care facility to
					 determine whether the facility space and/or location is suitable for an adult
					 day health care program.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.3 - Changes in existing program

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 Applications for approval of changes in the program, including but not limited
					 to substantial changes in the physical plant, space and utilization thereof,
					 the extent and type of services provided, and the program's registrant
					 capacity, must be submitted to the Department in writing and must conform to
					 the provisions of Part 710 of this Title.
(b) Written requests for additional program
					 sessions must be based on the number and need of registrants and be approved by
					 the Department.
(c) An operator may
					 not discontinue the operation of services to registrants without:
(1) receiving written approval from the
					 Commissioner in accordance with Part 710 of this Title. The application to
					 discontinue services must set forth the specific intended date of
					 discontinuance and the intended plans for alternate services to
					 registrants;
(2) notifying each
					 registrant and coordinating with the registrant's managed care organization,
					 care coordination model, or primary care physician regarding the development of
					 suitable plans for alternate services for each registrant; and
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.4 - General requirements

Current through Register Vol. 46, No. 28, July 10, 2024
(a) An
					 operator must:
(1) provide services to
					 registrants consistent with the requirements of this Title and Part and other
					 applicable statutes and regulations;
(2) provide appropriate staff, equipment,
					 supplies and space as needed for the administration of the adult day health
					 care program in accordance with the requirements of this Part. Such staff are
					 to be experienced in the care and management of persons with AIDS or
					 HIV-related illness as well as in the care and management of other high-need
					 populations that may be registrants of the program. Equipment and space are to
					 be sufficient to meet the assessed needs of registrants, including sufficient
					 bath and toilet facilities, pursuant to Part 714 of this Title;
(3) provide each registrant with a copy of a
					 bill of rights specific to the operation of the adult day health care program.
					 These rights include, but are not limited to:
(i) confidentiality, including confidential
					 treatment of all registrant records;
(ii) freedom to voice grievances about care
					 or treatment without discrimination or reprisal;
(iii) protection from physical and
					 psychological abuse;
(iv)
					 participation in developing the comprehensive care plan;
(v) receiving written notification by the
					 program at admission and following the continued stay evaluation of the
					 services the registrant shall receive while attending the adult day health care
					 program; and
(vi) freedom to decide
					 whether or not to participate in any given activity.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.6 - Comprehensive care planning

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
					 operator shall:
(1) develop a comprehensive
					 care plan based on the comprehensive assessment required by this Part and, when
					 applicable, a transfer or discharge plan, for each registrant within five
					 visits or within 30 days after registration, whichever is earlier. The adult
					 day health care program and the referring managed care organization or care
					 coordination model must be sure to coordinate with each other regarding the
					 development of a registrant's comprehensive care plan;
(2) designate staff members to ensure the
					 completion of the comprehensive care plan with the participation of consultants
					 in the medical, social, paramedical and related fields as
					 appropriate;
(3) ensure that the
					 comprehensive registrant care plan includes for each registrant:
(i) designation of a professional person to
					 be responsible for coordinating the comprehensive care plan;
(ii) the registrant's pertinent diagnoses,
					 including mental health status; types of equipment and services required; case
					 management; frequency of planned visits; prognosis; rehabilitation potential;
					 functional limitations; planned activities; nutritional requirements;
					 medications and treatments; necessary measures to protect against injury;
					 instructions for discharge or referral if applicable; orders for therapy
					 services, including the specific procedures and modalities to be used and the
					 amount, frequency, and duration of such services; and any other appropriate
					 item;
(iii) the medical and nursing
					 goals and limitations anticipated for each registrant and, as appropriate, the
					 nutritional, social, rehabilitative and leisure time goals and
					 limitations;
(iv) the registrant's
					 potential for remaining in the community;
(v) transportation arrangements;
					 and
(vi) a description of all
					 services to be provided to the registrant by the program, informal supports and
					 other community resources pursuant to the comprehensive care plan, and how such
					 services will be coordinated;
(4) ensure that development and modification
					 of the comprehensive care plan is coordinated with other health care providers
					 outside the program who are involved in the registrant's care.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.7 - Registrant continued stay evaluation

Current through Register Vol. 46, No. 28, July 10, 2024
The operator, directly or through the managed care
						organization or care coordination model that referred the registrant to the
						adult day health care program, must ensure that a written comprehensive
						assessment and evaluation is completed pursuant to section
						759.5 of this Part at least once
						every six months for each registrant, addressing the appropriateness of the
						registrant's continued stay in the program. Such assessment and evaluation is
						to address, at a minimum:
(a) a
					 reassessment of the registrant's needs, including an interdisciplinary
					 evaluation of the resident's need for continued services;
(b) the appropriateness of the registrant's
					 continued stay in the program;
(c)
					 the necessity and suitability of services provided; and
(d) the potential for transferring
					 responsibility for or the care of the registrant to other more appropriate
					 agencies or service providers.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.8 - Registrant services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must provide or arrange for services
						appropriate to each registrant in accordance with the comprehensive assessment
						conducted and comprehensive care plan developed by the adult day health care
						program or by the managed care organization or care coordination model that
						referred the registrant to the adult day health care program. The following
						registrant services shall be provided on-site, as appropriate, to each
						registrant in accordance with the individual's multidisciplinary assessment of
						needs and comprehensive care plan:
(a)
					 medical services provided by the operator, which, without limiting its
					 responsibility for the operation and management of the program, must:
(1) assign to the operator's medical board,
					 medical advisory committee, medical director or consulting practitioner the
					 following responsibilities regarding registrants of the program:
(i) developing and amending clinical
					 policies;
(ii) supervising medical
					 services;
(iii) advising the
					 operator regarding medical and medically related problems;
(iv) establishing procedures for emergency
					 practitioner coverage, records and consultants; and
(v) establishing professional relationships
					 with other institutions and agencies, such as general hospitals, rehabilitation
					 centers, residential health care facilities, home health agencies, hospital
					 outpatient departments, clinics and laboratories;
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.9 - Medical record system

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must:
(a) maintain a medical record system that
					 contains a record, including a current comprehensive care plan for each
					 registrant, in accordance with accepted professional standards of practice and
					 the medical records system section of this Title. Each registrant's medical
					 record shall contain, as a minimum:
(1)
					 identification and admission information, including:
(i) all details of the referral and
					 registration;
(ii) identification
					 of next of kin, family and sponsor;
(iii) the person or persons to be contacted
					 in the event of emergency;
(iv)
					 accident and incident reports;
(v)
					 non-medical correspondence and papers pertinent to the registrant's
					 participation in the program; and
(vi) a fiscal record including copies of all
					 agreements or contracts;
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.10 - General records system

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must:
(a) maintain on the premises of the program
					 or facility the following written records, which must be easily retrievable and
					 must include, but not be limited to, the following:
(1) a chronological admission register
					 consisting of a daily chronological listing of registrants admitted by name
					 with relevant clinical and social information about each, including as a
					 minimum, name, address, next of kin, attending practitioner, principal
					 diagnosis, and the place from which each registrant was admitted;
(2) a chronological discharge register
					 consisting of a daily chronological listing of registrants discharged by name,
					 the reason for discharge and the place to which the registrant was discharged;
					 and
(3) a daily census record
					 consisting of a summary report of the daily registrant census with cumulative
					 figures for each month and each year.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.11 - Confidentiality of records

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall keep confidential and make available
						only to authorized persons all medical, social, personal and financial
						information relating to each registrant.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.12 - Quality assessment and assurance

Current through Register Vol. 46, No. 28, July 10, 2024
The facility shall establish and maintain a coordinated
						quality assessment and assurance program that integrates the review activities
						of facility services to enhance the quality of life and registrant care and
						treatment.
(a) Facility-wide quality
					 assurance. Quality assurance shall be the responsibility of all staff, at every
					 level, at all times. Supervisory personnel alone cannot ensure quality of care
					 and services. Such quality must be a part of each individual's approach to his
					 or her daily responsibilities.
(b)
					 Quality assessment and assurance committee. The facility shall maintain a
					 quality assessment and assurance committee consisting of at least the
					 following:
(1) the program
					 director;
(2) the licensed master
					 social worker;
(3) a registered
					 nurse designated by the facility;
(4) at least three other members of facility
					 staff.