reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0307 - REPEALED - NURSING SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10; S.L. 2013-366, s.
					 4(c);
Eff. February 1, 1976;
Readopted Eff. December
					 19, 1977;
Amended Eff. October 1, 2015; December 1,
					 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0308 - REPEALED - QUALITY ASSURANCE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10; S.L. 2013-366, s.
					 4(c);
Eff. October 1, 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0309 - REPEALED - LABORATORY SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10; S.L. 2013-366, s.
					 4(c);
Eff. February 1, 1976;
Readopted Eff. December
					 19, 1977;
Amended Eff. October 1, 2015; July 1, 1994; December 1,
					 1989; October 28, 1981;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0310 - REPEALED - EMERGENCY BACK-UP SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10; S.L. 2013-366, s.
					 4(c);
Eff. February 1, 1976;
Readopted Eff. December
					 19, 1977;
Amended Eff. October 1, 2015; July 1, 1994; December 24,
					 1979;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0311 - REPEALED - SURGICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Amended Eff. October 1, 2015; July 1, 1994; December 1, 1989; November 1, 1984;
					 September 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0312 - REPEALED - MEDICATIONS AND ANESTHESIA

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 14-45.1(g);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Readopted Eff. February 1, 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0313 - REPEALED - POST-OPERATIVE CARE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Amended Eff. October 1, 2015; December 24, 1979;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0314 - REPEALED - CLEANING OF MATERIALS AND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0315 - REPEALED - HOUSEKEEPING

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Amended Eff. August 1, 2019; October 1, 2015; December 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0316 - REPEALED - FOOD SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Amended Eff. January 1, 1990;
Readopted Eff. February 1,
					 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0317 - EXPIRED - OWNERSHIP

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0318 - EXPIRED - GOVERNING AUTHORITY

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0319 - EXPIRED - POLICIES AND PROCEDURES AND ADMINISTRATIVE RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0320 - EXPIRED - ADMISSION AND DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0321 - EXPIRED - MEDICAL RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0322 - EXPIRED - PERSONNEL RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0323 - EXPIRED - NURSING SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0324 - EXPIRED - QUALITY ASSURANCE

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0325 - EXPIRED - LABORATORY SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0326 - EXPIRED - EMERGENCY BACK-UP SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0327 - EXPIRED - SURGICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0328 - EXPIRED - MEDICATIONS AND ANESTHESIA

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0329 - EXPIRED - POST-OPERATIVE CARE

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0330 - EXPIRED - CLEANING OF MATERIALS AND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0300 - GOVERNING AUTHORITY › Section 14E .0331 - EXPIRED - FOOD SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0400 - MEDICAL STAFF › Section 14E .0401 - REPEALED - QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0400 - MEDICAL STAFF › Section 14E .0402 - REPEALED - FILE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 14-45.1(a);
					 143B-10;
Eff.
					 February 1, 1976;
Readopted Eff. December 19, 1977;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0400 - MEDICAL STAFF › Section 14E .0403 - EXPIRED - QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter E - LICENSURE OF SUITABLE FACILITIES FOR THE PERFOMANCE OF SURGICAL ABORTIONS › Section .0400 - MEDICAL STAFF › Section 14E .0404 - EXPIRED - FILE

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1200 - CERTIFICATION › Section 14F .1201 - CERTIFICATE

Current through Register Vol. 39, No. 2, July 15, 2024
The named person(s) and the street address of the named
					 premises shall appear on the certificate.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1200 - CERTIFICATION › Section 14F .1202 - CERTIFICATION PROCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To initiate the
				  certification process, an application for certification shall be filed with the
				  Department by the owner of the cardiac rehabilitation services.
(b) Application forms shall be available from
				  the Department, and each application shall contain at least the following
				  information:
(1) legal identity of the
				  owner-applicant;
(2) name or names
				  under which the facility or services are advertised or presented to the
				  public;
(3) program mailing
				  address;
(4) program exercise
				  site;
(5) program telephone
				  number;
(6) ownership
				  disclosure;
(7) name of program
				  director;
(8) name of medical
				  director; and
(9) program hours of
				  operation.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1200 - CERTIFICATION › Section 14F .1203 - CERTIFICATE RENEWAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A certificate
				  issued pursuant to
				  G.S.
				  131E-167 and this Subchapter shall expire one
				  year after the effective date of the certificate, but may be renewed upon the
				  re-evaluation of the program. To initiate the renewal process, an application
				  for certification shall be filed in accordance with Rule.1202 of this
				  Subchapter.
(b) Determination of
				  compliance with the provisions of
				  G.S.
				  131E-167 and this Subchapter for purposes of
				  certificate renewal may be based upon an inspection or upon review of requested
				  information submitted by a program to the Department in accordance with
				  Rule.1205 of this Subchapter.
Authority
					 G.S.
					 131E-167;
					 131E-169;
Eff. July
					 1, 2000;
Readopted Eff. June 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1200 - CERTIFICATION › Section 14F .1204 - CERTIFICATION FOLLOWING PROGRAM CHANGES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Department shall be notified, in writing, at least 30 days prior to the
				  effective date, of any expected occurrences of the following:
(1) change in program ownership;
(2) change in program name;
(3) change of the premises in which a program
				  is conducted; and
(4) the
				  replacement or termination of employment of the program director.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1200 - CERTIFICATION › Section 14F .1205 - INSPECTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In accordance
				  with G.S.
				  131E-167(c), inspection(s)
				  shall be made by the Department before a program is issued its initial
				  certification as a program defined in the Article.
(b) The Department shall make or cause to be
				  made such other inspections of a program as it deems necessary in accordance
				  with the Article. Circumstances which may be deemed to necessitate an
				  inspection include, but are not limited to:
(1) change in program ownership;
(2) change in program name;
(3) change of the premises in which a program
				  is conducted;
(4) the replacement
				  or termination of employment of the program director; and
(5) investigation of complaints.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1200 - CERTIFICATION › Section 14F .1206 - ADVERSE ACTION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon a
				  determination that there has been a substantial failure to comply with the
				  provisions of the Article or the rules contained in this Subchapter, the
				  Department may, at its discretion, deny a new or renewal certificate, suspend
				  or revoke an existing certificate, or, as enumerated in Paragraph (c) of this
				  Rule, issue a provisional certificate.
(b) Substantial noncompliance which has
				  endangered, or has a potential to endanger the health, safety, or welfare of
				  any patient, shall be cause for the denial, revocation, or suspension of a
				  certificate.
(c) Substantial
				  noncompliance which does not endanger the health, safety, or welfare of the
				  patients being served may, at the discretion of the Department, result in the
				  issuance of a provisional certificate for a period not to exceed six
				  months.
Authority
					 G.S.
					 131E-168;
					 131E-169;
Eff. July
					 1, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1300 - ADMINISTRATION › Section 14F .1301 - STAFF REQUIREMENTS AND RESPONSIBILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Each program shall be conducted utilizing an interdisciplinary team composed of
				  a program director, medical director, nurse, program staff, mental health
				  professional, dietitian or nutritionist, supervising physician, physician
				  assistant or nurse practitioner, and a DVRS or other vocational rehabilitation
				  counselor. The program may employ (full-time or part-time), or contract for the
				  services of team members. Program staff shall be available to patients to
				  perform initial assessments and to implement each patient's cardiac
				  rehabilitation care plan.
(b)
				  Individuals may perform multiple team functions listed in this Rule, if within
				  their scope of practice as determined by their respective occupational
				  licensing board:
(1) Program Director -
				  supervises program staff and directs all facets of the program.
(2) Medical Director - physician who provides
				  medical assessments and is responsible for supervising all clinical aspects of
				  the program and for assuring the availability of emergency procedures,
				  equipment, testing equipment, and personnel.
(3) Nurse - provides nursing assessments and
				  services.
(4) Program Staff -
				  provides an exercise assessment and plans and evaluates exercise therapies in
				  consultation with the medical director.
(5) Mental Health Professional - directly
				  provides or assists the interdisciplinary team in completion of the mental
				  health screening and referral, if further mental health services are
				  necessary.
(6) Dietitian or
				  Nutritionist - directly provides or assists the interdisciplinary team in
				  completion of the nutrition assessment and referral, if further nutrition
				  services are necessary.
(7)
				  Supervising Physician, Physician Assistant, or Nurse Practitioner - medical
				  person who is on-site during the hours of operation of programs that are not
				  located within a hospital.
(8) DVRS
				  or other Vocational Rehabilitation Counselor - screens patients who may be
				  eligible for and interested in vocational rehabilitation services, develops
				  assessment and intervention strategies, and provides other services to meet the
				  vocational goal(s) of those patients.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1300 - ADMINISTRATION › Section 14F .1302 - POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
The program director shall assure that written policies and
					 procedures are adopted by the program, approved by the medical director, and
					 available to and implemented by staff. At a minimum, these policies and
					 procedures shall include the following areas:
(1) admission of patients and orientation to
				  the program;
(2) patient
				  assessment, care planning, and implementation of therapies;
(3) patient follow-up evaluations, including
				  progress toward cardiac rehabilitation goals;
(4) patient discharge;
(5) medical records, in accordance with Rule
				  .2002 of this Subchapter;
(6)
				  orientation of all program personnel;
(7) maintenance of personnel records which
				  include job descriptions, verification of credentials, continuing education and
				  current competencies;
(8) use and
				  orientation of volunteers;
(9)
				  communication with patient's referral and personal physicians;
(10) provisions for reporting and
				  investigating complaints and accidental events regarding patients, visitors and
				  personnel (incidents) and corrective action taken;
(11) emergency procedures;
(12) a preventative maintenance program to
				  assure all equipment is maintained in safe and proper working order and in
				  accordance with the manufacturer's recommendations; and
(13) quality improvement program.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1300 - ADMINISTRATION › Section 14F .1303 - CONTINUOUS QUALITY IMPROVEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  cardiac rehabilitation program shall have an ongoing Continuous Quality
				  Improvement (CQI) program which identifies quality deficiencies and addresses
				  them with corrective plans of action, as indicated.
(b) The CQI program shall evaluate the
				  appropriateness, effectiveness, and quality of the cardiac rehabilitation
				  program, with findings used to verify policy implementation, to identify
				  problems, and to establish problem resolution and policy revision as
				  necessary.
(c) The CQI program
				  shall consist of an overall policy and administration review, including
				  admission and discharge policies, emergency care, patient records, personnel
				  qualifications and program evaluation. Data to be assessed shall include, at a
				  minimum, the following:
(1) number of
				  patients in the program;
(2)
				  average length (weeks) patients are in the program;
(3) patient clinical outcomes;
(4) adequacy of staff to meet program/patient
				  needs;
(5) reasons for discharge;
				  and
(6) untoward events.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1400 - PATIENT RIGHTS › Section 14F .1401 - PATIENT RIGHTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Prior to or at
				  the time of admission, the program shall provide each patient with a written
				  notice of the patient's rights and responsibilities. The program shall maintain
				  documentation at least five years showing that patients have been informed of
				  their rights and responsibilities.
(b) Each patient's rights and
				  responsibilities shall include the right to:
(1) be informed of and participate in
				  developing the patient's plan of care;
(2) file a grievance about the care provided,
				  and not be subjected to discrimination or reprisal for doing so;
(3) have his or her records kept
				  confidential;
(4) be informed with
				  notice of the patient's liability for payment for services;
(5) be informed of the process for acceptance
				  and continuation of service and eligibility determination;
(6) accept or refuse services; and
(7) be advised of the program's procedures
				  for discharge.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1500 - ADMISSION AND DISCHARGE › Section 14F .1501 - ADMISSION AND DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All patients
				  admitted to the program shall have a referral from a physician.
(b) Prior to discharging a patient, the
				  interdisciplinary team shall develop a discharge plan. At a minimum, the
				  discharge plan shall include instructions as to how to achieve or maintain the
				  goals established in the cardiac rehabilitation care plan.
(c) Upon discharge from the program, a
				  discharge summary as outlined in Rule.2002(a)(10) of this Subchapter, shall be
				  sent to the personal or referring physician.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1600 - PATIENT ASSESSMENT › Section 14F .1601 - PATIENT ASSESSMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Within five
				  weeks of a patient's admission to the program, the interdisciplinary team shall
				  complete and document a cardiac rehabilitation assessment. At a minimum, the
				  assessment shall include the components specified in this Rule.
(b) Medical Assessment shall include:
(1) cardiovascular evaluation as to present
				  diagnosis, therapy, and a discharge summary of the patient=s last
				  hospitalization; or
(2) statement
				  by referring physician as to present diagnosis, and therapy;
(3) resting 12-lead ECG;
(4) medical record documentation prior to or
				  during the first exercise session of ECG, hemodynamic data, and the presence or
				  absence of symptoms, preferably determined by a graded exercise test. A graded
				  exercise test shall not be required when deemed unnecessary by the patient's
				  attending or personal physician or the program's medical director;
(5) fasting blood chemistry, as indicated, to
				  include total cholesterol, high density lipoprotein (HDL) cholesterol, low
				  density lipoprotein (LDL) cholesterol, triglycerides, and other comparable
				  measures; and
(6) simple
				  spirometry, if clinically indicated.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1700 - CARE PLANNING AND FOLLOW-UP EVALUATION › Section 14F .1701 - CARE PLANNING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Within five
				  weeks of a patient's admission to the program, the interdisciplinary team shall
				  develop a cardiac rehabilitation care plan for the patient based upon
				  assessments completed as required under Section.1600 of this
				  Subchapter.
(b) The cardiac
				  rehabilitation care plan, at a minimum, shall include:
(1) the patient's exercise therapy;
(2) nutrition services, if
				  indicated;
(3) mental health
				  services, if indicated;
(4)
				  vocational services if, indicated;
(5) educational counseling;
(6) cardiac rehabilitation goals;
				  and
(7) discharge
				  planning.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1700 - CARE PLANNING AND FOLLOW-UP EVALUATION › Section 14F .1702 - FOLLOW-UP EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  interdisciplinary team members shall attend monthly meetings for follow-up
				  evaluation of patients' progress toward cardiac rehabilitation goals. Changes
				  to each patient's cardiac rehabilitation care plan shall be made as needed
				  based on continued evaluations. Any changes made in the patient's cardiac
				  rehabilitation care plan shall be recorded in the medical record and sent to
				  the patient's personal and referring physician(s).
(b) If any staff member cannot attend, the
				  reason for the absence and the means of communicating information prior to and
				  after the meeting shall be documented.
(c) The personal and referring physician(s)
				  shall be informed of any complication or change in patient status while in the
				  program.
(d) Progress notes shall
				  be recorded in the patient's medical record evaluating progress toward goals
				  established from the plan of care.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1800 - PROVISION OF SERVICES › Section 14F .1801 - PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) At least one
				  ACLS trained and one other staff member shall be present at the site during all
				  program hours.
(b) For cardiac
				  rehabilitation programs that are not located within a hospital or a hospital
				  emergency resuscitation team is not available to respond in an emergency, a
				  supervising physician, physician assistant, or nurse practitioner shall be
				  on-site during all program hours.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1800 - PROVISION OF SERVICES › Section 14F .1802 - EXERCISE THERAPY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The medical
				  director, in consultation with program staff, shall establish staff to patient
				  ratios for exercise therapy sessions based on medical acuity, utilizing an
				  acceptable risk stratification model.
(b) The patient's first exercise session
				  shall include an objective initial assessment of hemodynamic data, ECG, and
				  symptom response data.
(c) The
				  patient's exercise therapy shall be developed based on needs identified by the
				  initial assessment. Guidelines regarding exercise testing and prescription for
				  exercise therapy are identified in the American College of Sports Medicine
				  10th edition, incorporated herein by reference
				  including subsequent amendments and editions. Copies of the American College of
				  Sports Medicine guidelines are available from
				  http://www.acsmstore.org/ProductDetails.asp?ProductCode=9781496339072 at a cost
				  of forty seven dollars and ninety nine cents ($47.99). The following chapters
				  of these guidelines apply to the cardiac rehabilitation program:
(1) Chapters 3 through 7 that describe the
				  "Pre-exercise Evaluation," "Health-Related Physical Fitness Testing and
				  Interpretation," "Clinical Exercise Testing and Interpretation," "General
				  Principles of Exercise Prescription," and "Exercise Prescription for Healthy
				  Populations with Special Considerations;" and
(2) Chapter 9 that describes "Exercise
				  Prescription for Patients with Cardiac, Peripheral, Cerebrovascular and
				  Pulmonary Disease."
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1800 - PROVISION OF SERVICES › Section 14F .1803 - NUTRITION SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
If indicated, based on the nutrition assessment and cardiac
					 rehabilitation care plan, each patient's program shall include the following
					 nutrition services:
(1) interpretation
				  and feedback on the patient's eating patterns, blood chemistries,
				  anthropometrics, and behavioral patterns;
(2) identification of a therapeutic diet plan
				  to determine, at a minimum, a reasonable body weight, caloric, and fat
				  intake;
(3) patient counseling or
				  behavior modification based on the therapeutic diet plan and goals.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1800 - PROVISION OF SERVICES › Section 14F .1804 - MENTAL HEALTH SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
If indicated, based on the mental health assessment and
					 cardiac rehabilitation care plan, each patient's program shall include the
					 following mental health services:
(1)
				  feedback from mental health assessment to the patient; and
(2) present mental health functioning and
				  need for referral to a mental health professional for evaluation or
				  treatment.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1800 - PROVISION OF SERVICES › Section 14F .1805 - VOCATIONAL REHABILITATION COUNSELING AND SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  cardiac rehabilitation program shall have a written agreement, with the local
				  DVRS office or other vocational rehabilitation counselor/services, which
				  specifies the following:
(1) The program
				  shall administer a Vocational Questionnaire to patients.
(2) After administering the Vocational
				  Questionnaire, the program shall refer to the DVRS or other vocational
				  rehabilitation counselor/services patients who may be eligible for and desire
				  services.
(3) The DVRS or other
				  vocational rehabilitation counselor shall provide feedback to the cardiac
				  rehabilitation program regarding the eligibility for DVRS or other vocational
				  services of referred patients.
(4)
				  The DVRS or other vocational rehabilitation counselor shall provide progress
				  reports for patients who are receiving DVRS or other vocational rehabilitation
				  services.
(5) The DVRS or other
				  vocational rehabilitation counselor shall attend monthly staff meetings in
				  which eligible vocational rehabilitation clients are discussed. If the
				  counselor cannot attend, the reason for the absence and the means of
				  communicating information prior to and after the meeting shall be documented
				  and attached to the staffing report.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1800 - PROVISION OF SERVICES › Section 14F .1806 - PATIENT EDUCATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each patient's
				  cardiac rehabilitation care plan shall include participation in the program's
				  basic education plan. At a minimum, the education plan shall include the
				  following topics:
(1) basic anatomy,
				  physiology, and pathophysiology of the cardiovascular system;
(2) risk factor reductions, including smoking
				  cessation and management of blood pressure, lipids, diabetes, and
				  obesity;
(3) principles of behavior
				  modification including nutrition, exercise, stress management and other
				  lifestyle changes;
(4) relaxation
				  training offered at least once per week by staff trained in relaxation
				  techniques;
(5) cardiovascular
				  medications including compliance, interactions, and side effects;
(6) basic principles of exercise physiology,
				  guidelines for safe and effective exercise therapy, and guidelines for
				  vocational/recreational exertional activities;
(7) recognition of cardiovascular signs,
				  symptoms and management; and
(8)
				  environmental considerations such as exercise in hot or cold
				  climates.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1900 - EMERGENCIES › Section 14F .1901 - EMERGENCY PLAN

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall establish and maintain a written plan
					 signed and approved by the medical director to address emergencies occurring on
					 site while cardiac rehabilitation services are being provided. All areas of the
					 premises necessary for program operation shall be included. The plan shall
					 address the assignment of personnel and availability of equipment required in
					 an emergency.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Readopted Eff. June 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1900 - EMERGENCIES › Section 14F .1902 - EMERGENCY EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
The following equipment and supplies must be available and
					 operable in the event of an emergency and must be maintained according to
					 manufacturer's recommendations:
(1)
				  suction equipment (portable);
(2)
				  defibrillator (portable);
(3)
				  intubation equipment;
(4)
				  medications;
(5) oxygen tank
				  supply;
(6) regulator and mask for
				  nasal cannula; and
(7)
				  communication system to access emergency medical services.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1900 - EMERGENCIES › Section 14F .1903 - EMERGENCY DRILLS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Quarterly
				  patient emergency drills shall be conducted by the cardiac rehabilitation
				  program each year when patients are on site and shall be documented by the
				  program director or designee.
(b)
				  Drill sites shall be rotated through all locations used by patients while
				  participating in program activities.
(c) The drill documentation and results of
				  emergency drills shall be reviewed, signed, and dated by the medical director
				  or supervising physician in accordance with hospital or cardiac rehabilitation
				  program policy.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Readopted Eff. June 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .2000 - MEDICAL RECORDS › Section 14F .2001 - POLICIES AND PROCEDURES FOR MEDICAL RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
The program shall develop and implement policies and
					 procedures to include at least the following:
(1) maintenance of a complete, accurate, and
				  organized medical record for each patient admitted to the program;
(2) confidentiality of records;
(3) accessibility of medical record
				  information to the patient, program staff, and non-employees; and
(4) authentication of entries in medical
				  records including hard copy records and those kept in electronic medium such as
				  computerized records.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .2000 - MEDICAL RECORDS › Section 14F .2002 - CONTENT OF MEDICAL RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The medical
				  record shall contain at least the following information:
(1) patient identification data;
(2) medical history and, when applicable,
				  hospital discharge summary;
(3)
				  graded exercise data, if available;
(4) resting 12-lead ECG;
(5) signed physician referral;
(6) records of blood chemistry
				  analyses;
(7) signed informed
				  consent to participate in the program;
(8) progress notes and response to the
				  cardiac rehabilitation care plan;
(9) all records of each discipline's
				  participation in the patient's cardiac rehabilitation care plan;
(10) a discharge summary which describes the
				  patient's progress while in the program, reason(s) for discharge, the
				  post-discharge plan, and follow-up as indicated;
(11) miscellaneous clinical records developed
				  pursuant to the patient's course of treatment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .2100 - FACILITIES AND EQUIPMENT › Section 14F .2101 - PHYSICAL ENVIRONMENT AND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  program shall provide a clean and safe environment. For the purposes of this
				  Rule, "clean and safe" means visibly free of soil, and other debris, and
				  maintained in an orderly condition where there are no obstacles that would
				  present risks to the individuals at the facility.
(b) Equipment and furnishings shall be
				  cleaned between patients in accordance with manufacturer's instructions and the
				  cardiac rehabilitation program's procedures for infection control and universal
				  precautions.
(c) A written and
				  documented preventative maintenance program shall be established to ensure that
				  all equipment is calibrated and maintained in safe and proper working order in
				  accordance with manufacturers' recommendations.
(d) There shall be emergency access to all
				  areas a patient may enter, and floor space shall allow access of personnel and
				  equipment.
(e) Exit signs and an
				  evacuation plan shall be posted and clearly visible to program patients, staff,
				  and visitors. The evacuation plan shall detail evacuation routes for patients,
				  staff, and visitors in case of fire or other emergency.
(f) No smoking shall be permitted in the
				  facility.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Readopted Eff. June 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .2100 - FACILITIES AND EQUIPMENT › Section 14F .2102 - GRADED EXERCISE TESTING LABORATORY

Current through Register Vol. 39, No. 2, July 15, 2024
If the program performs graded exercise testing, the
					 following facilities and equipment shall be available:
(1) space for physical examination which
				  allows for visual privacy;
(2)
				  adequate space and temperature and humidity controls for exercise as described
				  under Rule.2101 of this Subchapter;
(3) 12-lead ECG equipment for recording the
				  ECG during exercise testing;
(4)
				  oscilloscope for ECG monitoring or continuous recording;
(5) treadmill, bicycle ergometer, or arm
				  crank ergometer;
(6) blood pressure
				  cuff and stethoscope;
(7) emergency
				  procedures, equipment, and supplies as described in Section.1900 of this
				  Subchapter; and
(8) access to
				  spirometer for pulmonary function testing.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.