New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 404 - INTEGRATED OUTPATIENT SERVICES › Section 404.10 - Environment

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The minimum
					 physical plant requirements necessary for certification for existing facilities
					 to provide integrated care services are described herein. Providers licensed or
					 certified by a state licensing agency after the effective date of this Part
					 that wish to provide integrated care services or anticipate new construction or
					 significant renovations shall comply with the requirements under Part 711
					 (General Standards of Construction) and Part 715 (Standards of Construction for
					 Freestanding Ambulatory Care Facilities) of Title 10 of New York Codes, Rules
					 and Regulations.
(b) Outpatient
					 clinic sites proposing to integrate services pursuant to these standards must
					 currently be in compliance with the applicable state licensing agency's
					 environmental standards currently governing the site.
(c) Standards for Integrated Care Services
					 Clinics. In addition to being in compliance with the applicable state licensing
					 agency's environmental standards currently governing the site as required under
					 subdivision (b) of this section, integrated services providers shall meet the
					 following requirements:
(1) General Facility
					 Requirements
(i) A current and accurate floor
					 plan, specifying room locations, dimensions and functions will be provided to
					 each applicable state licensing agency. Program space, except medical
					 examination and treatment rooms, may be shared between certified outpatient
					 services pursuant to an approved schedule. Individual and group rooms shall not
					 be utilized for multiple services simultaneously.
(ii) An adequately furnished waiting area
					 shall be available to those waiting for services and shall be supervised to
					 control access to the facility. There shall be sufficient separation and
					 supervision of various treatment groups (e.g. children) to ensure
					 safety.
(iii) Accessibility for
					 person with disabilities, including availability of accessible bathroom
					 facilities.
(iv) Sufficient space
					 for individual and group sessions consistent with the number of people served
					 and the service offered shall be available. Space shall afford visual and
					 acoustical privacy for both individuals served and staff.
(v) Sufficient and appropriate furnishings
					 and program related equipment and materials for the population
					 served.
(vi) Areas for the proper
					 storage, preparation and use or dispensing of medications and medical supplies
					 and equipment shall be made available. Sharps containers shall be provided and
					 secured, syringes and other supplies should be securely stored, and provisions
					 for holding medical waste are required.
(vii) Controlled access to and maintenance of
					 records and confidentiality of all patient information.
(viii) Annual inspection and testing of the
					 existing fire alarm system, including battery operated smoke detectors, fire
					 extinguishers, emergency lighting systems, illuminated exit signs and
					 environmental controls and heating/cooling systems shall be
					 conducted.
(ix) Facilities shall be
					 maintained in a clean and responsible manner which protects the health and
					 safety of all occupants.