reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-42 - Quality assessment and performance improvement - freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) As part of the quality assessment and
			 performance improvement program required under rule
			 3701-83-12
			 of the Administrative Code, each freestanding 
								birthing center
			 shall evaluate the provision of 
			 services 
								to the 
								mothers and newborns who receive
			 care from the center. The evaluation  shall, at a minimum,
			 include:
(1) Development and evaluation of
			 risk criteria for determining eligibility for admission to and
			 the continuation of care
			 for a mother and newborn in the birth center program of care;
(2) Documentation and review of complications
			 and adverse events which 
									arise during the provision of the center's
			 services including complications of pregnancy, labor and
			 the postpartum period;
(3) Review and evaluation of the management
			 of care;
(4) Evaluation of the
			 appropriateness of diagnostic and screening procedures including laboratory
			 studies, sonography, and non-stress tests;
(5) Evaluation of the appropriateness of
			 medications prescribed, dispensed or administered in the
			  center;
(6) Review of all transfers of mothers and
			 
									newborn to a hospital, health
			 care provider, or other health care setting  to determine the appropriateness and quality of
			 
									each
			 transfer;
(7) Development of
			 discharge criteria for  mother and the
			 newborn patients served by the center;
(8) Regular review of medical records
			 including a review 
									of legibility and
			 completeness;
(9) Annual review of
			 all protocols, policies and procedures relating
			 to maternal and newborn care provided by the
			 center;
(10) Review of the
			 maternal and newborn assessment procedures as they impact on quality of care
			 and cost to the patient;
(11)
			 Review of the provision of emergency services including services listed in
			 paragraph (C) of rule
			 3701-83-34
			 of the Administrative Code; and
(12) Evaluation of the center's compliance
			 with local, state, and federal requirements and
			 national standards of care related to the provision of care
			 to mothers and newborns.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-44 - General service standards - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding radiation therapy center shall evaluate the patient and assess
			 tumors.
(1) The evaluation shall be conducted
			 by the radiation oncologist and shall include a medical history, a physical
			 examination, a review of the patient's diagnostic studies and reports, and,
			 when appropriate, consultation by the radiation oncologist with the referring
			 physician.
(2) The assessment of
			 tumors shall include a definition of tumor location, and the extent and stage
			 of the tumor.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-45 - Personnel requirements and qualifications - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
(A) Each freestanding radiation therapy
			 center shall have an administrator.
(B) Each freestanding radiation therapy
			 center shall have a medical director who is a
			 radiation oncologist, nuclear medicine physician, radiologist, or other
			 authorized user, as defined in paragraph (I), (J), or
			 (K) of rule
			 3701-83-43
			 of the Administrative Code or rule
			 3701:1-58-40,
			 3701:1-58-51
			 or
			 3701:1-58-54
			 of the Administrative Code. The medical director shall:
(1) Approve specific duties that may be
			 performed by each member of the physics staff as specified
			 by the medical physicist under paragraph (E) of this rule; and
(2) Ensure appropriate coverage of the
			 radiation therapy center by radiation oncologists or other authorized users and
			 staff.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-46 - Treatment standards - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
(A)
								Each
			 freestanding radiation therapy center shall ensure that the radiation
			 oncologist establishes the doses desired throughout the tumor and
			 set dose limits to critical structures. Treatment deliveries shall meet the
			 specifications of the radiation oncologist.
(B)
								Each freestanding
			 radiation therapy center shall ensure all treatment applications
			 are
			 described in detail and signed by the radiation oncologist. The radiation
			 oncologist shall be notified of any changes that may be necessary in the
			 planned schedule of treatment.
(C)
			 Each freestanding radiation therapy center shall:
(1) Provide or arrange for appropriate
			 radiation treatment localization, simulation and verification;
(2) Provide or arrange for isodose treatment
			 planning with complex analyses generated in appropriate cases;
(3) Provide accurate calculation of doses and
			 dose distribution;
(4) Provide a
			 system for independently checking  initial dose calculations
			 through the use of another individual or an alternative
			 method approved and documented by the medical physicist. The check shall
			 be conducted before the third fraction, or before twenty
			 per
			 cent of the total dose when the treatment schedule provides less than ten
			 fractions. The verification
			 check must be documented in the patient's medical radiation treatment
			 record.
(5) Conduct ongoing
			 reviews of accumulating doses;
(6)
			 Conduct a chart and port film review weekly;
(7) Accurately chart treatment doses;
			 and
(8) Maintain records of all
			 data used in planning the specific treatment for a patient in the patient's
			 medical record.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-47 - Radiation safety standards - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding radiation therapy center shall maintain and follow written
			 policies and procedures for the handling of emergencies which may threaten the
			 health and safety of patients, staff, or the general public.
(B) Each freestanding radiation therapy
			 center shall comply with the applicable provisions of Chapter 3748. of the
			 Revised Code and the rules adopted pursuant to that chapter.
(C) Each freestanding radiation therapy
			 center shall identify, document, and report to the department:
(1)
									Medical
			 events involving radiation treatment with radiation therapy equipment in
			 accordance with rule
			 3701:1-67-12
			 of the Administrative Code; or
(2)
			 Medical events involving radioactive material
			 therapeutic administration in accordance with rule
			 3701:1-58-101
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-48 - Equipment standards - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding radiation therapy center shall have the necessary equipment to
			 provide services with accuracy, precision, and efficiency. Each freestanding
			 radiation therapy center shall:
(1) Provide,
			 either on-site or by referral, for diagnostic services including computerized
			 tomography (CT), magnetic resonance imaging (MRI), fluoroscopy, nuclear
			 medicine, and clinical and surgical pathology; and
(2) Document arrangements for referrals to
			 one or more other radiation therapy sites so that the patients will have access
			 to a broad spectrum of radiation therapy equipment and a variety of treatment
			 modalities including at least brachytherapy and a unit of radiation therapy
			 equipment providing photons of at least ten megavolts (MV) and electron
			 energies to at least twelve megaelectron volts (MeV).
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-49 - Medical record - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
In addition to the requirements of rule
				3701-83-11
				of the Administrative Code, each freestanding radiation therapy center shall
				maintain documentation of the following in each patient's medical
				record:
(A) Confirmation of the
			 presence of malignancy by histopathology, or a statement of benign condition,
			 or other alternative evidence for diagnosis of all cases accepted for
			 radiation;
(B) Documentation of
			 the services and radiographic images, including
			 localization films, appropriate to the therapy provided;
(C) Report of the initial evaluation
			 including a definition of the tumor location and the extent of each cancer as a
			 basis for staging;
(D) The
			 treatment plan including the selection of dose, selection of treatment
			 modality, and selection of treatment technique;
(E) The dosimetry calculations;
(F) The patient's progress and tolerance
			 throughout treatment; and
(G) The
			 completion of treatment including the follow-up plan
			 required by rule
			 3701-83-44
			 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-50 - Quality assessment and performance improvement program - freestanding radiation therapy centers

Current through all regulations passed and filed through July 1, 2024
As part of the quality assessment and
				performance improvement program requirements under paragraph (C) of rule
				3701-83-12
				of the Administrative Code, each freestanding radiation therapy center shall
				evaluate the provision of radiation therapy services. The review shall
				include:
(A)
								A review of case management and treatment results;
			 and
(B)
								A review of complications and adverse events which
			 occurred during the provision of the center's services.
Replaces: 3701-83-50
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-51 - Definitions - freestanding diagnostic imaging centers

Current through all regulations passed and filed through July 1, 2024
As used in rules 3701-83-51 to
				3701-83-55
				of the Administrative Code:
(A)
			 "Authorized user" means a physician who meets the definition of authorized user
			 in rule
			 3701:1-58-01 of the
			 Administrative Code for the specified modality.
(B)
								"Certified
			 nurse-midwife" or "CNM" means an individual licensed as an advanced practice
			 registered nurse under Chapter 4723. of the Revised Code and designated as a
			 certified nurse-midwife under section
			 4723.42 of
			 the Revised Code working in collaboration with one or more physicians and in
			 accordance with a standard care arrangement.
(C)
								"Certified nurse
			 practitioner" or "CNP" means an individual licensed as an advanced practice
			 registered nurse under Chapter 4723. of the Revised Code and designated as a
			 certified nurse practitioner under section
			 4723.42 of
			 the Revised Code working in collaboration with one or more physicians and in
			 accordance with a standard care arrangement.
(D) "Chiropractic
			 radiologist" means a chiropractor with:
(1)
			 Diplomat status by the American chiropractic board of radiology; and
(2) CT and MRI credentialing by the American
			 chiropractic board of radiology.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-52 - Personnel and staffing requirements - freestanding diagnostic imaging centers

Current through all regulations passed and filed through July 1, 2024
(A) Each
			 freestanding or mobile diagnostic imaging center shall have a radiologist,
			 nuclear medicine physician, authorized user, physician acting within their
			 scope of practice, or chiropractic radiologist, as appropriate to the
			 diagnostic imaging services being offered, that has overall responsibility for
			 the diagnostic imaging services being provided by the freestanding or mobile
			 diagnostic imaging center.
(B) Each
			 freestanding or mobile diagnostic imaging center shall have;
(1)
									A physician on
			 site when anesthesia, other than local anesthesia, is being administered;
			 and
(2)
									One of the following on site when local anesthesia or
			 diagnostic imaging contrast are being administered:
(a)
										A
			 physician;
(b)
										A certified nurse practitioner;
(c)
										A certified
			 nurse-midwife;
(d)
										A certified nurse specialist; or
(e)
										A physician
			 assistant.
(3)
									If the administration of local anesthesia or diagnostic
			 imaging contrast agents are being supervised by a certified nurse practitioner,
			 clinical nurse specialist, certified nurse-midwife, or physician assistant, the
			 approval for the supervision of the administration of the local anesthesia or
			 diagnostic imaging contrast shall be documented in the standard care
			 arrangement or supervision agreement.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-53 - Service standards and equipment - freestanding diagnostic imaging centers

Current through all regulations passed and filed through July 1, 2024
(A) Each freestanding or mobile diagnostic
			 imaging center shall have equipment necessary to provide services with
			 accuracy, precision, and efficiency, as evidenced
			 by all of the following:
(1) All diagnostic imaging equipment
			 is
			 certified for clinical use by the United States food and drug
			 administration;
(2)
									The specifications and performance
			 of all
			 diagnostic imaging equipment meets all applicable state and federal
			 requirements; and
(3) The
			 center's development and maintenance of an
			 equipment management program that, at a minimum:
(a)
										Maintains a
			 current inventory of all diagnostic imaging equipment utilized by the
			 freestanding or mobile diagnostic imaging center;
(b)
										Maintains and identifies the
			 clinical applications, maintenance requirements, and equipment malfunction
			 history of all diagnostic imaging equipment utilized by the freestanding or
			 mobile diagnostic imaging center;
(c)
										Assesses the
			 clinical and physical risks of all fixed and mobile equipment utilized in the
			 provision of diagnostic imaging services;
(d)
										Includes the implementation of
			 establishedprocedures for the regular maintenance and testing of
			 equipment in accordance with manufacturer's guidelines; and
(e)
										Provides
			 appropriate equipment orientation and training programs
			 to
			 personnel who use or maintain the freestanding or mobile diagnostic imaging
			 center's equipment.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-54 - Medical records requirements - freestanding diagnostic imaging centers

Current through all regulations passed and filed through July 1, 2024
(A) In addition to
			 the general medical record requirements of rule
			 3701-83-11
			 of the Administrative Code, each freestanding or mobile diagnostic imaging
			 center shall maintain a diagnostic imaging radiology report for each patient,
			 which includes the following:
(1) Patient name
			 or identifier;
(2) Name of
			 referring physician, podiatrist, dentist, or chiropractor;
(3) Name of physician or chiropractic
			 radiologist conducting image interpretation;
(4) Name and type of diagnostic image
			 performed and any contrast media used;
(5) Date of image;
(6) Findings;
(7) Factors limiting interpretability of
			 exam;
(8) Pertinent clinical
			 issues; and
(9) Conclusion or
			 diagnosis.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-55 - Quality assessment and performance improvement- freestanding diagnostic imaging centers

Current through all regulations passed and filed through July 1, 2024
(A) As part of the quality assessment and
			 performance improvement program required under paragraph (C) of rule
			 3701-83-12
			 of the Administrative Code, each freestanding or mobile diagnostic imaging
			 center shall:
(1) Establish and maintain a
			 clinical image quality control program to monitor and document images repeated
			 due to poor image quality;
(2)
			 Monitor and evaluate the accuracy of image interpretations by:
(a) Establishing a clinical image review
			 program;
(b) Establishing policies
			 and procedures and the semiannual audit of a random, representative sample of
			 total clinical images performed at the center;
(c)
										Having a radiologist,
			 physician, or chiropractor perform a semiannual audit
			 of the image
			 interpretation under paragraphs (C)(2), (D)(2), (E)(2), and (F)(2) of
			 rule
			 3701-83-52
			 of the Administrative Code:
(i) Diagnostic
			 imaging centers under the operation of more than one physician or chiropractic
			 radiologist may conduct their own internal semiannual audit of a random sample
			 of clinical images.
(ii) Diagnostic
			 imaging centers operated by a single physician or chiropractic radiologist
			 shall provide for the external semiannual audit of a random sample of clinical
			 images. External audits shall not be conducted by an individual who is
			 associated with, or has a financial interest in the center.
(3) Monitor and evaluate
			 any problems associated with sedation, the administration of contrast agents,
			 and problems identified as part of the semiannual audit of a random sample of
			 clinical images.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-57 - Patient safety monitoring and evaluation - exempt freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each exempt freestanding birthing center
			 shall admit, retain, discharge and transfer patients in accordance with the
			 requirements of this rule to assure the safety of its patients.
(1) Exempt centers may admit, retain, and
			 provide care exclusively to women members of the religious denomination, sect,
			 or group that owns and operates the center who anticipate a low-risk pregnancy,
			 low-risk delivery and normal full-term spontaneous vaginal birth, and to their
			 newborns.
(2) Prior to admission,
			 each expectant mother shall be assessed by a physician, CNM, or midwife as
			 defined in paragraph (K) of rule
			 3701-83-56
			 of the Administrative Code to determine whether she is a low-risk pregnancy and
			 whether a low-risk and full-term, spontaneous vaginal delivery is anticipated.
(a) Exempt centers shall consult with a
			 physician before admitting or retaining an expectant mother exhibiting signs of
			 having other than a low-risk pregnancy or low-risk and full-term spontaneous
			 vaginal delivery, or an expectant mother who has had no prenatal
			 care.
(b) If the consulting
			 physician determines that the expectant mother may not have a low risk
			 pregnancy or low risk and full-term spontaneous vaginal delivery, the exempt
			 center shall not admit or retain the expectant mother.
(c) If the expectant mother presents at the
			 exempt center in actual labor or showing impending labor, and has had no
			 prenatal care, the expectant mother must be transferred to a hospital or other
			 health care facility or evaluated by a physician prior to admission to the
			 exempt center.
(3) Each
			 exempt center shall have in place an arrangement with a hospital,
									 other
			 appropriate health care setting, or provider for
			 the transfer of a mother or newborn in the event of medical complications,
			 emergency situations or as need arises.
(4) Except as set forth in paragraph (A)(5)
			 of this rule, each exempt center shall transfer the patient to a hospital,
									 other
			 approved health care setting or provider that can meet the needs of the patient
			 if medical intervention or non-routine technology is necessary. Medical
			 intervention or non-routine technology includes:
(a) Anesthetics other than local anesthetics
			 or pudendal block;
(b)
			 Pharmacological augmentation of labor; or
(c) Forceps or vacuum extraction.
(5) An exempt center is not
			 required to transfer a patient requiring medical intervention or non-routine
			 technology if the medical intervention or non-routine technology can be safely
			 and effectively performed by the physician who attends the birth and the
			 attending physician remains with the patient throughout active labor and the
			 immediate postpartum period.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-58 - Quality assessment and performance improvement - exempt freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
(A) Each exempt center shall monitor and
			 evaluate the provision of direct care services to its patients and shall
			 implement procedures to improve the quality of care and resolve identified
			 problems. The quality assessment shall, at minimum, include:
(1) The review of all transfers of patients
			 to a hospital or other health care setting; and
(2) The review of complications and adverse
			 events during the provision of the exempt center's services.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-59 - Compliance - exempt freestanding birthing center

Current through all regulations passed and filed through July 1, 2024
(A) If the director of health determines that
			 an exempt freestanding birthing center is no longer in compliance with
			 divisions (4) and (5) of section
			 3702.301 of the Revised Code or
			 rules
			 3701-83-57
			 and
			 3701-83-58
			 of the Administrative Code, the director may order the facility to come into
			 compliance.
(B) In the order, the
			 director may do any or all of the following:
(1) Identify which requirement the exempt
			 center is not in compliance with and what actions the center needs to take to
			 come into compliance;
(2) Require
			 that the exempt center come into compliance within a period specified in the
			 order;
(3) Require that the exempt
			 center provide the director with a written notice within a time period
			 specified in the order that contains all of the following:
(a) An attestation that the center has come
			 into compliance;
(b) The signature
			 of the exempt freestanding birthing center's administrator or medical director
			 and an attestation that the administrator or medical director, whomever signs
			 the notice, is the center's authorized representative;
(c) An attestation that the information
			 contained in the notice and any accompanying documentation are true and
			 accurate;
(d) Any other
			 information or documentation that the director may require to verify that the
			 center has come into compliance; and
(e) If the noncompliance pertains to patient
			 care, an attestation that the information or documentation provided has been
			 reviewed by the medical director or the consulting physician.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-60 - Health care facility quality standards for gender reassignment surgery and genital gender reassignment surgery for minors

Current through all regulations passed and filed through July 1, 2024
(A)
								As used in this
			 rule:
(1)
									"Biological sex," "birth sex," and "sex" mean the biological
			 indication of male and female, including sex chromosomes, naturally occurring
			 sex hormones, gonads, and nonambiguous internal and external genitalia present
			 at birth, without regard to an individual's psychological, chosen, or
			 subjective experience of gender.
(2)
									"Gender
			 reassignment surgery" means any surgery performed for the purpose of assisting
			 an individual with gender transition that seeks to surgically alter or remove
			 healthy physical or anatomical characteristics or features that are typical for
			 the individual's biological sex, in order to instill or create physiological or
			 anatomical characteristics that resemble a sex different from the individual's
			 birth sex, including genital or non-genital gender reassignment
			 surgery.
(3)
									"Gender transition" means the process in which an
			 individual goes from identifying with and living as a gender that corresponds
			 to his or her biological sex to identifying with and living as a gender
			 different from his or her biological sex, including social, legal, or physical
			 changes.
(4)
									"Genital gender reassignment surgery" means surgery
			 performed for the purpose of assisting an individual with gender transition and
			 includes both of the following:
(a)
										Surgeries that sterilize, such as castration,
			 vasectomy, hysterectomy, oophorectomy, orchiectomy, and penectomy;
			 or
(b)
										Surgeries that artificially construct tissue with the
			 appearance of genitalia that differs from the individual's biological sex, such
			 as metoidiplasty, phalloplasty, and vaginoplasty.
(5)
									"Health Care
			 Facility" means:
(a)
										An ambulatory surgical facility;
(b)
										A freestanding
			 dialysis center;
(c)
										A freestanding inpatient rehabilitation
			 facility;
(d)
										A freestanding birthing center;
(e)
										A freestanding
			 radiation therapy center;
(f)
										A freestanding or mobile diagnostic imaging
			 center.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-01 - General definitions

Current through all regulations passed and filed through July 1, 2024
As used in this chapter:
(A) "Accreditation award letter" means the
			 written survey findings concerning the provider of a health care service,
			 prepared by an entity that the director has determined as having standards and
			 a process for assessing compliance for a particular HCS which equals or exceeds
			 the applicable requirements of Chapter 3701-84 of the Administrative Code, that
			 documents compliance with the entity's standards.
(B) "Administrator" means the person
			 responsible for the overall daily management of the health care
			 service.
(C) "Anesthesiologist"
			 means a physician who has completed a residency training program in
			 anesthesiology accredited by the American council of graduate medical education
			 or the American osteopathic association.
(D) "
								Blood and marrow transplantation service"
			 also known as "hematopoietic stem cell transplantation"
			 or "(HSCT)" means the replacement or supplementation of a patient's bone
			 marrow with autologous or allogeneic hematopoietic stem cells when the
			 patient's own bone marrow has been ablated or partially ablated by disease or
			 therapy for the purpose of achieving long-term management of certain
			 hematologic, immunologic, oncologic or genetic conditions, or enzymatic
			 deficiency disease. A bone marrow transplantation service includes a service in
			 stem cell harvesting and reinfusion.
(E) "Autologous/syngeneic bone marrow
			 transplantation" means autologous, peripheral blood stem cell or syngeneic
			 transplants.
(F) "High-risk
			 allogeneic bone marrow transplantation" is determined
			 according to the combination of: hematopoietic cell transplant comorbidity
			 index (HCT-CI), performance status of recipient, and disease-risk index (DRI)
			 as defined by established criteria.
(G) "Chiropractor"
			 means a person licensed under Chapter 4734. of the Revised Code to practice
			 chiropractic care.
(H) "Department" or
			 "director" means the director of health or any official or employee of the
			 department designated by the director of health.
(I) "Health care
			 service" or "HCS" means any of the following:
(1) A heart, lung, liver, kidney, pancreas,
			 small bowel, or islet cell transplantation service or all combinations of solid
			 organ transplant services, collectively referred to as a solid organ transplant
			 service;
(2) A
			 blood and bone marrow transplant service, including stem cell harvesting and
			 reinfusion;
(3)
									
									An adult
			 cardiac catheterization service;
(4) An adult
			 open heart surgery service;
(5) A
			 pediatric intensive care service;
(6) A linear accelerator, cobalt radiation,
			 or gamma knife service;
(7) A
			 pediatric cardiac catheterization service;
(8) A pediatric cardiovascular surgery
			 service.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-02 - Applicability of rules

Current through all regulations passed and filed through July 1, 2024
(A) All health care services shall comply
			 with rules
			 3701-84-02 to
			 3701-84-14 of the Administrative
			 Code. In addition, all:
(1) Solid organ
			 transplant services shall comply with rules
			 3701-84-16 to
			 3701-84-21 of the Administrative
			 Code;
(2)
									Blood and
									
									bone marrow transplant services, including stem
			 cell harvesting and reinfusion, shall comply with rules
			 3701-84-24 to
			 3701-84-27 of the Administrative
			 Code;
(3) Adult cardiac
			 catheterization services shall comply with rules
			 3701-84-30 to
			 3701-84-34.2 of the Administrative
			 Code;
(4) Open heart surgery
			 services shall comply with rules
			 3701-84-36 to
			 3701-84-40 of the Administrative
			 Code;
(5) Pediatric intensive care
			 services shall comply with rules
			 3701-84-61 to
			 3701-84-65 of the Administrative
			 Code;
(6) Linear accelerator,
			 cobalt, and gamma knife services shall comply with 
									rule 3701-84-67
			  of the Administrative
			 Code;
(7) Pediatric cardiac
			 catheterization services shall comply with rules
			 3701-84-75 to
			 3701-84-79 of the Administrative
			 Code; and
(8) Pediatric
			 cardiovascular surgery services shall comply with rules
			 3701-84-81 to
			 3701-84-85 of the Administrative
			 Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-03 - General provisions and prohibitions

Current through all regulations passed and filed through July 1, 2024
(A) No person or agency of state or local
			 government shall operate a HCS that does not comply with the provisions of this
			 chapter of the Administrative Code.
(B) No person or agency of state or local
			 government shall:
(1) Interfere with an
			 inspection or investigation of a HCS by the director or the director's
			 designee. As used in this paragraph, "interfere" means to obstruct directly or
			 indirectly any individual conducting an authorized inspection or investigation
			 from carrying out their prescribed duties. Interference includes, but is not
			 limited to, harassment, intimidation, and refusal to permit the director or the
			 director's authorized representative upon presentation of official department
			 identification, for the purpose of inspecting or investigating the operation of
			 a HCS, to enter and inspect at any time the building or premises of a HCS, or
			 to enter and inspect records that are kept concerning the operations of the HCS
			 for information pertinent to the legitimate interests of the
			 department.
(2) Materially
			 misrepresent any information provided to the director pursuant to section
			 3702.16 of the Revised Code and
			 Chapter 3701-84 of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-04 - Health care service notification

Current through all regulations passed and filed through July 1, 2024
(A) At least thirty days prior to initiating
			 a new HCS or reactivating a discontinued or temporarily suspended HCS the
			  HCS shall notify the
			 director in writing, in a manner prescribed by the director, of its intentions
			 to initiate the service. This notice shall contain:
(1) The name, address, and telephone number
			 of the facility where the HCS is located;
(2) The type of HCS which the provider is
			 seeking to initiate including the scope of services to be provided;
			 and
(3) The projected date of
			 initiation.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-05 - Compliance actions

Current through all regulations passed and filed through July 1, 2024
(A) If  a HCS fails to comply with section
			 3702.14 of the Revised Code or
			 Chapter 3701-84 of the Administrative Code, the director
			 
								will
			 provide the HCS a reasonable and appropriate amount of time to correct the
			 violation and, in accordance with Chapter 119. of the Revised Code, may:
(1) Impose a civil penalty based on the
			 severity of the violation as follows:
(a) For
			 violations that present an imminent threat of serious physical or
			 lifethreatening danger, or an immediate serious threat to the
			 
										psychosocial health as defined
			 in paragraph (ZZ) or rule
			 3701-84-01 of the Administrative
			 Code, safety or security of patients, a civil penalty of not less than
			 one hundred thousand dollars and not more than two hundred and fifty thousand
			 dollars;
(b) For violations that
			 directly threaten physical or 
										psychosocial health, safety, or security of
			 patients, a civil penalty of not less than ten thousand dollars and not more
			 than one hundred thousand dollars;
(c) For violations that indirectly threaten
			 or potentially threaten the physical or 
										psychosocial health, safety, or security of patients,
			 a civil penalty of not less than one thousand dollars and not more than ten
			 thousand dollars; and
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-06 - Inspections and audits

Current through all regulations passed and filed through July 1, 2024
(A) The director may make announced or
			 unannounced inspections to determine and monitor compliance with section
			 3702.14 of the Revised Code and
			 the applicable requirements of Chapter 3701-84 of the Administrative
			 Code.
(B) If patient survival or
			 complications of the HCS are outside the industry norm or outside the range of
			 expected values, the director may conduct a review of the HCS or require the
			  HCS to contract for an
			 independent review of the HCS, to be performed by at least two experts that the
			 director has approved for the situation, to determine the probable cause of the
			 adverse outcomes and make recommendations for improvement.
(1) In determining whether to approve an
			 expert, the director 
									will consider the individual's knowledge and
			 expertise in the service area and affiliation with the provider of the
			 HCS;
(2) The contract shall require
			 a written report to be submitted to the director by the reviewers within one
			 hundred and twenty days of the director's notice to the HCS of the requirement
			 for a review;
(3) Based on the
			 findings of the review, the director may require the HCS to implement
			 recommendations of the experts; and
(4) The  HCS shall assume all costs of the review. The costs incurred
			 under this paragraph are not subject to or included in the maximum annual fees
			 specified in paragraph (G) of this rule.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-07 - Patient care policies

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall develop and follow comprehensive and effective patient
			 care policies that include the following requirements:
(1) Each patient shall be treated with
			 consideration, respect, and full recognition of dignity and individuality,
			 including privacy in treatment and personal care needs;
(2) Each patient shall give informed consent
			 and be allowed to refuse or withdraw consent for treatment or give conditional
			 consent for treatment. Written documentation of patient consent shall be
			 maintained in the patient's medical record;
(3) Each patient shall have access to his or
			 her medical record, unless access is specifically restricted by the attending
			 physician for medical reasons;
(4)
			 Each patient's medical and financial records shall be kept confidential;
			 and
(5) Upon request, each patient
			 shall receive a detailed explanation of charges including an itemized bill for
			 services received.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-08 - General personnel and staffing requirements

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall, based on the services provided and the number of
			 patients served, maintain a sufficient number of qualified staff members and
			 other personnel and  schedule
			  staff 
								in number and type
			 necessary to meet the needs of its patients in a timely manner. Each
			  HCS shall be responsible for
			 the care provided by the staff and personnel of that HCS.
(B) Each provider of a HCS shall
			 only utilize personnel to provide services who
			 have appropriate training and qualifications for the services that they
			 provide.
(1) Any staff member who functions in
			 a professional capacity 
									is obligated to meet the standards applicable to
			 that profession, including but not limited to, possessing a current Ohio
			 license, registration, or certification, if required by law, and working within
			 their scope of practice; and
(2)
									
									Each HCS shall have an established system of records
			 necessary for the director to ascertain that all individuals employed at the
			 
									HCS who
			 function in a professional capacity meet the standards applicable to that
			 profession.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-09 - General service standards

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall ensure that all staff members provide services in
			 accordance with:
(1) The patient's plan of
			 care;
(2) The policies and
			 procedures developed by the HCS;
(3) Applicable current and accepted standards
			 of practice and the clinical capabilities of the HCS;
(4) Applicable state and federal laws and
			 regulations; and
(5) The applicable
			 quality of care and safety standards set forth in this chapter.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-10 - General building and site requirements

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall ensure that the building or structure where the HCS is
			 located:
(1) Has a certificate of use from a
			 local, certified building department or by the department of commerce as
			 meeting applicable requirements of Chapters 3781., 3783., and 3791. of the
			 Revised Code and any rules adopted under them;
(2) Complies with the Ohio fire code;
			 and
(3) Complies with the
			 applicable provisions of Chapter 3737. of the Revised Code and the rules
			 adopted under it.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-11 - General medical records requirements

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall maintain a legible
			 medical record for each patient that is readily
			 accessible to staff for use throughout the course of the patient's treatment
			 that documents, in a timely manner and in accordance with acceptable
			 standards of practice, the patient's needs,
								 assessments, and services rendered.
(B) Each
			  HCS shall not disclose
			 individual medical records except as authorized by the patient or allowed by
			 state and federal laws and regulations, and the provisions of this
			 chapter.
(C) Each
			  HCS shall systematically
			 review records for conformance with acceptable standards of practice and the
			 requirements of Chapter 3701-84 of the Administrative Code.
(D) Each  HCS shall maintain an adequate medical record keeping system and
			 take appropriate measures to protect medical records against theft, loss,
			 destruction, and unauthorized use.
(E) Each HCS shall have policies and
			 procedures to ensure the confidentiality of patient medical records.
(F) Each  HCS shall maintain medical records as necessary to verify the
			 information and reports required by statute or regulation for six years from
			 the date of the patient's discharge.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-12 - General quality assessment and performance improvement

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall establish a quality assessment and performance
			 improvement program designed to:
(1)
			 Systematically monitor and evaluate the quality of patient care
			 provided;
(2) Pursue opportunities
			 to improve patient care;
(3) Ensure
			 compliance with the applicable quality standards set forth in this chapter;
			 and
(4) Resolve identified
			 problems.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-13 - Complaints

Current through all regulations passed and filed through July 1, 2024
(A) Each  HCS shall develop and follow policies and procedures to
			 effectively receive, investigate, and report findings of complaints regarding
			 the quality or appropriateness of services provided by the HCS. The
			 documentation of complaints shall,  include the following:
(1)
			 The date the complaint was received;
(2) The identity, if provided, of the
			 complainant;
(3) A description of
			 the complaint;
(4) The identity, if
			 provided, of persons and/or the provider of the HCS involved;
(5) The findings of the investigation;
			 and
(6) The resolution of the
			 complaint.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS) › Section 3701-84-14 - Variances; waivers

Current through all regulations passed and filed through July 1, 2024
(A) In accordance with paragraph (B) of this
			 rule, the director may grant a variance or waiver from any requirement
			 established by Chapter 3701-84 of the Administrative Code.
(B) Upon written request of the
			  HCS, the director
			 
								will
			 grant or deny a variance or waiver by written response within forty-five days
			 of receipt of the request and all information determined necessary by the
			 director to make a decision. In granting a variance or waiver, the director
			 
								will
			 stipulate a time period for which the variance or waiver is to be effective and
			 establish conditions that the HCS must meet for the variance or waiver to be
			 operative. The director may grant:
(1) A
			 variance if the director determines that the requirement has been met in an
			 alternative manner; or
(2) A waiver
			 if the director determines that the strict application of the requirement would
			 cause an undue hardship to the HCS and that granting the waiver would not
			 jeopardize the health and safety of any patient.