reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.2 - Application

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Prior to
					 operation of an adult day health care program, the proposed operator must apply
					 for and receive Department approval in accordance with Part 710 of this
					 Chapter. Such application must include a description of the proposed program,
					 including but not limited to:
(1) the need
					 for the program, including a statement on the philosophy and objectives of the
					 program;
(2) the range of services
					 to be provided;
(3) the method(s)
					 of delivery of services;
(4)
					 physical space to be utilized and planned use thereof;
(5) number and expected characteristics of
					 registrants to be served;
(6) a
					 description of a typical registrant's program;
(7) personnel to be employed in the program,
					 including qualifications;
(8)
					 intended use of and coordination with existing community resources;
(9) financial policies and
					 procedures;
(10) program
					 budget;
(11) methods for program
					 evaluation; and
(12) proximity to
					 an identified number of potential registrants.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.3 - Changes in existing program

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 Applications for approval of changes in the program, including but not limited
					 to substantial changes in the physical plant, space and utilization thereof,
					 the extent and type of services provided, and the program's registrant
					 capacity, must be submitted to the Department in writing and must conform with
					 the provisions of Part 710 of this Chapter.
(b) Written requests for additional program
					 sessions must be based on the number and needs of registrants and be approved
					 by the Department.
(c) An operator
					 may not discontinue operation of services to registrants without:
(1) notifying each registrant and making
					 suitable plans for alternate services for each registrant; and
(2) receiving written approval from the
					 commissioner in accordance with Part 710 of this Chapter. The application to
					 discontinue services must set forth the specific intended date of
					 discontinuance and the intended plans for alternate services to
					 registrants.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.4 - General requirements for operation

Current through Register Vol. 46, No. 28, July 10, 2024
(a) An operator must:
(1) provide services to registrants
					 consistent with the requirements of this Title and Part and other applicable
					 statutes and regulations;
(2)
					 provide appropriate staff, equipment, supplies and space as needed for the
					 administration of the adult day health care program in accordance with the
					 requirements of this Part; and
(3)
					 provide each registrant with a copy of a Bill of Rights specific to operation
					 of the adult day health care program.
These rights include, but are not limited to:
(i) rights of privacy, dignity, respect, and
					 confidentiality, including confidential treatment of all registrant
					 records;
(ii) freedom to voice
					 grievances about care or treatment without discrimination or
					 reprisal;
(iii) protection and
					 freedom from physical and psychological abuse, coercion and
					 restraint;
(iv) participation in
					 developing the person-centered care plan;
(v) written notification by the program to
					 the registrant at admission and following the continued-stay evaluation of the
					 services the registrant shall receive while attending the adult day health care
					 program; and
(vi) right to
					 individual initiative, autonomy, and independence in making life choices,
					 including freedom to decide whether or not to participate in any given
					 activity.
(4) be selected
					 from among options by the individual and be physically accessible to the
					 individuals supported;
(5) be
					 integrated in and support full access to the greater community;
(6) facilitate an individual's informed
					 choice about their services and who provides them;
(7) provide freedom and support for
					 individuals to control their own schedules and activities;
(8) provide individuals access to food (meals
					 and/or snacks) and visitors at any time;
(9) offer individuals participation in
					 developing the person-centered care plan; and
(10) provide written notification by the
					 program to the registrant at admission and following the continued-stay
					 evaluation of the services the registrant shall receive while attending the
					 adult day health care program.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.5 - General requirements for Adult day health care settings

Current through Register Vol. 46, No. 28, July 10, 2024
(a) the operator
					 must assure that the adult day health care program has all the qualities of a
					 Home and Community-Based Service (HCBS) setting:
(1) The setting is integrated in and supports
					 full access of individuals receiving Medicaid HCBS to the greater community,
					 including opportunities to seek employment and work in competitive integrated
					 settings, engage in community life, control personal resources, and receive
					 services in the community, to the same degree of access as individuals not
					 receiving Medicaid HCBS.
(2) The
					 setting is selected by the individual from among setting options including
					 nondisability specific settings. The setting options are identified and
					 documented in the person-centered care plan and are based on the individual's
					 needs and preferences.
(3) The
					 setting ensures an individual's rights of privacy, dignity and respect, and
					 freedom from coercion and restraint.
(4) The setting optimizes, but does not
					 regiment, individual initiative, autonomy and independence in making life
					 choices, including but not limited to, daily activities, physical environment,
					 access to meals and snacks as desired at any time, and decisions concerning
					 individuals with whom to interact. Visitors are not restricted.
(5) The setting facilitates individual choice
					 regarding services and supports, and who provides them.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.6 - Adult day health care services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
					 operator must provide or arrange for services appropriate to each registrant in
					 accordance with the comprehensive assessment conducted and person-centered care
					 plan developed by the adult day health care program, or by the managed care
					 plan that referred the registrant to the adult day health care program. At
					 least the following program components must be available:
(1) case management;
(2) health education;
(3) interdisciplinary care
					 planning;
(4) nursing
					 services;
(5) nutrition;
(6) social services;
(7) assistance and supervision with the
					 activities of daily living, such as toileting, feeding, ambulation, bathing
					 including routine skin care, care of hair and nails; oral hygiene; and
					 supervision and monitoring of personal safety;
(8) restorative rehabilitative and
					 maintenance therapy services;
(9)
					 planned therapeutic or recreational activities that reflect the interests,
					 cultural backgrounds and the communities of the registrants and provide the
					 registrants with choices, including access to offsite activities;
(10) pharmaceutical services; and
(11) referrals for necessary dental services
					 and sub-specialty care.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.7 - Admission, continued stay and registrant assessment

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The operator must:
(1) select, admit and retain in the adult day
					 health care program only those persons for whom adequate care and needed
					 services can be provided and who, according to the comprehensive assessment
					 conducted by the operator or by the managed care plan that referred the
					 applicant to the adult day health care program, can benefit from the services
					 and require a minimum of at least one (1) visit per week to the
					 program;
(2) assess each applicant,
					 unless the assessment was conducted by a managed care plan that referred the
					 applicant to the adult day health care program, utilizing an assessment
					 instrument designated by the Department, with such assessment addressing, at a
					 minimum:
(i) medical needs, including the
					 determination of whether the applicant is expected to need continued services
					 for a period of 30 or more days from the date of the assessment. An operator
					 may request approval by the appropriate Department regional office for an
					 exemption, based on special circumstances, to the requirement for determining
					 whether there is a need for continued services for 30 days or more.
(ii) use of medication and required
					 treatment;
(iii) nursing care
					 needs;
(iv) functional
					 status;
(v) mental/behavioral
					 status;
(vi) sensory
					 impairments;
(vii) rehabilitation
					 therapy needs, including a determination of the specific need for physical
					 therapy, occupational therapy, speech language pathology services, and
					 rehabilitative, restorative or maintenance care;
(viii) family and other informal
					 supports;
(ix) home
					 environment;
(x) psycho-social
					 needs, social history, preferences and interests;
(xi) nutritional status;
(xii) ability to tolerate the duration and
					 method of transportation to the program; and
(xiii) evidence of any substance abuse
					 problem.
(3) register an
					 applicant only upon appropriate recommendation from the applicant's
					 practitioner or operator's medical director after completion of a personal
					 interview by appropriate program personnel;
(4) register an applicant only after
					 determining that the applicant is not enrolled in another adult day health care
					 program.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.8 - Registrant person-centered care plan

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must ensure that:
(a) A person-centered care plan based on the
					 comprehensive assessment required by this Part, and, when applicable, a
					 transfer or discharge plan, is developed for each registrant and is in place
					 within five visits or within 30 days after registration, whichever is earlier.
					 The adult day health care program and the referring managed care plan must be
					 sure to coordinate with each other regarding the development of a registrant's
					 person-centered care plan.
(b) Each
					 registrant's person-centered care plan process must be commensurate with the
					 level of need of the registrant, and the scope of services and supports
					 available and must:
(1) include registrant
					 led input and include people chosen by the registrant;
(2) provide necessary information and support
					 to ensure the registrant directs the process to the maximum extent possible and
					 is enabled to make informed choices and decisions, with the registrant's
					 representative having a participatory role, as needed and as defined by the
					 registrant, unless State law confers decision-making authority to the legal
					 representative;
(3) be timely and
					 occur at times and locations of convenience to the registrant;
(4) reflect cultural considerations of the
					 registrant and be conducted by providing information in plain language and in a
					 manner that is accessible to individuals with disabilities and persons who are
					 limited English proficient;
(5)
					 include strategies for solving conflict or disagreement within the process,
					 including clear conflict of interest guidelines for all planning
					 participants;
(6) offer choices to
					 the registrant regarding the services and supports the registrant receives and
					 from whom;
(7) include a method for
					 the registrant to request updates to the care plan, as needed; and
(8) record the alternative home and
					 community-based settings that were considered by the registrant.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.9 - Registrant continued-stay evaluation

Current through Register Vol. 46, No. 28, July 10, 2024
The operator, directly or through the managed care plan
						that referred the registrant to the adult day health care program, must ensure
						that a written comprehensive assessment and evaluation is completed pursuant to
						section 425. 7 of this Part at least once every six months for each registrant,
						addressing the appropriateness of the registrant's continued stay in the
						program, such assessment and evaluation to address, at a minimum:
(a) a reassessment of the registrant's needs,
					 including an interdisciplinary evaluation of the resident's need for continued
					 services;
(b) the appropriateness
					 of the registrant's continued stay in the program;
(c) the necessity and suitability of services
					 provided; and
(d) the potential for
					 transferring responsibility for or the care of the registrant to other more
					 appropriate agencies or service providers.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.10 - Medical services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must, without limiting its responsibility
						for the operation and management of the program:
(a) assign to the operator's medical board,
					 medical advisory committee, medical director or consulting practitioner the
					 following responsibilities regarding registrants of the program:
(1) developing and amending clinical
					 policies;
(2) supervising medical
					 services;
(3) advising the operator
					 regarding medical and medically related problems;
(4) establishing procedures for emergency
					 practitioner coverage, records and consultants; and
(5) establishing professional relationships
					 with other institutions and agencies, such as general hospitals, rehabilitation
					 centers, residential health care facilities, home health agencies, hospital
					 outpatient departments, clinics and laboratories;
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.11 - Nursing services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator, directly or through the managed care plan
						that referred the registrant to the adult day health care program, must:
(a) evaluate the need of each registrant for
					 nursing care on a periodic and continuing basis, but not less often than
					 quarterly, and, when appropriate, provide or authorize such care;
(b) ensure that a registered professional
					 nurse is on-site and performs a nursing evaluation of each registrant at the
					 time of admission to the program, unless such nursing evaluation has been
					 performed by the managed care plan prior to referring the registrant to the
					 adult day health care program;
(c)
					 ensure that for each registrant the findings of the nursing evaluation, the
					 nursing care plan, and recommendations for nursing follow-up are documented,
					 dated and signed in the registrant's clinical record;
(d) ensure that nursing services are provided
					 to registrants under the direction of a registered professional nurse who is
					 on-site in the adult day health care program during all hours of the program
					 operation. Based on the care needs of the registrants, a licensed practical
					 nurse may provide the on-site services under the supervision of a registered
					 nurse; and
(e) ensure that
					 appropriate health education is provided to registrants, family members and
					 people chosen by the registrant to provide support in understanding and dealing
					 with the registrant's health condition as it relates to his/her continued
					 ability to reside in the community. With respect to registrants referred to the
					 adult day health care program by a managed care plan the managed care plan
					 shall be responsible for compliance with the requirements of this
					 section.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.12 - Food and nutrition services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must:
(a) provide nutritional services for each
					 registrant;
(b) provide meals and
					 nutritional supplements, including modified diets when medically prescribed, to
					 registrants who are on the premises at scheduled and registrant desired meal
					 /snack times and, where appropriate, to registrants in their homes in
					 accordance with the identified needs included in registrant person-centered
					 care plans;
(c) ensure that the
					 quality and quantity of food and nutrition services provided to registrants are
					 in conformance with section
					 415.14 of this Subchapter,
					 exclusive of the requirements specified in section
					 415.14(f);
(d) ensure that nutrition services are under
					 the direction of a qualified dietitian, as defined in section
					 415.14 of this Subchapter;
					 and
(e) ensure that dietary service
					 records for the adult day health care service are maintained in conformance
					 with sections
					 415.14(c)(1) and
					 (2) of this Subchapter.
(f) Provide individuals with access to snacks
					 and meals at any time and obtain registrant feedback on foods of
					 preference.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.13 - Social services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) provide
					 social services in conformance with section
					 415.5(g) of this
					 Subchapter except that the use of a full or part time social worker in an adult
					 day health care program must be in conformance with the approved application
					 for operation and, with respect to section
					 415.5(g)(2)(ii) and
					 (iii), regular access may be directly with a
					 master's prepared or certified social worker or through a contract which meets
					 the provisions of section
					 415.26(e);
(b) either directly or through the managed
					 care plan that referred the registrant to the adult day health care program,
					 ensure that psycho-social needs are assessed, evaluated and recorded, and that
					 services are provided to meet the identified needs as part of the coordinated
					 care plan; and
(c) ensure that
					 staff members arrange for the use of and/or access to other community resources
					 as needed and coordinate the needs of the registrants with services provided by
					 the adult day health care program and other health care providers, community
					 social agencies and other resources provided, however, with respect to
					 registrants referred to the adult day health care program by a managed care
					 plan, this shall be the responsibility of the managed care plan.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.14 - Rehabilitation therapy services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator, either directly or through the managed
						care plan that referred the registrant to the adult day health care program,
						must:
(a) provide or arrange for
					 rehabilitation therapy services to registrants determined through the
					 comprehensive assessment to need such services; and
(b) ensure that the rehabilitation therapy
					 services provided are in conformance with section
					 415.16 of this
					 Subchapter.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.15 - Activities

Current through Register Vol. 46, No. 28, July 10, 2024
The operator, directly or through the managed care plan
						that referred the registrant to the adult day health care program, must:
(a) ensure that activities are an integral
					 part of the program, are age appropriate, and reflect the registrants'
					 individual interests and cultural backgrounds in coordination with the
					 registrant's person-centered care plan ;
(b) ensure that activities involve
					 integration in and full access of individuals to the greater community, control
					 personal resources and ability to engage in community life to the same degree
					 of access as individuals not receiving home and community-based
					 services;
(c) ensure that
					 activities are designed to enhance registrant participation in the program,
					 home life and community;
(d)
					 involve appropriate volunteers and volunteer groups in the program, unless
					 prohibited by law;
(e) provide
					 sufficient equipment and supplies for the operation of the activity
					 program;
(f) provide or arrange
					 for transportation to and from community events and outings; and
(g) ensure that activities are included as
					 part of each person-centered care plan.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.16 - Religious services and counseling

Current through Register Vol. 46, No. 28, July 10, 2024
If provided, religious services and counseling must be
						included in the registrant's personcentered care plan.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.17 - Dental services

Current through Register Vol. 46, No. 28, July 10, 2024
The operator, directly or through the managed care plan
						that referred the registrant to the adult day health care program, must, as
						appropriate:
(a) provide or refer
					 registrants for dental services; and
(b) ensure that dental services provided to
					 registrants or for which they are referred are in conformance with the needs
					 identified during the comprehensive assessment.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.18 - Pharmaceutical services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) develop
					 and implement written policies and procedures governing medications brought to
					 the program site by registrants;
(b) ensure that pharmaceutical services, when
					 provided for registrants, are in conformance with section
					 415.18 of this Subchapter,
					 exclusive of the requirements of section
					 415.18(c);
(c) ensure that each registrant's drug
					 regimen is reviewed at least once every six months by a registered pharmacist
					 in accordance with the registrant's person-centered care plan and otherwise
					 modified as needed following consultation with the registrant's attending
					 practitioner. Any modification to the drug regimen must be documented in the
					 registrant's clinical record and included as a revision to the registrant's
					 person-centered care plan; and
(d)
					 ensure that written policies and procedures require the pharmacist to report
					 any irregularity in a registrant's drug regimen and recommendations to the
					 registrant's attending practitioner and to the program coordinator, with
					 appropriate documentation in the registrant's clinical record and
					 person-centered care plan.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.19 - Services for registrants with Acquired Immune Deficiency Syndrome (AIDS) and other high-need populations

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 Applicability.
(1) This section applies to an
					 adult day health care program approved by the commissioner pursuant to Part 710
					 of this Chapter as a provider of specialized services for registrants with AIDS
					 and other high-need populations that in the discretion of the Commissioner
					 would benefit from receiving adult day health care services.
(2) For purposes of these regulations, AIDS
					 means acquired immune deficiency syndrome and other human immunodeficiency
					 virus (HIV) related illness.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.20 - General records

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must:
(a) maintain on the premises of the program
					 or facility the following registrant written records including the
					 person-centered care plan, which must be easily retrievable and must include,
					 but not be limited to, the following:
(1) a
					 chronological admission register consisting of a daily chronological listing of
					 registrants admitted by name with relevant clinical and social information
					 about each, including as a minimum, name, address, next of kin, attending
					 practitioner, principal diagnosis, and the place from which each registrant was
					 admitted;
(2) a chronological
					 discharge register consisting of a daily chronological listing of registrants
					 discharged by name, the reason for discharge and the place to which the
					 registrant was discharged;
(3) a
					 daily census record consisting of a summary report of the daily registrant
					 census with cumulative figures for each month and each year; and
(4) general records in conformance with
					 sections 415.30(e) - (o)
					 of this Subchapter.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.21 - Clinical records

Current through Register Vol. 46, No. 28, July 10, 2024
The operator must:
(a) provide a clinical record for each
					 registrant in accordance with the clinical records requirements of section
					 415.22 of this
					 Subchapter;
(b) ensure that all
					 reports and information pertaining to registrant care and planning are entered
					 promptly;
(c) ensure that all
					 entries are dated and authenticated by the person making the entry or ordering
					 the services;
(d) ensure that all
					 clinical records for registrants referred by a managed care plan are made
					 available to the referring managed care plan ;
(e) ensure that the record is kept in a place
					 convenient for use by authorized staff; and
(f) retain intact clinical records and all
					 other records of registrants and keep them readily accessible in a safe and
					 secure place. Such records shall be retained safely and securely for a period
					 of six years following discharge or cessation of operation of services. In the
					 case of a minor, retention shall be for three years after reaching majority (18
					 years of age).
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.22 - Confidentiality of records

Current through Register Vol. 46, No. 28, July 10, 2024
The operator shall keep confidential and make available
						only to authorized persons all medical, social, personal and financial
						information relating to each registrant.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.23 - Program evaluation

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Quality
					 improvement. The operator must develop and implement a quality improvement
					 process that provides for an annual or more frequent review of the operator's
					 program. Such evaluation must include a profile of the characteristics of the
					 registrants admitted to the program, the services and degree of services most
					 utilized, the length of stay and use rate, registrant need for care and
					 services, and disposition upon discharge. The process must:
(1) include an evaluation of all services in
					 order to enhance the quality of care and to identify actual or potential
					 problems concerning service coordination and clinical performance;
(2) review accident and incident reports,
					 registrant complaints and grievances and the actions taken to address problems
					 identified by the process;
(3)
					 develop and implement revised policies and practices to address problems found
					 and the immediate and systematic causes of those problems; and
(4) assess the impact of the revisions
					 implemented to determine if they were successful in preventing recurrence of
					 past problems.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 6 - Adult Day Health Care in Residential Health Care Facilities › Part 425 - Adult Day Health Care › Section 425.24 - Payment

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Payments to
					 adult day health care program by State government agencies.
(1) A program may only bill for one visit per
					 registrant per day.
(2) The
					 majority of registrants for whom the program receives a payment made by a
					 government agency must be in attendance for at least five
					 hours.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 7 - Home Health Agencies; Treatment Centers and Diagnostic Centers › Part 430 - Licensed Home Care Services Agencies And Certified Home Health Agencies › Section 430.1 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
Licensed home care services agencies, certified home
						health agencies and long-term home health care programs shall comply with the
						standards for such agencies set forth in the State Hospital Code, Subchapter C
						of this Chapter.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 7 - Home Health Agencies; Treatment Centers and Diagnostic Centers › Part 431 - Treatment Centers And Diagnostic Centers › Section 431.1 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
Treatment centers and diagnostic centers shall comply
						with the standards for such centers set forth in the State Hospital Code,
						Subchapter C of this Chapter.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 7 - Home Health Agencies; Treatment Centers and Diagnostic Centers › Part 432 - Hospice Operation › Section 432.1 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
Hospices shall comply with the standards for such
						programs set forth in the State Hospital Code, Subchapter C of this
						Chapter.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 440 - Applicability And Purpose › Section 440.1 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Article is
					 applicable to all medical facilities covered by the term general hospital as
					 defined in article 28, section
					 2801,
					 subdivision
					 11 of the
					 Public Health Law.
(b) The term
					 general hospital means a hospital engaged in providing medical or medical and
					 surgical services primarily to inpatients, by or under the supervision of a
					 physician, on a 24-hour basis, with provisions for admission or treatment of
					 persons in need of emergency care, and with an organized medical staff and
					 nursing service, including facilities providing services relating to particular
					 diseases, injuries, conditions or deformities. The term general hospital shall
					 not include a residential health care facility, public health center,
					 diagnostic center, treatment center, outpatient lodge, dispensary and
					 laboratory or central service facility serving more than one
					 institution.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 440 - Applicability And Purpose › Section 440.2 - Purpose

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The purpose of
					 this Article is to provide a common standard of measure and communication
					 through the use of uniform:
(1) reporting
					 principles;
(2) classification
					 system which identifies cost by functional cost center by the nature of costs
					 incurred, and revenues by revenue center by patient classification;
					 and
(3) statistical and service
					 data definitions.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.1 - General

Current through Register Vol. 46, No. 28, July 10, 2024
For the purposes of this Article, the following terms
						shall have the following meanings.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.2 - Abandonment

Current through Register Vol. 46, No. 28, July 10, 2024
The complete retirement of a fixed asset from service,
						following salvage or other reclaiming of removable parts.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.3 - Accelerated payments

Current through Register Vol. 46, No. 28, July 10, 2024
Amounts received where delays in payments by an
						intermediary for covered services rendered to beneficiaries have caused
						financial difficulties for the hospital, or where a hospital has incurred a
						temporary delay in its bill processing beyond the provider's normal billing
						cycle.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.4 - Account

Current through Register Vol. 46, No. 28, July 10, 2024
A formal record of a particular type of transaction
						expressed in money and kept in a ledger.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.5 - Accountability

Current through Register Vol. 46, No. 28, July 10, 2024
The obligation of an employee, agent or other person to
						supply a satisfactory report, often periodic, of action or of failure to act
						following delegated authority/responsibility.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.6 - Accounting control

Current through Register Vol. 46, No. 28, July 10, 2024
The administrative procedures employed in maintaining the
						accuracy and propriety of transactions and the bookkeeping record
						thereof.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.7 - Accounting policy

Current through Register Vol. 46, No. 28, July 10, 2024
The general principles and procedures under which the
						accounts of an organization are maintained and reported; any one such principle
						or procedure.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.8 - Accrual

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The recognition
					 of events and conditions as they occur, rather than in the period of their
					 receipt, or payment.
(b) The
					 partial recognition of an item of revenue or expense and its related assets or
					 liability resulting from the lack of coincidence of the reporting period and
					 the contractual or benefit period.
(c) An amount accrued.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.9 - Accrual reporting

Current through Register Vol. 46, No. 28, July 10, 2024
The recognizing and reporting of the effects of
						transactions and other events on the assets and liabilities of the hospital
						entity in the time period to which they relate, rather than only when cash is
						received or paid.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.10 - Accrue

Current through Register Vol. 46, No. 28, July 10, 2024
To give effect to an accrual; to record revenue or
						expense in the reporting period to which it relates, notwithstanding that the
						required receipt or outlay may take place, in whole or in part, in a preceding
						or following accounting period.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.11 - Accrued depreciation

Current through Register Vol. 46, No. 28, July 10, 2024
The total depreciation incurred by an asset or asset
						group, based on customary or fairly determined rates or estimates of useful
						life, now generally referred to as accumulated depreciation.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.12 - Accrued expense

Current through Register Vol. 46, No. 28, July 10, 2024
See accrued liability.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.13 - Accrued liability

Current through Register Vol. 46, No. 28, July 10, 2024
An amount of interest, wages, or other expense recognized
						or incurred on and before a given date but not paid; sometimes referred to as
						accrued expense.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.14 - Accrued revenue

Current through Register Vol. 46, No. 28, July 10, 2024
Revenue earned, but neither received nor past
						due.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.15 - Accumulated depreciation

Current through Register Vol. 46, No. 28, July 10, 2024
The fixed-asset valuation account resulting from
						depreciation provisions; also known as reserve for depreciation, accrued
						depreciation, and allowance(s) for depreciation.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.16 - Active medical staff

Current through Register Vol. 46, No. 28, July 10, 2024
Hospital-based and nonhospital-based physicians, other
						than interns and residents who are voting members of and can hold office in the
						medical staff organization of the hospital.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.17 - Actuarial basis

Current through Register Vol. 46, No. 28, July 10, 2024
A basis compatible with principles followed by actuaries:
						said of computations involving compound interest, retirement and mortality
						estimates, and the like.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.18 - Acute care

Current through Register Vol. 46, No. 28, July 10, 2024
Inpatient general routine care provided to patients who
						are in an acute phase of illness, but not to the degree which requires the
						concentrated and continuous observation and care provided in the intensive care
						units of an institution.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.19 - Addition

Current through Register Vol. 46, No. 28, July 10, 2024
An addition is something which does not merely replace a
						thing previously owned. This includes enlargements and extensions of existing
						facilities.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.20 - Additional (paid-in) capital

Current through Register Vol. 46, No. 28, July 10, 2024
Contributions of corporate stockholders credited to
						accounts other than capital stock; sources: an excess over par or stated value
						received from the sale or exchange of capital stock, an excess of par or stated
						value of capital stock reacquired over the amount paid therefor, or an excess
						from recapitalization; often displayed on the balance sheet as a separate item
						or in combination with par or stated value and designated paid-in capital;
						known also as paid-in surplus.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.21 - Admission

Current through Register Vol. 46, No. 28, July 10, 2024
The formal acceptance by an institution of a patient who
						is to be provided with room, board, continuous nursing service, and other
						institutional services while lodged in the institution.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 441 - Definitions › Section 441.22 - Adult beds

Current through Register Vol. 46, No. 28, July 10, 2024
Those beds assigned for regular use by inpatients who are
						14 years of age or over, and which are maintained in areas allotted for adult
						or adolescent lodging, even though in some instances utilized by
						children.