Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-59 - Hospitals › Section 3701-59-01 - Definitions

Current through all regulations passed and filed through July 1, 2024
As used in this chapter:
(A) "Active medical staff" means staff with
			 clinical privileges who are designated as active pursuant to the bylaws or
			 other governing prescript of the hospital.
(B) "Alcohol and drug hospital" means a
			 hospital engaged primarily in providing specialized care to inpatients with
			 alcoholism or chemical dependency rehabilitative service needs.
(C) "Alcohol or drug abuse rehabilitation
			 bed" means a hospital bed that is staffed and equipped for care of inpatients
			 whose primary diagnosis is alcoholism or other chemical dependency.
(D) "Associate medical staff" means staff
			 with clinical privileges who are designated as associate pursuant to the bylaws
			 or other governing prescript of the hospital.
(E) "Average daily census" means total
			 patient days for a given calendar year divided by the number of days in the
			 year.
(F) "Beds in use" means the
			 sum of the number of beds staffed and available for patient care on the last
			 day of each month of the calendar year, divided by twelve.
(G) "Board certified physician" means an
			 individual licensed under Chapter 4731. of the Revised Code to practice
			 medicine and surgery or osteopathic medicine and surgery who has passed an
			 examination given by a medical specialty board and has been certified by that
			 board as a specialist. "Board certified" does not include board eligible
			 physicians. For physicians certified by more than one board, "board
			 certified" includes only the primary
			 certification board.
(H) "Burn care
			 bed" means a hospital bed that is staffed and equipped for care of inpatients
			 whose primary diagnosis is burn-related.
(I) "Burn care hospital" means a hospital
			 engaged primarily in providing inpatient care to patients requiring specialized
			 burn-related diagnostic or therapeutic services.
(J) "Cancer hospital" means a hospital that
			 is classified as a cancer hospital under
			 42 C.F.R.
			 412.23(f) (1985) and is
			 organized primarily for treatment and research on cancer.
(K) "Cardiac catheterization" means all
			 anatomic or 
								physiological studies including electrophysiology procedures, of
			 interventions, both diagnostic and therapeutic, in which the heart or coronary
			 arteries are entered via a systemic vein or artery using a catheter that is
			 manipulated under fluoroscopic visualization. This definition does not include
			 studies of cardiac function performed using flow directed catheters that are
			 positioned without the use of fluoroscopy.
(L) "Critical access hospital" means a
			 hospital that is certified by the federal government as meeting the conditions
			 of participation in the medicare program under 42 C.F.R. part 485, subpart F
			 (1993).
(M) "Department" means the
			 department of health of the state of Ohio.
(N) "Direct care services" means any
			 in-person patient contact where health care or personal care is provided in the
			 hospital.
(O) "Director" means the
			 director of health or the director's designated representative.
(P) "Discharge" means a patient who is
			 formally released from a hospital including deaths. Discharge does not include
			 temporary transfers to other settings.
(Q) "Full-time equivalent" means at least one
			 thousand eight hundred and twenty hours per calendar year.
(R) "General hospital" means a hospital that
			 primarily functions to furnish the array of diagnostic and therapeutic services
			 needed to provide care for a variety of medical conditions, such as diagnostic
			 X-ray, clinical laboratory, and operating room services.
(S) "Heart hospital" means a hospital
			 primarily engaged in providing inpatient care to patients requiring specialized
			 cardiac diagnostic or therapeutic services.
(T) "Hospice beds" means the inpatient beds
			 of a hospice care program as defined in division (A) of section
			 3712.01 of the Revised
			 Code.
(U) "Hospital" means an
			 institution located at a single site engaged primarily in providing to
			 inpatients, by or under the supervision of an organized medical staff of
			 physicians licensed under Chapter 4731. of the Revised Code, diagnostic
			 services and therapeutic services for medical diagnosis and treatment or
			 rehabilitation of injured, disabled, or sick persons. "Hospital" also means an
			 inpatient facility, located at the same site as another institution required to
			 register under section
			 3701.07 of the Revised Code,
			 that is medicare certified as a separate hospital, or operated by or on behalf
			 of another hospital. "Hospital" does not mean an institution that is operated
			 by the United States government or by the Ohio department of mental
			 health.
(V) "Hospital bed" or "bed"
			 means a bed in a hospital with the attendant physical space, fixtures, and
			 equipment for use in caring primarily for inpatients. "Hospital bed" includes
			 beds used in caring for patients who stay for less than twenty-four hours, but
			 the primary use of such beds is for care of inpatients.
(W) "House staff" means interns, residents,
			 and fellows receiving stipends from the hospital who are in training positions
			 approved by the accreditation council of graduate medical education, the
			 American osteopathic association, or the American dental association.
(X)
			 "Inpatient" means a patient whose length of stay is twenty-four hours or
			 more.
(Y) "Inpatient surgical
			 operating room" means a room in a hospital used to perform any operative or
			 manual procedure undertaken for the diagnosis or treatment of a disease or
			 other disorder.
(Z) "Long term
			 acute care hospital", or LTACH, means a hospital that is classified as a
			 long-term care hospital under
			 42 C.F.R.
			 412.23(e) (1985), that is
			 engaged primarily in providing medically necessary specialized acute hospital
			 care for medically complex patients who are critically ill or have multi-system
			 complications or failures, and that has an average length of stay of forty-five
			 days or less.
(AA) "Long term acute
			 care hospital bed" means a bed in a long term acute care hospital.
(BB) "Maternity unit" means a distinct
			 portion of a hospital in which inpatient care is provided to women during all
			 or part of the maternity cycle.
(CC) "Medical/surgical bed" means a hospital
			 bed in a medical or surgical unit where general medical/surgical services are
			 provided.
(DD) "Multi-hospital
			 system" means two or more hospitals that are subject to the control and
			 direction of one common owner responsible for the operational decisions of the
			 entire system or that have integrated administrative functions and medical
			 staff that report to one governing body as the result of a formal legal or
			 contractual obligation.
(EE)
			 "Number of admissions" means the number of patients accepted for inpatient
			 service of twenty-four hours or more, including transfers by a service within
			 the hospital.
(FF) "Number of
			 inpatient surgical cases" means number of patients treated on an inpatient
			 basis after surgery in an operating room.
(GG) "Open heart surgery" means any surgery
			 performed on the heart muscle, valves, arteries, or other structures in which
			 the chest is opened and a cardiopulmonary bypass is performed using
			 extracorporeal circulation (heart-lung machine).
(HH) "Outpatient" means a patient who is not
			 admitted as an inpatient and whose length of stay is less than twenty-four
			 hours.
(II) "Outpatient surgical
			 operating room" means a room in a hospital designed to perform an operative or
			 manual procedure undertaken for the diagnosis or treatment of a disease or
			 other disorder on non-inpatients.
(JJ) "Patient" means an individual who
			 receives diagnostic or therapeutic services for medical diagnosis treatment, or
			 rehabilitation. "Patient" also includes an individual receiving palliative
			 care.
(KK) "Patient days of care"
			 means annual total number of inpatients in a hospital on a daily count at a
			 specific uniform time of day.
(LL)
			 "Pediatric cardiovascular surgery" means any open or closed heart surgical
			 procedures performed on a pediatric patient, including surgical procedures on
			 the heart muscle, valves, arteries, or other structures, and surgical
			 correction of both congenital and acquired heart conditions such as ventricular
			 septal defects (VSD), atrial septal defects (ASD), patent ductus arteriosus
			 (excluding neonates) and valve defects. "Pediatric cardiovascular surgery" does
			 not mean heart transplantation.
(MM) "Pediatric patient" means any patient
			 less than twenty-two years of age.
(NN) "Physical rehabilitation bed" means a
			 hospital bed that is staffed and equipped for care of inpatients requiring
			 intensive, multi-disciplinary physical restorative services.
(OO) "Physical rehabilitation hospital" means
			 a hospital engaged primarily in providing specialized care to inpatients with
			 intensive, multi-disciplinary physical restorative service needs.
(PP) "Psychiatric care bed" means a hospital
			 bed that is staffed and equipped for care of inpatients whose primary diagnosis
			 in mental illness.
(QQ)
			 "Psychiatric hospital" means a hospital engaged primarily in providing
			 specialized care to inpatients diagnosed with mental illness.
(RR) "Register" means to report to the
			 department on an annual basis information required under section
			 3701.07 of the Revised Code and
			 rule
			 3701-59-05
			 of the Administrative Code.
(SS)
			 "Satellite unit" means a unit owned and operated by a hospital that is
			 providing diagnostic, therapeutic, or rehabilitative services on an outpatient
			 basis at a geographically separate location from the hospital that owns and
			 operates it. "Satellite unit" does not include facilities that are licensed
			 under section 3702.30 of the Revised Code,
			 inpatient facilities at the same geographic location that are certified as a
			 separate hospital, or facilities providing inpatient services at a different
			 location or different street address from the hospital that owns and operates
			 it.
(TT) "Special care bed" means a
			 hospital bed in which special medical/surgical services, beyond general
			 medical/surgical care and including intensive care or coronary care, are
			 provided.
(UU) "Total number of
			 beds" means the total number of beds in which patient care may be provided,
			 whether or not the bed is staffed and available. Beds in temporarily closed
			 units are included in the total. Beds that are temporarily unavailable as the
			 result of building renovations are included in the total. A temporary increase
			 in the number of beds in use that is caused by unusually high volumes of
			 admissions is not included in the total, where "temporary increase" means the
			 average daily census exceeds registered capacity for less than forty-five days
			 in any six month period.