reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › INFECTION CONTROL › Section 567.2 - Committee responsibilities

Current through Register Vol. 54, No. 28, July 13, 2024
The quality assurance committee shall be responsible
						for:
(1) The prevention, control and
					 investigation of infection in the ASF and for assuring the effectiveness of
					 current procedural techniques in all departments.
(2) The designation of one full-time or one
					 part-time employe responsible for developing and monitoring the infection
					 control program including, but not limited to:
(i) Written standards for ASF sanitation and
					 asepsis.
(ii) Procedures and
					 techniques for meeting established sanitation and asepsis standards.
(iii) Isolation procedures.
(iv) Maintaining records of infections which
					 originate in the ASF among patients and personnel to trace the sources of
					 infection and to identify epidemic situations.
(v) Providing assistance in the development
					 of the employe health program of the ASF.
(vi) Submitting a copy of pertinent findings
					 and recommendations to the committee.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › INFECTION CONTROL › Section 567.3 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Only
					 authorized persons, who are properly attired, shall be allowed in the surgical
					 area.
(b) Current written policies
					 and procedures to assure definite and valid infection control shall include the
					 following:
(1) Medical asepsis.
(2) Surgical asepsis.
(3) Sterilization and disinfection, including
					 suitable equipment for routine and rapid sterilization.
(4) Sterilized materials are packaged,
					 labeled and dated in a consistent manner.
(5) Housekeeping.
(6) Cleaning of surgical suites prior to each
					 operation.
(7) Clean and soiled
					 linen and utility rooms.
(8)
					 Linen.
(9) Traffic flow
					 patterns.
(10) Isolation
					 protocols.
(11) Staff health status
					 requirements.
(12) Infection
					 control in-service education for personnel.
(13) Recording and reporting of potential
					 infection.
(14) Bacteriological
					 testing of potential infections, recording results and reporting to the quality
					 assurance committee.
(15) Admission
					 criteria for patients with specific or suspected infections.
(16) Patient postdischarge
					 investigation.
(17) Reporting of
					 communicable diseases as required by §
												27.2 (relating to specific
					 identified reportable diseases, infections and conditions).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › SUPPLIES › Section 567.11 - Operating suite equipment

Current through Register Vol. 54, No. 28, July 13, 2024
The operating suite shall be adequately equipped with age
						appropriate equipment for the types of procedures to be performed and the
						recovery area shall be adequately equipped for the proper care of
						postanesthesia recovery of surgical patients. All equipment and supplies shall
						be age and size appropriate for the patients treated. The following equipment
						shall be available in the operating suite and recovery area.
(1) Suitable surgical instruments customarily
					 available for the planned surgical procedure.
(2) Emergency call system.
(3) Airways, breathing bag and device for the
					 provision of positive pressure rescue breathing.
(4) Cardio-pulmonary drugs and intubation
					 equipment.
(5) Cardiac monitor and
					 defibrillator.
(6) Resuscitator
					 including oxygen and suction equipment.
(7) Tracheostomy and necessary pulmonary
					 reexpansion supplies.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › LINEN SERVICE › Section 567.21 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
An adequate supply of clean linen, sterile linen and
						disposable materials shall be maintained.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › LINEN SERVICE › Section 567.22 - Linen service policy

Current through Register Vol. 54, No. 28, July 13, 2024
The ASF shall require the agency providing the linen
						service to maintain at least the standards outlined in this chapter, and the
						contract shall so state. The off-premises laundry service shall ensure that
						clean linen is completely packaged and is protected from contamination upon
						delivery to the ASF.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › LINEN SERVICE › Section 567.23 - Clean linen

Current through Register Vol. 54, No. 28, July 13, 2024
Clean linen shall be available to meet the daily and
						emergency needs of the ASF. Clean linen shall be handled and stored to minimize
						contamination from surface contact or airborne deposits.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › LINEN SERVICE › Section 567.24 - Soiled linen

Current through Register Vol. 54, No. 28, July 13, 2024
Soiled linen shall be collected and stored to avoid
						microbial dissemination into the environment. Soiled linen shall be kept
						segregated from clean linen. Soiled linen from isolation areas shall be
						identified and separately bagged. Precautions shall be taken in the subsequent
						processing of soiled linen from isolation areas to prevent microbial
						dissemination and infection.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 567.31 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
The facility, the premises and equipment shall be kept
						clean and free of vermin, insects, rodents and litter.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 567.32 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Procedures shall be developed for cleaning and care of
						equipment, for establishment of cleaning schedules, for cleaning methods and
						for proper use of cleaning supplies and disposal of waste. Suitable equipment
						shall be provided to facilitate cleaning.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › HOUSEKEEPING SERVICES › Section 567.33 - Waste disposal

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Garbage
					 shall be stored in tight, nonabsorbent and readily cleanable containers with
					 tight-fitting lids. Garbage shall be removed from the premises as frequently as
					 necessary to prevent nuisance and shall be disposed of in a manner consistent
					 with Federal and Commonwealth regulations and local codes and
					 ordinances.
(b) Refuse shall be
					 stored in covered trash containers prior to removal.
(c) Pathological, bacteriological, surgical,
					 gynecological and contaminated waste and similar materials shall be disposed of
					 by a method approved by the Department of Environmental Resources under 25 Pa.
					 Code Chapter 75 (relating to solid waste management) and in compliance with
					 local ordinances.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › MAINTENANCE SERVICE › Section 567.41 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
The ASF shall be equipped, operated and maintained to
						sustain its safe and sanitary characteristics and to minimize health hazards in
						the ASF for the protection of patients and employes.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › MAINTENANCE SERVICE › Section 567.42 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 schedule of preventive maintenance shall be developed for the physical plant,
					 biomedical and other equipment.
(b)
					 Written procedures shall be readily available for employes to follow in the
					 event of a breakdown in equipment, mechanical systems or utilities.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › MAINTENANCE SERVICE › Section 567.43 - Ventilation system

Current through Register Vol. 54, No. 28, July 13, 2024
The ventilation system shall be inspected and maintained
						in accordance with the written maintenance schedule to ensure that a properly
						conditioned air supply meeting minimum filtration, humidity and temperature
						requirements is provided in critical areas such as the surgical and recovery
						suites under Chapter 571 (relating to construction
						standards).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › MISCELLANEOUS › Section 567.51 - Water supply

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Water shall
					 be obtained from a municipal or private water system approved by the Department
					 of Environmental Resources and in compliance with applicable Federal and
					 Commonwealth regulations and local ordinances.
(b) Provisions shall be made for an emergency
					 supply of water when the usual source of water is neither usable nor
					 available.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › MISCELLANEOUS › Section 567.52 - Lighting

Current through Register Vol. 54, No. 28, July 13, 2024
Glare-free artificial lighting shall be provided in all
						areas of the ASF. For current recommendations of lighting levels for ASFs, see
						the latest edition of the IES, (Illuminating Engineering Society),
Lighting Handbook
,
Application Volume
or
Lighting for Health Care Facilities
. Both documents are
						published by the IES of North America, 345 East 47th Street, New York, New York
						10017.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 567 - ENVIRONMENTAL SERVICES › MISCELLANEOUS › Section 567.53 - Sterilization control

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be written policies to establish the
						following:
(1) A method of control to
					 assure sterilization of supplies and water.
(2) Processing of sterile supplies at
					 specified intervals.
(3) Use of
					 disposable equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › GENERAL PROVISIONS › Section 569.1 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
The ASF shall have an organized fire, safety and disaster
						program under the direction and supervision of one or more persons qualified to
						implement the program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › GENERAL PROVISIONS › Section 569.2 - Fire safety standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 ASF shall meet the applicable edition of National Fire Protection Association
					 101
Life Safety Code
, which is currently adopted by the
					 Department.
(b) An ASF previously
					 in compliance with prior editions of the
Life Safety Code
, is
					 deemed in compliance with subsequent
Life Safety Codes
, except
					 renovation or new construction shall meet the current edition adopted by the
					 Department.
This section cited in 28 Pa. Code §
													571.2 (relating to modifications
						  to HHS requirements).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › GENERAL PROVISIONS › Section 569.3 - Policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Written policies and procedures for use in preventing and
						responding to fire and disaster shall be available to
						personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › INTERNAL DISASTER PLAN › Section 569.11 - Firefighting service

Current through Register Vol. 54, No. 28, July 13, 2024
The person in charge of the ASF shall establish a
						workable plan with the nearest fire department for fire- fighting service. The
						ASF shall provide the fire department with a current floor plan of the building
						showing the location of firefighting equipment, exits, patient rooms, storage
						places of flammable and information that the fire department requires or as may
						be necessary.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › INTERNAL DISASTER PLAN › Section 569.12 - Fire warning and safety systems

Current through Register Vol. 54, No. 28, July 13, 2024
An ASF shall have an automatic and manually activated
						fire alarm system installed to transmit an alarm automatically to the fire
						department by the most direct and reliable method approved by local
						ordinances.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › INTERNAL DISASTER PLAN › Section 569.13 - Testing fire warning systems

Current through Register Vol. 54, No. 28, July 13, 2024
Fire safety systems, including automatic fire
						extinguishing systems, automatic and manual alarms, stand-pipes and hose reels
						shall be of an approved type. They shall be kept in good operating condition
						and inspected by qualified ASF personnel at least every 3 months. Records of
						the inspections shall be kept on file for the licensure
						period.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › INTERNAL DISASTER PLAN › Section 569.14 - Internal disaster and fire plans

Current through Register Vol. 54, No. 28, July 13, 2024
The ASF shall have an internal disaster and fire plan
						incorporating evacuation procedures and the safety of both closed records and
						the records of those patients being evacuated. These plans shall be made
						available to personnel and evacuation diagrams shall be posted throughout the
						ASF.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › INTERNAL DISASTER PLAN › Section 569.15 - Safety education program

Current through Register Vol. 54, No. 28, July 13, 2024
Employes shall participate in the safety program and
						perform the duties delegated to them and be instructed in the operation of the
						fire warning system, the proper use of fire fighting equipment and the
						procedure to follow if electric power is impaired.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › EVACUATION DRILLS › Section 569.21 - Fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Fire,
					 internal disaster and evacuation drills shall be held at least quarterly for
					 ASF personnel and under varied conditions.
(b) The CEO shall:
(1) Ensure that all personnel are trained to
					 perform assigned duties.
(2) Ensure
					 that all personnel are familiar with the use and operation of the firefighting
					 equipment in the ASF.
(3) Enable
					 the chief executive officer to evaluate the effectiveness of the
					 plan.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › SAFETY PRECAUTIONS › Section 569.31 - Emergency power

Current through Register Vol. 54, No. 28, July 13, 2024
The emergency electric power source and associated
						equipment shall be regularly inspected, tested and maintained in accordance
						with current NFPA Standards. A written record shall be maintained of
						inspection, performance, exercising period and repairs of emergency power
						equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › SAFETY PRECAUTIONS › Section 569.32 - Fire inspection

Current through Register Vol. 54, No. 28, July 13, 2024
The ASF shall request an annual inspection by its local
						fire department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › SAFETY PRECAUTIONS › Section 569.34 - Electrical safety

Current through Register Vol. 54, No. 28, July 13, 2024
Appliances, instruments and installations shall be tested
						before use to determine compliance with grounding, current leakage and other
						device safety requirements to ensure protection of patients and employes. A
						program of routine maintenance shall be effectively enforced to ensure that
						electrical receptacles and plugs, wires and connectors are safe. If an
						appliance requiring three-wire circuitry for grounding is attached to a
						two-wire outlet, the adaptor plug pigtail shall be attached to a
						ground.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › SAFETY PRECAUTIONS › Section 569.35 - General safety precautions

Current through Register Vol. 54, No. 28, July 13, 2024
The following safety precautions shall be met:
(1) Doorways, corridors and stairwells shall
					 be properly lighted and free of obstructions.
(2) Doors into patient rooms may not be
					 locked.
(3) Exit doors may not be
					 locked from the inside while patients are in the ASF.
(4) Doors opening to shafts shall be equipped
					 with self-closing devices and positive latches.
(5) Wastebaskets, cubicle curtains, window
					 shades and drapes shall be rendered flame retardant.
(6) Call bells in the shower, tub room or
					 water closet shall be easily accessible to patients.
(7) Only nonflammable agents may be present
					 in a surgical suite.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › SAFETY PRECAUTIONS › Section 569.36 - Safety devices

Current through Register Vol. 54, No. 28, July 13, 2024
The following safety devices shall be provided:
(1) Grab bars within reaching distance on at
					 least one side of toilets, bathtubs and showers used by patients.
(2) Bedside rails on both sides of a bed for
					 use when the condition of the patient warrants.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 569 - FIRE AND SAFETY SERVICES › SAFETY PRECAUTIONS › Section 569.37 - Report of emergencies causing interruption of service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The person in charge of the ASF shall
					 make a report of any emergency, such as a strike, fire or natural disaster
					 which significantly interrupts or alters ASF services and threatens the health
					 and safety of patients, and which requires one of the following:
(1) The services of a fire
					 department.
(2) The evacuation of a
					 patient.
(3) The use of nonmedical
					 emergency equipment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 571 - CONSTRUCTION STANDARDS › GENERAL PROVISIONS › Section 571.1 - Minimum standards

Current through Register Vol. 54, No. 28, July 13, 2024
ASF construction shall be in accordance with the latest
						edition of the "Guidelines for Design and Construction of Hospital and Health
						Care Facilities," as published by the American Institute of Architects/Academy
						of Architecture for Health including those guidelines established for various
						outpatient facilities. In the alternative, a facility shall meet the
						construction guidelines for specified types of surgical procedures as listed in
						Appendix A (relating to alternative construction guidelines). Where renovation
						or replacement work is performed within an existing facility, all new work or
						additions shall comply with the requirements for new
						construction.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 571 - CONSTRUCTION STANDARDS › GENERAL PROVISIONS › Section 571.2 - Modifications to HHS requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Life
					 Safety Code means the standard as defined in §
											569.2 (relating to fire safety
					 standards).
(b) Adequate storage
					 areas shall be provided to meet the needs of the facility.
(c) Patient privacy shall be provided in
					 preoperative and postoperative areas.
(d) In multistory buildings, where the ASF
					 may be provided on floors other than at grade level, at least one hospital type
					 elevator shall be provided.
(e)
					 Elevators shall conform to "HHS Requirements" and the latest edition of the
					 "American National Standard Safety Code for Elevators, Dumbwaiters, Escalators
					 and Moving Stairs."
(f) The
					 Americans with Disabilities Act of 1990 (ADA) (42 U.S.C.A. §§
												12101-12213).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 571 - CONSTRUCTION STANDARDS › SUBMISSION OF PLANS › Section 571.11 - Principle

Current through Register Vol. 54, No. 28, July 13, 2024
Plans and specifications shall be submitted to the
						Division of Safety Inspection of the Department for approval prior to
						construction of an ASF, in accordance with §
											51.5 (relating to building
						occupancy). Submission shall be in three stages.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 571 - CONSTRUCTION STANDARDS › SUBMISSION OF PLANS › Section 571.12 - Submission stages

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
First stage.
One copy of the narrative description and one
					 copy of the schematic drawings shall be provided.
(1)
Program narrative
.
(i) List in outline form the rooms or spaces
					 to be included in each department, explaining the functions or services to be
					 provided in each, indicating the approximate size, the number of personnel and
					 the kind of equipment or furniture it will contain. Note special or unusual
					 services or equipment to be included in the facility.
(ii) Give an outline of construction
					 materials.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart F - Ambulatory Surgical Facilities › Chapter 571 - CONSTRUCTION STANDARDS › SUBMISSION OF PLANS › Appendix A - ALTERNATIVE CONSTRUCTION GUIDELINES

Current through Register Vol. 54, No. 28, July 13, 2024
ENDOSCOPY
1 Office Endoscopy, edited by Bergein F. Overholt and
						Sarkis J. Chobanian.
2 Planning an Endoscopy Suite for Office and Hospital, by
						Jerome D. Waye and Martin E. Rich.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GENERAL PROVISIONS › Section 601.1 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This subpart is
					 promulgated by the Department under the powers granted and the duties mandated
					 by Chapter 8 of the act (35 P.S. §§
												448.801a-448.820).
(b) The Department has the power and its duty
					 is to promulgate, after consultation with the Health Care Policy Board, the
					 regulations necessary to implement the provisions and purpose of Chapter 8 of
					 the act (35 P.S. §§
												448.801a-448.820) and to assure that its
					 regulations and the act are enforced.
(c) The purpose of this subpart is to protect
					 and promote the public health and welfare through the establishment and
					 enforcement of regulations setting minimum standards in the construction,
					 maintenance and operation of home health care agencies. The standards are
					 intended by the Department to assure safe, adequate and efficient home health
					 care agencies and services, and to promote the health, safety and adequate care
					 of the patients of the home health care agencies. It is also the purpose of
					 this subpart to assure quality health care through appropriate and
					 nonduplicative review and inspection with regard to the protection of the
					 health and rights of privacy of patients and without unreasonably interfering
					 with the operation of the home health care agency.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GENERAL PROVISIONS › Section 601.2 - Affected home health care agencies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This subpart applies to home health care
					 agencies, profit or nonprofit, operated in this Commonwealth, as defined in
					 this subpart.
(b) Existing home
					 health care agencies which were home health care agencies prior to April 23,
					 1987 shall be required to meet the same standards as home health care agencies
					 created after April 23, 1987 unless an exception is granted by the Department
					 under §
											601.5 (relating to
					 exceptions).
(c) A home health care
					 agency certified to participate in the Medicare program shall be deemed to
					 comply with and satisfy this subpart upon compliance with §
											601.11(a)-(c)
					 (relating to licensure process).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GENERAL PROVISIONS › Section 601.3 - Requirements for home health care agencies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A current copy of this subpart shall be
					 maintained at the home health care agency.
(b) Home health care agencies licensed under
					 this subpart shall comply with applicable environmental, health, sanitation and
					 professional licensure standards which are required by Federal, State and local
					 authorities. This includes, but is not limited to, standards promulgated by the
					 State Boards of Medicine, Nursing, Pharmacy, Physical Therapy Examiners-49 Pa.
					 Code Chapters 16-18, 21, 27 and 40-and the Occupational Therapy Practice Act
					 (63
					 P. S. §§
												1501-1519). Home health
					 care agencies shall also comply with Chapter 27 (relating to communicable and
					 noncommunicable diseases) and Chapter 25 (relating to controlled substances,
					 drugs, devices and cosmetics).
(c)
					 If there is a difference in applicable State or local standards, the standards
					 established under State statutes apply for the purpose of compliance with this
					 subpart.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GENERAL PROVISIONS › Section 601.4 - Inspections

Current through Register Vol. 54, No. 28, July 13, 2024
The home health care agency shall be subject to
						inspection at any time by authorized representatives of the Department.
						Inspections may be scheduled in advance or be unannounced.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GENERAL PROVISIONS › Section 601.5 - Exceptions

Current through Register Vol. 54, No. 28, July 13, 2024
The Department may grant an exception to the standards
						and this subpart when the policy objective of the standards and this subpart is
						met in existing home health care agencies. The exception shall be requested in
						writing and be made by the home health care agency. The reason for granting the
						exceptions and the time period for the exceptions shall be made in writing by
						the Department, and incorporated as part of the permanent record of the home
						health care agency maintained on file in the Department.
This section cited in 28 Pa. Code §
													601.2 (relating to affected home
						  health care agencies).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › GENERAL PROVISIONS › Section 601.7 - Ownership

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The owner of a
					 home health care agency may be an individual, partnership, association,
					 corporation or a combination thereof. The following apply to home health care
					 agencies according to the mode of ownership:
(1)
Individual ownership
. A
					 complete list of names and addresses of the owners of the home health care
					 agency shall be submitted with the application. When death occurs to a person
					 who was a sole owner of a home health care agency, the executor or
					 administrator of the estate may apply for, and the Department may, after
					 review, transfer a license for the home health care agency.
(2)
Partnerships
. A complete
					 list of names and addresses of the owners of the home health care agency,
					 general partners and partners responsible for the management of the home health
					 care agency shall be submitted with the application. When a license is issued
					 to a partnership and one or more of the partners dies, the executor or
					 administrator of the deceased's estate, together with the surviving partners
					 may apply for a license. After review, the Department may transfer the
					 license.
(3)
Association or
					 corporation
. A complete list of names and addresses of the officers,
					 directors, principal stockholders, either beneficial or of record, of the
					 corporate owner and of the parent corporation, if applicable, and of the
					 persons in charge who are responsible for the management of the home health
					 care agency, shall be submitted with the application. Ownership interest of
					 5.0% or more-direct or indirect-shall be disclosed.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › LICENSURE › Section 601.11 - Licensure process

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 application form for a license to operate a home health care agency shall be
					 obtained from the Pennsylvania Department of Health, Division of Primary Care
					 and Home Health Services, Post Office Box 90, Harrisburg, Pennsylvania
					 17108.
(b) Application or renewal
					 forms shall be accompanied by a fee of $50.
(c) The home health care agency shall report
					 yearly to the Department, on forms issued by the Department, statistical
					 information the Department may request.
(d) Home health care agencies certified as
					 providers by the Department to the Federal government for purposes of the
					 Medicare program shall be deemed to comply with this subpart upon compliance
					 with subsections (a)-(c).
This section cited in 28 Pa. Code §
													601.2 (relating to affected home
						  health care agencies).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › LICENSURE › Section 601.12 - Issuance of license

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will issue a regular license to operate a home health care agency
					 after a survey conducted by the Department indicates that the applicant is in
					 substantial compliance with this subpart. The survey may include an onsite
					 inspection.
(b) A regular license
					 issued by the Department shall expire 1 year from the date of issue.
(c) A provisional license may be issued when
					 there are numerous deficiencies or a serious specific deficiency, which has a
					 substantial impact on governance and management or services, which indicates
					 that the home health care agency is not in compliance with applicable statutes,
					 ordinances or this title, and the Department finds that:
(1) The applicant is taking appropriate steps
					 to correct the deficiencies in accordance with a timetable submitted by the
					 applicant and agreed upon by the Department.
(2) There is no pattern of deficiencies over
					 a period of 2 or more years.
(3)
					 There is no danger to the health or safety of the patients of the home health
					 care agency.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › LICENSURE › Section 601.13 - Responsibility of home health care agency owners

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The owner shall be responsible for
					 meeting the minimum standards for operation of a home health care agency as set
					 forth by the Department and by other State and local agencies responsible for
					 the health, welfare and safety of the patients.
(b) When services for the administration or
					 management of the home health care agency or for the provision of patient care
					 are purchased, the owner shall be responsible for insuring compliance with this
					 title and regulations of other appropriate agencies.
(c) The owner, administrator or designee
					 shall immediately report, by telephone to the Department and by a written
					 follow-up report as soon as possible, a catastrophic incident, such as a fire
					 or flood, or an incident which may cause interruption or cessation of the
					 delivery of services, or another interruption of home health care agency
					 services which would affect the health and safety of the patients.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › LICENSURE › Section 601.14 - Reasons for revocation or nonrenewal of license

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Departmental refusals
.
					 The Department may refuse to renew a license, may suspend, revoke or limit a
					 license of a home health care agency or may suspend admissions for any of the
					 following reasons:
(1) A serious violation of
					 this subpart, the act or of other statutes and regulations, which seriously
					 threatens the health, safety and welfare of patients.
(2) Failure of an owner to submit a
					 reasonable timetable for correction of deficiencies.
(3) The existence of a pattern of cyclical
					 deficiencies which extends over a period of 2 or more years.
(4) Failure, by the holder of a provisional
					 license, to correct deficiences in accordance with a timetable submitted by the
					 applicant and agreed upon by the Department.
(5) Fraud or deceit in obtaining or
					 attempting to obtain a license.
(6)
					 Lending, borrowing or using the license of another, or knowingly aiding or
					 abetting the improper granting of a license.
(7) Incompetence, negligence or misconduct in
					 operating the home health care agency or in providing services to
					 individuals.
(8) Mistreating or
					 abusing individuals cared for by the home health care agency.
(9) Serious violation of the statutes
					 relating to Medical Assistance or Medicare reimbursement.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › SERVICES › Section 601.32 - Skilled nursing service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Supervision.
The home health care agency shall provide skilled
					 nursing services by or under the supervision of a registered nurse and in
					 accordance with the plan of treatment.
(b)
Duties of the registered
					 nurse.
The registered nurse shall make the initial evaluation visit,
					 regularly reevaluate the patient's nursing needs, initiate the plan of
					 treatment and necessary revisions, provide services requiring substantial
					 specialized nursing skill, intitiate appropriate preventive and rehabilitative
					 nursing procedures, prepare clinical and progress notes, coordinate services,
					 inform the physician and other personnel of changes in the patient's condition
					 and needs, counsel the patient and family in meeting nursing and related needs,
					 participate in inservice programs and supervise and teach other nursing
					 personnel.
(c)
Duties of
					 the licensed practical nurse.
The licensed practical nurse shall
					 provide services in accordance with agency policies, prepare clinical and
					 progress notes, assist the physician or registered nurse in performing
					 specialized procedures, prepare equipment and materials for treatments
					 observing aseptic technique as required and assist the patient in learning
					 appropriate self-care techniques.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › SERVICES › Section 601.33 - Therapy services

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Qualified therapists.
Therapy services offered by the home
					 health care agency directly or under arrangement shall be given by a qualified
					 therapist or by a qualified therapist assistant under the supervision of a
					 qualified therapist in accordance with the plan of treatment. The qualified
					 therapist shall assist the physician in evaluating level of function, help
					 develop the plan of treatment-revising as necessary-prepared clinical and
					 progress notes, advise and consult with the family and other agency personnel
					 and participate in inservice programs.
(b)
Supervision of occupational
					 therapy assistant.
Services provided by a qualified occupational
					 therapy assistant may be furnished under the supervision of a qualified
					 occupational therapist.
(c)
Supervision of speech therapy services.
Speech therapy
					 services shall be provided only by or under supervision of a qualified speech
					 pathologist or audiologist.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › SERVICES › Section 601.34 - Medical social services

Current through Register Vol. 54, No. 28, July 13, 2024
Medical social services, when provided, shall be given by
						a qualified social worker or by a qualified social work assistant under the
						supervision of a qualified social worker, and in accordance with the plan of
						treatment. The social worker shall assist the physician and other team members
						in understanding the significant social and emotional factors related to the
						health problems, participate in the development of the plan of treatment,
						prepare clinical and progress notes, work with the family, utilize appropriate
						community resources, participate in discharge planning and inservice programs
						and act as a consultant to other agency personnel.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › SERVICES › Section 601.35 - Home health aide services

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Selection of aides.
Home health aides shall be selected on the
					 basis of such factors as a sympathetic attitude toward the care of the sick,
					 ability to carry out directions, maturity and ability to deal effectively with
					 the demands of the job. Aides shall be carefully trained in methods of
					 assisting patients to achieve maximum self-reliance, principles of nutrition
					 and meal preparation, the aging process and emotional problems of illness,
					 procedures for maintaining a clean, healthful and pleasant environment, changes
					 in patient's condition that should be reported, work of the agency and the
					 health team, ethics, confidentiality and recordkeeping. They shall be closely
					 supervised to assure their competence in providing care.
(b)
Assignment and duties of the home
					 health aide.
The home health aide shall be assigned to a particular
					 patient by a registered nurse. Written instructions for patient care shall be
					 prepared by a registered nurse or therapist as appropriate. Duties shall
					 include the performance of simple procedures as an extension of therapy
					 services, personal care, ambulation and exercise, household services essential
					 to health care at home, assistance with medications that are ordinarily
					 self-administered, reporting changes in the patient's conditions and needs and
					 completing appropriate records.
(c)
Supervision.
The registered nurse, or appropriate professional
					 staff member, if other services are provided, shall make a supervisory visit to
					 the patient's residence at least every 2 weeks, either when the aide is present
					 to observe and assist, or when the aide is absent, to assess relationships and
					 determine whether goals are being met.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart G - Home Health Care Agencies › Chapter 601 - HOME HEALTH CARE AGENCIES › SERVICES › Section 601.36 - Clinical records

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Maintenance and content of records.
A clinical record
					 containing pertinent past and current findings in accordance with accepted
					 professional standards shall be maintained for every patient receiving home
					 health care services. In addition to the plan of treatment-see §
											601.31(b) 
					 (relating to acceptance of patients, plan of treatment and medical
					 supervision)-the record shall contain appropriate identifying information; name
					 of physician; drug and dietary treatment; activity orders; signed and dated
					 clinical and progress notes by the individual who delivered the
					 service-clinical notes are written the day service is rendered and incorporated
					 into the clinical record no less often than weekly; copies of summary reports
					 sent to the physician; and a discharge summary.
(b)
Retention of records.
Clinical records shall be retained for 7 years after discharge of the patient.
					 Policies shall provide for retention even if the home health care agency
					 discontinues operations. If the patient is transferred to another home health
					 care agency, a copy of the record or abstract shall accompany the
					 patient.
(c)
Protection of
					 records.
Information contained in the patient's record shall be
					 privileged and confidential. Clinical record information shall be safeguarded
					 against loss or unauthorized use. Written procedures shall govern use and
					 removal of records and conditions for release of information. The patient's
					 written consent shall be required for release of information outside the home
					 health care agency, except as otherwise provided by law or third-party
					 contractual arrangements.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart H - Home Care Agencies and Home Care Registries › Chapter 611 - HOME CARE AGENCIES AND HOME CARE REGISTRIES › GENERAL › Section 611.1 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter is
					 promulgated by the Department under the powers granted and the duties mandated
					 under sections 803 and 809.1 of the act (35 P.S.
					 §§
												448.803 and
					 448.804a).
(b) The Department has the power and its duty
					 is to promulgate the regulations necessary to implement the provisions of
					 Chapter 8 of the act (35 P.S. §§
												448.801a-448.820) and to assure that its
					 regulations and the act are enforced.
(c) The purpose of this chapter is to protect
					 and promote the public health and welfare through the establishment and
					 enforcement of regulations setting minimum standards for the operation of home
					 care agencies and home care registries. The standards are intended by the
					 Department to assure safe, adequate and efficient home care agencies and home
					 care registries, and to promote the health, safety and adequate care of the
					 consumers of services provided by home care agencies and home care
					 registries.