Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 101 - GENERAL INFORMATION › CIVIL RIGHTS › Section 101.164 - Civil rights compliance records

Current through Register Vol. 54, No. 28, July 13, 2024
The following records shall be maintained to indicate
						that no person is excluded from participation in, is denied the benefits of, or
						is otherwise subjected to discrimination in the provision of any care or
						services on the ground of race, creed, color, sex, sexual preference, national
						origin or religion.
(1) A signed and
					 dated copy of the policies of the hospital pertaining to the admission of
					 patients and visitors. The date the policies were adopted shall also be
					 indicated. The policies shall set forth in clear terms nondiscriminatory
					 practices with regard to race, creed, color, religion, national origin, sex or
					 sexual preference.
(2) Copies of
					 signed and dated notification forms by which doctors and other persons who
					 normally refer to admit patients to the hospitals have been informed of the
					 nondiscriminatory admission policy of the hospital.
(3) A copy of the date, notification, and
					 description of the continuing method used to inform employes of the
					 nondiscriminatory policies.
(4)
					 Evidence that nondiscriminatory practices of the facility have been publicized
					 in the community by one of the following methods: newspaper, radio, television,
					 brochure, yellow pages in the telephone book, patient handbooks and so
					 on.
(5) Records, by race, showing
					 the utilization of inpatient rooms; intensive care and other units; outpatient
					 clinics; emergency rooms; and referrals to nursing homes or other posthospital
					 care facilities, homes, or agencies and showing the participation in training
					 programs for such periods of time as may be required by the Department to
					 determine compliance with the Pennsylvania Human Relations Act (43 P. S.
					 §§
												951-963).
(6) Written personnel policies giving
					 evidence that employment practices of the hospital are in conformity with the
					 Pennsylvania Human Relations Act (43 P. S. §§
												951-963). These policies shall be made
					 available to all employes and shall be discussed with each new
					 employe.
(7) The stated ethical
					 policy of the hospital, as defined in 16 Pa. Code §
											51.2 (relating to definitions)
					 with regard to abortion or sterilization if the hospital has adopted such a
					 policy pursuant to 16 Pa. Code §
											51.31 (relating to adoption and
					 substance of a stated ethical policy) and any written objections to
					 participating in such procedures submitted by any employe or staff member
					 pursuant to 16 Pa. Code §
											51.41 (relating to written
					 objection to performance, participation in or cooperation in abortion or
					 sterilization procedures).
(8) Such
					 other records or reports as may be required by the Department, from time to
					 time, to determine compliance with the Pennsylvania Human Relations Act
					 (43
					 P. S. §§
												951-963). This includes
					 the competion of the Department's Civil Rights Compliance Form.
The provisions of this § 101.164 issued under
						  67 Pa.C.S. §§
														6101-6104; and Reorganization Plan No. 2 of
						  1973 (71 P. S. §
														755-2).