Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 138 - CARDIAC CATHETERIZATION SERVICES › GENERAL PROVISIONS › Section 138.2 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
Board certified
-A physician licensed to
						practice medicine in this Commonwealth who has successfully passed an
						examination and has maintained certification in the relevant medical specialty
						or subspecialty area, or both, recognized by one of the following
						groups:
(i) The American Board of
					 Medical Specialties.
(ii) The
					 American Osteopathic Association.
(iii) The foreign equivalent of either group
					 listed in subparagraph (i) or (ii).
Cardiac catheterization
-A procedure
						used to diagnose and treat various cardiac and circulatory diseases that
						involves inserting a thin, pliable catheter, which is viewable by X-ray, into a
						major blood vessel of the arm or leg, and manipulating the tip of the catheter
						through veins or arteries to the heart.
Cardiac catheterization area
-That
						portion of the hospital dedicated to the performance of cardiac
						catheterizations, including the cardiac catheterization laboratory where the
						invasive procedures are performed by the physician, and preoperative and
						postoperative recovery units used for treatment of the cardiac catheterization
						patient.
Electrophysiology study
						(EPS)-diagnostic
-The use of blood vessel access to position electrode
						catheters in various intra cardiac locations with the help of fluoroscopy for
						the purpose of recording the timing of electrical events to assess the location
						and direction of impulse propagation. The term includes procedures designed to
						induce ventricular or supraventricular tachycardia and activation sequence
						mapping of cardiac tachyarrhythmias.
Electrophysiology study
						(EPS)-therapeutic
-EPS used as or in combination with a therapeutic
						procedure, which includes electrode catheter ablative procedures and
						implantation of antitachyarrhythmia devices and implantable cardiovertor
						defibrillators.
High-risk cardiac
						catheterization
-Cardiac catheterization which presents a high risk of
						significant cardiac complication. The term includes diagnostic cardiac
						catheterization procedures that present a high risk of significant cardiac
						complication, PTCA, pediatric cardiac catheterization and therapeutic
						electrophysiology except for the implantation of routine permanent
						pacemakers.
Low-risk cardiac
						catheterization
-Cardiac catheterization which is not high-risk cardiac
						catheterization.
Onsite
-In the physical structure at
						which cardiac catheterization services are being offered or in an adjoining
						structure.
PTCA-Percutaneous transluminal coronary
						angioplasty
-A procedure which uses a balloon catheter, plaque removing
						device, laser device or mechanical stent to re-open collapsed, blocked or
						partially blocked arteries.
Pediatric cardiac catheterization
-The
						performance of cardiac catheterization on a person who is under 18 years of age
						except for those patients whose physical development, in the judgment of the
						patient's physician, allows the patient to receive treatment safely and
						appropriately in hospitals that do not have pediatric cardiac catheterization
						programs.
Preboard certification status
-A
						physician licensed to practice medicine in this Commonwealth who has completed
						the requirements necessary to take a certification examination offered by a
						medical specialty board recognized by the American Board of Medical
						Specialties, the American Osteopathic Association, or the foreign equivalent of
						either group, and who has been eligible to take the examination for no longer
						than 3 years.
Twenty-four hours per day
-Refers to the
						availability or onsite presence of specific personnel, support services or
						equipment on a 24-hour-per-day, 7-days-a-week basis.