reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-330 - Medical direction

Current through Register Vol. 40, No. 24, July 15, 2024
A. There
					 shall be a medical director, who shall be a physician licensed by the Virginia
					 Board of Medicine, responsible for the overall direction and management of the
					 medical component of care. The individual shall have training and experience in
					 the psychological and medical needs of the terminally ill.
B. The duties and responsibilities of the
					 medical director shall include at least the following:
1. Consulting with attending physicians
					 regarding pain and symptom management;
2. Reviewing patient eligibility for hospice
					 services according to the law and the hospice program's admission policies;
3. Acting as a medical resource to
					 the IDG;
4. Coordinating with
					 attending physicians to assure a continuum of medical care in cases of
					 emergency or in the event the attending physician is unable to retain
					 responsibility for the patient's care;
5. Acting as medical liaison with physicians
					 in the community; and
6.
					 Determining, in consultation with the patient's physician, when a patient can
					 no longer remain at home and should be moved to a congregate living facility of
					 the patient's choosing.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-340 - Nursing services

Current through Register Vol. 40, No. 24, July 15, 2024
A. All
					 nursing services shall be provided directly or under the supervision of a
					 registered nurse, currently licensed by the Virginia Board of Nursing, who has
					 education and experience in the needs of the terminally ill. Duties and
					 responsibilities of the supervising nurse shall include:
1. Assuring that nursing services delivered
					 are provided according to established hospice program policies;
2. Assuring that nursing services are
					 available 24 hours a day, 7 days a week and that licensed practical nurses and
					 home attendants work under the direct supervision of a registered
					 nurse;
3. Participating in the
					 development and implementation of orientation and in-service training hospice
					 programs for all levels of nursing staff employed by the hospice
					 program;
4. Acting as nurse liaison
					 with staff and other agencies, hospice programs and individuals that have
					 contractual agreements to provide nursing services;
5. Participating in quality improvement
					 reviews and evaluations of the nursing services provided; and
6. Directing or supervising the delivery of
					 nursing services.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-350 - Home attendant services

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 Services of the home attendants may include:
1. Assisting patients with (i) activities of
					 daily living; (ii) ambulation and prescribed exercise; (iii) other special
					 duties with appropriate training and demonstrated competency;
2. Administration of normally
					 self-administered drugs in a patient's private residence as allowed by §
												54.1-3408
					 of the Virginia Drug Control Act (Chapter 34 (§
												54.1-3400 et seq.) of
					 Title 54.1 of the Code of Virginia);
3. Taking and recording vital signs as
					 indicated in the plan of care;
4.
					 Measuring and recording fluid intake and output;
5. Recording and reporting to the health care
					 professional changes in the patient's physical condition, behavior or
					 appearance;
6. Documenting services
					 and observations in the medical record; and
7. Performing any other duties that the
					 attendant is qualified to do by additional training and demonstrated
					 competency, within state guidelines.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-360 - Medical social services

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 Social services shall be provided according to the plan of care under the
					 direction of a qualified social worker who holds, at a minimum, a bachelor's
					 degree with major studies in social work, sociology, or psychology from a
					 four-year college or university accredited by the Council on Social Work
					 Education and has at least two years experience in case work or counseling in a
					 health care or social services delivery system.
The hospice program has one year from the effective date
						of this chapter to ensure the designated individual meets the qualifications of
						this standard.
B. The
					 duties of the social worker may include, but are not limited to:
1. Conducting a complete psychosocial
					 assessment of the patient and family and participating in the development of
					 the plan of care at the time of the patient's admission;
2. Delivering or supervising the delivery of
					 social services to the patient or the patient's family;
3. Reviewing and updating the plan of care as
					 often as necessary;
4. Obtaining
					 physician's orders for services, as necessary;
5. Assisting the patient and family with
					 identifying and accessing community resources;
6. Reporting any changes in the emotional,
					 social, or financial condition of the patient or family to the attending
					 physician;
7. Acting as consultant
					 to hospice program staff;
8.
					 Participating in the quality improvement reviews and evaluation of social
					 services;
9. Preparing clinical
					 notes; and
10. Participating in
					 discharge planning.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-370 - Spiritual counseling and bereavement services

Current through Register Vol. 40, No. 24, July 15, 2024
A. The hospice program shall provide for the
					 delivery of spiritual counseling and bereavement services that reflect the
					 family's needs and desires and are delivered according to the overall plan of
					 care.
B. Spiritual counseling may
					 be provided through a working arrangement with individual clergy, clergy
					 associations and other religious programs in the community or by clergy
					 employed by the hospice program.
C.
					 The hospice program shall provide bereavement services to the family for a
					 minimum of one year after the patient's death.
D. The hospice program shall maintain a list
					 of individuals who provide spiritual and bereavement services. The list shall
					 be made available, upon request to patients, families, hospice program
					 employees and contractors.
E.
					 Arrangements for and delivery of spiritual counseling and bereavement services
					 shall be documented in the patient's record.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-380 - Dietary or nutritional counseling

Current through Register Vol. 40, No. 24, July 15, 2024
Dietary or nutritional counselors shall meet the
						requirements of Chapter 27.1 (§
											54.1-2730 et
						seq.) of Title 54.1 of the Code of Virginia and have at least two years
						experience in a health care food or nutrition delivery
						system.
Statutory Authority: §§
													32.1-12
						  and
						  32.1-162.5 of the
						  Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-390 - Therapy services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Physical
					 therapy, occupational therapy, or speech therapy services shall be provided
					 under the direction of an appropriately qualified therapist licensed or
					 certified as required in Virginia. The therapy services provided may include,
					 but are not limited to:
1. Assessing patient
					 needs;
2. Participating, as
					 necessary, in developing a patient's plan of care;
3. Implementing therapy services as
					 documented in a patient's plan of care;
4. Evaluating the outcome of the services
					 provided;
5. Educating the patient
					 and family regarding the therapy services provided;
6. Providing therapy service consultation to
					 other health care professionals;
7.
					 Coordinating and communicating with the IDG regarding changes in the patient's
					 needs;
8. Supervising therapy
					 assistants and home attendants as appropriate;
9. Preparing clinical notes; and
10. Obtaining physician orders, when
					 necessary.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-395 - Medication errors and drug reactions

Current through Register Vol. 40, No. 24, July 15, 2024
A. In the event of a medication error or
					 adverse drug reaction, employees shall promptly notify the patient's physician,
					 the medical director, the nurse and the patient's family and shall take action
					 as directed. Adverse outcomes of medication errors or drug reactions shall also
					 be reported to the OLC within 48 consecutive hours of the event.
B. Actions taken shall be documented in the
					 patient's record.
C. The hospice
					 program shall review all medication errors at least quarterly as part of its
					 quality assurance program.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 1 - Hospice Services › Section 12VAC5-391-400 - Volunteer services

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
					 hospice program shall utilize trained volunteers to provide patient care,
					 including the activities of daily living, and family support.
B. The hospice program shall have a plan
					 delineating training, responsibilities, and supervision of all
					 volunteers.
C. The hospice program
					 shall demonstrate evidence of ongoing continuing education and recruitment
					 activities for volunteers.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 2 - Other Special Services › Section 12VAC5-391-410 - Other special services

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 Other special services may be offered at the option of the hospice program and
					 may include, but are not limited to:
1.
					 Respiratory therapy; and
2.
					 Pharmacy therapy.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 2 - Other Special Services › Section 12VAC5-391-420 - Respiratory therapy

Current through Register Vol. 40, No. 24, July 15, 2024
Respiratory therapy services shall be provided by a
						respiratory therapist licensed in Virginia. The duties of the respiratory
						therapist shall include:
1. Assessing
					 patient needs;
2. Participating
					 with the IDG in developing a plan of care;
3. Implementing a plan of care and revising
					 as necessary;
4. Evaluating the
					 outcome of the care provided;
5.
					 Educating the patient and family;
6. Providing consultation to other health
					 care professionals;
7. Coordinating
					 and communicating with the IDG regarding changes in the patient's
					 needs;
8. Preparing clinical notes;
					 and
9. Obtaining physician orders,
					 when necessary.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part III - Hospice Program Services › Article 2 - Other Special Services › Section 12VAC5-391-430 - Pharmacy services

Current through Register Vol. 40, No. 24, July 15, 2024
A. All
					 prescription drugs shall be prescribed and properly dispensed to the patient
					 according to the provisions of Chapters 33 (§
											54.1-3300 et seq.)
					 and 34 (§
											54.1-3400 et seq.) of
					 Title 54.1 of the Code of Virginia and the regulations of the Virginia Board of
					 Pharmacy, except for prescription drugs authorized by §
											54.1-3408
					 of the Drug Control Act, such as epinephrine for emergency administration,
					 normal saline and heparin flushes for the maintenance of IV lines, and adult
					 immunizations, which may be given by a nurse pursuant to established
					 protocol.
B. Home attendants may
					 administer normally self-administered drugs in the patient's private residence
					 as allowed by §
											54.1-3408
					 of the Virginia Drug Control Act (Chapter 34 (§
											54.1-3400 et seq.) of
					 Title 54.1 of the Code of Virginia). Any other drug shall be administered only
					 by a licensed nurse or physician assistant.
C. The hospice program shall develop written
					 policies and procedures for the administration of infusion therapy medications
					 that include:
1. Developing a plan of
					 care;
2. Initiation of medication
					 administration based on a prescriber's order and monitoring of the patient for
					 response to the treatment and any adverse reactions or side effects;
3. Assessment of any factors related to the
					 home environment that may affect the prescriber's decisions for initiating,
					 modifying, or discontinuing medications;
4. Communication with the prescriber
					 concerning assessment of the patient's response to therapy, any other patient
					 specific needs, any significant change in the patient's condition;
5. Communication with the patient's provider
					 pharmacy concerning problems or needed changes in a patient's
					 medication;
6. Maintaining a
					 complete and accurate record of medications prescribed, medication
					 administration data, patient assessments, any laboratory tests ordered to
					 monitor response to drug therapy and results, and communications with the
					 prescriber and pharmacy provider;
7. Educating or instructing the patient,
					 family members, or other caregivers involved in the administration of infusion
					 therapy in the proper storage of medication, in the proper handling of supplies
					 and equipment, in any applicable safety precautions, in recognizing potential
					 problems with the patient, and actions to take in an emergency; and
8. Initial training and retraining of all
					 hospice program staff providing infusion therapy.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-445 - Additional building regulations and standards

Current through Register Vol. 40, No. 24, July 15, 2024
A. Water shall be obtained from an approved
				  water supply system. Hospice facilities shall be connected to sewage systems
				  approved by the Department of Health or the Department of Environmental
				  Quality.
B. Each hospice facility
				  shall establish a monitoring program for the internal enforcement of all
				  applicable fire and safety laws and regulations.
C. The hospice facility's food services shall
				  comply with 12VAC5-421, as applicable.
D. A hospice facility's pharmacy services
				  shall comply with Chapters 33 (§ 54.1-3300 et seq.) and 34 (§
				  54.1-3400 et seq.) of Title 54.1 of the Code of Virginia and
				  18VAC110-20.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-446 - Financial controls and patient funds

Current through Register Vol. 40, No. 24, July 15, 2024
A. All financial records, including resident
				  funds, shall be kept according to generally accepted accounting
				  principles.
B. Hospice facilities
				  choosing to handle patient funds shall, upon receipt of a patient's written
				  delegation of this responsibility:
1. Give
				  the patient at least a quarterly accounting of financial transactions made on
				  his behalf and shall permit the patient access to the records of financial
				  transactions made on his behalf at least once a month;
2. Purchase a surety bond or otherwise
				  provide assurance for the security of all personal funds deposited with the
				  facility; and
3. Provide for
				  separate accounting of patient funds.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-450 - Required staffing

Current through Register Vol. 40, No. 24, July 15, 2024
A. There
				  shall be an individual, designated in writing, responsible for the day-to-day
				  management and operation of the hospice facility. Such individual shall report
				  directly to the program administrator and shall be qualified to perform the
				  duties identified in
				  12VAC5-391-180 C.
B. The facility shall provide 24-hour nursing
				  services sufficient to meet the total nursing needs of its patients according
				  to individual plans of care, including treatments, medication, and diet as
				  prescribed, and shall keep patients comfortable, clean, well-groomed, and
				  protected from avoidable accidents, injuries, and infections.
C. The hospice facility shall have a
				  sufficient number of trained and supervised staff to meet the needs of each
				  patient. At least two staff, one of which is a licensed nurse, must be on duty
				  when patients are present. However, facilities with six or fewer beds may staff
				  with a single licensed nurse provided compliance with subsection B of this
				  section is maintained.
If the nurse on duty is not a registered nurse, then a
					 registered nurse must be on call and able to respond to emergent calls within
					 20 minutes.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-470 - Restraints

Current through Register Vol. 40, No. 24, July 15, 2024
A. Periodic or
				  continuous mechanical or physical restraints during routine care of a patient
				  shall not be permitted, nor shall patients be restrained for employee
				  convenience or as a substitute for care, treatment, or services. In cases of
				  extreme emergencies, when a patient is a danger to himself or others,
				  mechanical or physical restraints may be used as ordered by a physician or
				  other health care provider.
B. Only
				  those devices specifically designed as restraints may be used. Makeshift
				  restraints shall not be used under any circumstances.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-480 - Dietary and food service

Current through Register Vol. 40, No. 24, July 15, 2024
A. This
				  section is not applicable to family members preparing meals or bringing food
				  into the facility.
B. The facility
				  shall provide dietary services to meet the daily nutritional needs of
				  patients.
C. The hospice facility
				  shall employ sufficient assigned food service personnel trained to provide a
				  hygienic dietary service that meets the daily nutritional and special dietary
				  needs of patients and provides palatable and attractive meals.
D. When meals are catered, such meals shall
				  be obtained from a food service establishment licensed by the Virginia
				  Department of Health. There shall be a current written contract with the food
				  service establishment pursuant to
				  12VAC5-391-230.
E. The hospice facility shall contract with
				  or employ a consulting registered dietitian, who meets the qualifications of
				  § 54.1-2731 of the Code of Virginia, to provide guidance to the facility's
				  food service personnel on methods for maintaining the dietary service, planning
				  of nutritionally balanced meals, and assessing the dietary needs of individual
				  patients. The dietitian's duties shall include the following:
1. Developing menus, including therapeutic
				  diets prescribed by a patient's physician;
2. Developing, revising, and annually
				  reviewing dietary policies, procedures and job descriptions;
3. Assisting in planning and conducting
				  regularly scheduled inservice training that includes, but is not limited to:
a. Therapeutic diets;
b. Food preparation requirements;
				  and
c. Principles of
				  sanitation.
4. Visiting
				  patients on a regular basis to discuss nutritional problems, depending upon
				  their needs and level of care, and recommending appropriate
				  solutions.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-485 - Maintenance and housekeeping

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  hospice facility shall be maintained and equipped to provide a functional,
				  sanitary, safe, and comfortable environment.
B. A documented preventive maintenance
				  program shall be established to ensure that equipment is operative and that the
				  interior and exterior of the building or buildings are maintained in good
				  repair and free from hazards and litter.
C. The administrator shall designate an
				  employee responsible for carrying out these functions and for training and
				  supervising housekeeping and maintenance personnel.
D. The heating, ventilation and air
				  conditioning system shall be capable of maintaining temperatures between
				  70°F and 80°F throughout patient areas.
E. The hospice facility shall have an
				  effective pest control program either by maintenance personnel or by contract
				  with a pest control company.
F. The
				  hospice facility shall provide adequate space, equipment and supplies for any
				  special services to be offered.
G.
				  All furniture shall be kept clean and safe for use.
H. Over bed tables shall be available as
				  needed.
I. Stretchers and
				  wheelchairs shall be stored out of the path of normal traffic.
J. A sufficient number of wheelchairs and
				  chairs shall be provided for patients whose physical conditions indicate a need
				  for such equipment.
K. Refuse
				  containers shall be emptied and cleaned at frequent intervals.
L. Hazardous cleaning solutions, compounds
				  and substances shall be labeled, stored and kept under lock in a safe place
				  separate from other materials.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-490 - Laundry services

Current through Register Vol. 40, No. 24, July 15, 2024
A. A
				  quantity of linens shall be available at all times to provide for proper care
				  and comfort of residents.
B. Linens
				  and other laundry must be handled, stored and processed to control the spread
				  of infection.
C. Clean linen shall
				  be stored in a clean and dry area accessible to patient rooms.
D. Soiled linen shall be stored in covered
				  containers in separate, well-ventilated areas and shall not accumulate in the
				  facility.
E. Soiled linen shall not
				  be sorted, laundered, rinsed or stored in bathrooms, patient rooms, kitchens or
				  food storage areas.
F. Soiled linen
				  shall not be placed on the floor.
G. Arrangement for laundering patient's
				  personal clothing shall be provided. If laundry facilities are not provided on
				  premises, commercial laundry services shall be utilized.
H. Laundry facilities shall include:
1. A soiled laundry receiving, holding, and
				  sorting room with hand-washing lavatory; and
2. A clean laundry storage, issuing, and
				  holding room or area.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-495 - Transportation

Current through Register Vol. 40, No. 24, July 15, 2024
The hospice facility shall assist a patient in obtaining
					 transportation when it is necessary to obtain medical, psychiatric, dental,
					 diagnostic or other services outside the facility.
Statutory Authority
§§ 32.1-12 and 32.1-162.5 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-500 - Pet care

Current through Register Vol. 40, No. 24, July 15, 2024
A. The hospice
				  facility shall implement policies regarding pets, whether the pet is visiting
				  or in residence.
B. The hospice
				  facility shall ensure that any patient's rights, preferences, and medical needs
				  are not compromised by the presence of an animal. Except for working service
				  animals, pets shall not be allowed in dining and kitchen areas when food is
				  being prepared or served.
C. All
				  pets, whether visiting or in residence, shall be in good health, clean and
				  well-groomed, show no evidence of carrying disease, have a suitable
				  temperament, and pose no significant health or safety risks to patients, staff,
				  volunteers, or visitors.
D. For
				  pets in residence, the facility shall:
1.
				  Disclose to potential and current patients the types of pets and the conditions
				  under which pets are allowed in residence;
2. Maintain documentation of disclosure of
				  pet policies in the patients' records;
3. Ensure that, before living in the
				  facility, the pet's owner provides current documentation that the pet has had
				  all recommended or required immunizations;
4. Ensure that regular pet examinations and
				  immunizations are maintained; and
5. Ensure that resident pets are properly
				  cared for and that the pet and its housing or bedding are kept clean.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section 12VAC5-391-510 - Safety and emergency preparedness

Current through Register Vol. 40, No. 24, July 15, 2024
A. A written emergency preparedness plan
				  shall be developed, reviewed, and implemented when needed. The plan shall
				  address responses to natural disasters, as well as fire or other emergencies
				  that disrupts the normal course of operations. The plan shall include, but not
				  be limited to:
1. The continuation of
				  essential patient support services in case of power outages, water shortages,
				  or in the event of absences from work of any portion of the workforce resulting
				  from inclement weather or other causes;
2. The preparation of patients for potential
				  or imminent emergencies and disasters;
3. Alerting emergency personnel and sounding
				  alarms;
4. Using, maintaining and
				  operating emergency equipment;
5.
				  Accessing patient emergency medical information;
6. Utilizing community support
				  services;
7. A sheltering plan that
				  addresses, but is not limited to:
a.
				  Sheltering in place as well as off-site relocation arrangements;
b. Implementing evacuation procedures;
				  and
c. A letter of agreement with
				  off-site sheltering locations;
8. A transportation plan including:
a. Agreements with entities for relocating
				  patients;
b. Number and type of
				  vehicles required; and
c.
				  Procedures for providing appropriate medical support and medications during
				  relocation; and
9. A
				  staffing plan for relocated patients, including:
a. The number and type of staff needed to
				  provide appropriate care to relocated patients; and
b. Plans for relocating staff or assuring
				  transportation to the sheltering facility.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Form - FORMS (12VAC5-391)

Current through Register Vol. 40, No. 24, July 15, 2024
Virginia Department of Health, Center for Quality Health
					 Care Services and Consumer Protection, Application for Licensure, Hospice
					 Organization (eff. 7/04).
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 391 - REGULATIONS FOR THE LICENSURE OF HOSPICE › Part IV - Hospice Facilities › Section - DOCUMENTS INCORPORATED BY REFERENCE (12VAC5-391)

Current through Register Vol. 40, No. 24, July 15, 2024
2018 Guidelines for Design and Construction of Residential
					 Health, Care, and Support Facilities, The Facility Guidelines
					 Institute.
Statutory Authority: §§
												32.1-12
						and
						32.1-162.5 of the
						Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-10 - Definitions

Current through Register Vol. 40, No. 24, July 15, 2024
The following words and terms shall have the following
				  meanings when used in this chapter unless the context clearly indicates
				  otherwise:
"Antepartum" means the period of pregnancy prior to labor and
				  delivery.
"Certifying body" means an organization approved by the State
				  Board of Health that has as one of its purposes the certification of
				  doulas.
"Community-based doula" means a doula who often has shared
				  lived experiences and is trained to provide extended, culturally congruent
				  support to families throughout pregnancy to include antepartum, intrapartum,
				  during labor and birth, and up to one year postpartum. Community-based doulas
				  provide an expanded set of services and play a crucial role in improving
				  outcomes and experiences for communities most affected by discrimination and
				  disparities in health outcomes.
"Doula" means a trained nonmedical professional who provides
				  continuous physical, emotional, and informational support to a pregnant person
				  during the antepartum or intrapartum period or during the period up to one year
				  postpartum.
"Intrapartum" means the period of pregnancy after the onset
				  of labor through delivery.
"Postpartum" means the period of pregnancy following
				  birth.
"State-certified doula" means a trained, community-based
				  nonmedical professional who provides continuous physical, emotional, and
				  informational support to a pregnant person during the antepartum or intrapartum
				  period or during the period up to one year postpartum who has been certified by
				  a certifying body approved by the State Board of Health.
"Training entity" means an organization that has a training
				  and education programs that are approved by a certifying body approved by the
				  State Board of Health to meet the curriculum requirements for community-based
				  doula certification.
Statutory Authority: §§ 32.1-12 and 32.1-77.1 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-20 - State-certified doula

Current through Register Vol. 40, No. 24, July 15, 2024
Any person seeking to be a state-certified doula under this
				  chapter shall be a community-based doula and shall (i) meet the qualifications
				  and education requirements established in this chapter and (ii) hold a
				  certification as a certified doula from a certifying body approved by the State
				  Board of Health.
Statutory Authority: §§ 32.1-12 and 32.1-77.1 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-30 - Qualifications

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any person
				seeking to be a state-certified doula under this chapter shall complete at
				least 60 hours of doula training. Training shall be provided by one or more
				entities approved by a certifying body approved by the State Board of
				Health.
B. The training and
				education requirements outlined in 12VAC5-403-50 shall not apply to doulas who
				have already obtained an initial level of certification within three years
				prior to January 6, 2022, and are applying to be a state-certified doula
				through the certifying body approved by the State Board of Health, provided
				that the applicant provides proof of completion of any unmet training and
				education requirements within one year of application.
Statutory Authority: §§ 32.1-12 and 32.1-77.1 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-40 - Minimum standards for certifying bodies

Current through Register Vol. 40, No. 24, July 15, 2024
A. The State Board of Health shall approve a
				certifying body that has adopted standards from a nationally recognized
				organization that has a doula certification that reflects national best
				practices pertaining to community-based doula training and certification to
				establish certified doula training and education programs and to approve or
				accept continuing education courses for renewing doula certification in
				Virginia.
B. The certifying body
				shall:
1. Maintain a registry of
				state-certified doulas that is accessible to the public and displays the
				certification status of doulas.
2.
				Submit to the State Board of Health an annual report by the end of every fiscal
				year that identifies the number of new and cumulative state-certified doulas
				and the number of new and cumulative training programs approved for the purpose
				of providing doula certification.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-50 - Curriculum requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. Unless
				the exception in 12VAC5-403-30 B is met, any person seeking to be a
				state-certified doula under this chapter shall complete doula training and
				education programs that have been approved by the certifying body. The
				curriculum requirements for the certified doula training and education programs
				are outlined in the Virginia Curriculum Requirements for the State-Certified
				Doula and shall be approved by the certifying body.
B. The curriculum requirements for the
				certified doula training and education programs shall include a minimum of 60
				hours in the following topics:
1. Maternal
				and infant health concepts and approaches (two hours).
a. Provision of perinatal support services
				from first trimester to 12 months postpartum.
b. Provision of emotional and social support,
				including navigating pregnancy loss.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-60 - Continuing education

Current through Register Vol. 40, No. 24, July 15, 2024
Any person seeking to be a state-certified doula under this
				  chapter shall be required to complete a minimum of 15 hours of continuing
				  education every two years from the date of certification from a training entity
				  approved by the certifying body pursuant to 12VAC5-403-40. These hours shall be
				  in courses outlined in the Virginia Curriculum Requirements for the
				  State-Certified Doula.
Statutory Authority: §§ 32.1-12 and 32.1-77.1 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 403 - CERTIFICATION OF DOULAS › Section 12VAC5-403-70 - Certification not required

Current through Register Vol. 40, No. 24, July 15, 2024
This regulation does not require a doula to be certified by a
				  certifying body approved by the State Board of Health in order to practice as a
				  doula in Virginia.
Statutory Authority: §§ 32.1-12 and 32.1-77.1 of
					 the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS › Section 12VAC5-405-10 - Purpose

Current through Register Vol. 40, No. 24, July 15, 2024
The purpose of this chapter is to implement Article 2.1
				  (§ 32.1-138.6 et seq.) of the Code of Virginia with respect to private
				  review agents.
This chapter is designed to:
1. Provide minimum qualifications for private
				review agents operating in this Commonwealth;
2. Provide guidelines for the protection of
				consumers regarding the confidentiality of medical records; and
3. Promote the delivery of quality health
				care in a cost effective manner.
Statutory Authority
§§ 32.1-138.7 and 32.1-138.15 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS › Section 12VAC5-405-30 - Scope

Current through Register Vol. 40, No. 24, July 15, 2024
This chapter applies to all private review agents performing
				  utilization review in this Commonwealth. This chapter does not apply to
				  insurers, health services plans, hospital service corporations, preferred
				  provider organizations, or health maintenance organizations conducting
				  utilization reviews solely for their own insureds, subscribers, members, or
				  enrollees. This chapter does not apply to a private review agent in its conduct
				  of utilization review for self-insured groups or a private review agent in its
				  fulfillment of a contract with the federal government for utilization review of
				  patients eligible for hospital services under Title XVIII of the Social
				  Security Act ( Public Law 89-97, 79 Stat 286 (July 30, 1965)) or in its
				  fulfillment of a contract with a plan otherwise exempt from operation of
				  Article 2.1 (§ 32.1-138.6 et seq.) of Chapter 5 of Title 32.1 of the Code
				  of Virginia pursuant to the Employee Retirement Income Security Act of 1974 (
				  29 USC § 1001 et seq.). This chapter does not apply to utilization review
				  conducted in workers' compensation claims or bodily injury liability claims,
				  including uninsured motorist claims. This chapter does not apply to utilization
				  reviews conducted by a provider peer review organization solely for the use of
				  such organization or its members.
Statutory Authority
§§ 32.1-138.7 and 32.1-138.15 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS › Section 12VAC5-405-50 - Certificates to perform utilization review

Current through Register Vol. 40, No. 24, July 15, 2024
A. Beginning July 1, 1998, a private review
				agent not operating in this Commonwealth shall obtain a certificate from the
				department prior to operating in this Commonwealth.
B. Private review agents operating in this
				Commonwealth prior to July 1, 1998, shall submit an application for a
				certificate on or before July 1, 1998.
C. An applicant for a certificate shall pay
				an application fee and shall submit an application to the department on the
				forms or in the manner prescribed by the department. The applicant shall also
				submit the following information required by § 32.1-138.9 of the Code of
				Virginia:
1. A description of the procedures
				to be used in evaluating proposed or delivered hospital, medical or other
				health care services;
2. The
				procedures by which patients or providers may seek reconsideration of
				determinations by private review agents;
3. The type and qualifications of the staff
				either employed or under contract to perform the utilization review;
4. Procedures and policies which ensure that
				patient-specific medical records and information shall be kept strictly
				confidential except as authorized by the patient or by
				12VAC5-405-100; and
5. Assurances that reviewers will be readily
				accessible by telephone to patients and providers at least 40 hours per week
				during normal business hours.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS › Section 12VAC5-405-60 - Fee for certificate

Current through Register Vol. 40, No. 24, July 15, 2024
A. Every
				private review agent shall pay an application fee of $500 and a biennial
				renewal fee of $500 to the department. Each certificate shall expire on June 30
				of the appropriate year. Prior to April 1 of the renewal year, each private
				review agent shall remit a renewal application form and fee to the
				department.
B. The department may
				refuse to issue an agent's certificate to any person or may suspend or revoke
				the certificate of any certificate holder whenever it finds that the applicant
				or certificate holder:
1. Has failed to meet
				or maintain the requirements of § 32.1-138.9 of the Code of
				Virginia;
2. Has violated any
				sections of this chapter;
3. Has
				failed to adhere to its procedures as submitted to the department;
4. Has violated any provisions of any law of
				this Commonwealth applicable to private review agents; or
5. Has been guilty of fraudulent or dishonest
				practices.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS › Section 12VAC5-405-70 - Minimum qualifications of staff

Current through Register Vol. 40, No. 24, July 15, 2024
A. The staff of a private review agent
				responsible for making utilization review decisions (including nonadverse
				decisions), as a minimum, shall have qualifications equivalent to or exceeding
				those of Accredited Record Technicians (ARTs) as awarded by the American
				Medical Record Association. The staff of a private review agent who are
				responsible for making utilization review decisions and who are required to be
				licensed to practice their health care profession shall be licensed by a
				jurisdiction of the United States.
B. The private review agent shall have
				available the services of a sufficient number of medical records technicians,
				licensed practical nurses, registered nurses, or other similarly qualified
				professionals, supported and supervised by appropriate licensed physicians, to
				carry out its utilization review activities. The staff shall include
				nonphysician providers, as appropriate, and physicians in appropriate specialty
				areas. The physician staff shall include physicians who are board certified or
				board eligible.
Statutory Authority
§§ 32.1-138.7 and 32.1-138.15 of the Code of
					 Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 405 - RULES GOVERNING PRIVATE REVIEW AGENTS › Section 12VAC5-405-80 - Adverse decisions

Current through Register Vol. 40, No. 24, July 15, 2024
A. With the
				exception of adverse decisions made on the basis of retrospective review, prior
				to the issuance of an adverse decision, and if requested by the provider, the
				case in question must be reviewed either by a physician advisor or by a peer of
				the provider proposing the care. In addition, to the extent appropriate, the
				case in question must be reviewed in consultation with a physician advisor with
				experience in the same field of practice as the attending physician. The
				physician advisor or peer must be on the staff of the private review
				agent.
B. With the exception of
				retrospective reviews, the private review agent must make a reasonable attempt
				to communicate an initial adverse recommendation to the attending physician
				prior to the issuance of an adverse decision. With the exception of
				retrospective reviews, the private review agent must provide the attending
				physician a reasonable opportunity to consult with a physician advisor prior to
				the issuance of an adverse decision. Attending physicians and private review
				agents shall attempt to share the maximum information by telephone, facsimile
				machine, or otherwise prior to the issuance of an adverse decision.
C. Written notification of an adverse
				decision shall be given to the individual provider and provider organization
				and shall include the type of review performed, the reason for the adverse
				decision, the alternate length of treatment or the alternate treatment
				setting(s), if any, that the private review agent would approve or would have
				approved, and a description of the appeal process. Written notification of an
				adverse decision shall be given to the patient and shall include a description
				of the appeal process. The description of the appeal process shall include
				relevant information including, but not limited to, time limits, addresses, and
				telephone and facsimile numbers. The insurer who contracts with the private
				review agent for utilization review may fulfill the notification requirements
				for the private review agent.
Statutory Authority
§§ 32.1-138.7 and 32.1-138.15 of the Code of
					 Virginia.