reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 18 - LICENSURE OF RENAL DIALYSIS CENTERS › Section 18-7 - Construction

Current through July 13, 2024
(a) At the time of initial licensure the
				renal dialysis center shall meet the most current provisions of NFPA 101 Life
				Safety Code of the National Fire Protection Association.
(b) ab For new construction or remodeling the
				following regulations shall apply, but not be limited to:
(i) There shall be a grade level access or
				ramp, and in multi-story structure where the unit is above grade level, ready
				access to an elevator.
(ii) Each
				treatment area shall provide a minimum of 80 square feet with 4 feet between
				beds and/or lounge chairs for each station.
(iii) Floor space shall be provided for a
				central nurses station which has direct visual observation of all
				patients.
(iv) Each unit shall be
				designed to provide visual privacy for patients by the use of cubicle
				curtains.
(v) Handwashing
				facilities shall be located in the treatment area. Handwashing sinks shall have
				faucets that discharge at least five inches above the spill level of the sink.
				Soap dispensers and hand drying apparatus shall be provided. All sinks must be
				provided with spray heads or equivalent. Aerators are not allowed.
(vi) Space shall be provided in the work area
				for an emergency crash cart.
(vii)
				A janitors closet shall be provided either within or immediately next to the
				unit.
(viii) Work areas shall be
				designed and maintained to separate clean areas from soiled areas.
(ix) A toilet room with a water closet and
				handwashing lavatory shall be provided for patient use convenient to the unit.
				The toilet room and lavatory shall be accessible from a wheel chair.
(x) Adequate space shall be provided for
				instrument maintenance and storage of equipment, and for disassembling,
				preparation and testing of dialyzers.
(xi) A conference room shall be conveniently
				located in or near the unit.
(xii)
				There shall be space for record storage that can be locked.
(xiii) Adequate lighting shall be provided
				for the unit with a minimum of one hundred (100) footcandles appropriately
				placed to illuminate the patients connection and equipment area.
(xiv) Suction and oxygen equipment shall be
				available to the unit.
(xv)
				Mechanical ventilation with air conditioning shall be provided throughout the
				unit. Mechanical exhaust shall be provided for the reuse equipment
				area.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 19 - LICENSURE OF NURSING CARE FACILITIES › Section 19-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at W.S. §
									
										35-2-901
et seq.
and
				  the Wyoming Administrative Procedures Act At W.S. §
									
										16-3-101
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 19 - LICENSURE OF NURSING CARE FACILITIES › Section 19-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Throughout these rules gender pronouns
				  are used interchangeable. The drafters have attempted to utilize each gender
				  pronoun in equal numbers, in random distribution. Words in each gender shall
				  include individuals of the other gender.
For purpose of these regulations, the following shall
				  apply:
(a)"Acceptable Plan of
				Correction" means the Licensing Division approved the Nursing Care Facilitys
				plan to correct the deficiencies identified during an on-site survey conducted
				by the Survey Division or its designated representative. The plan of correction
				shall be a written document and shall provide, but not be limited to, the
				following information.
(i) Who is responsible
				for the correction.
(ii) What was
				done or will be done to correct the problem.
(iii) Who will monitor to ensure that the
				situation does not reoccur.
(iv) An
				appropriate date, not to exceed sixty (60) days after the last day of survey,
				for the correction of deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 19 - LICENSURE OF NURSING CARE FACILITIES › Section 19-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) For an initial
				license to be issued, the Licensing Division shall receive:
(A) A completed application form as supplied
				by the Licensing Division.
(B) Each
				completed application shall be accompanied by the required licensure fee
				identified in Chapter 1, Rules and Regulations for Health Care Facilities
				Licensure Fees. The check or money order shall be made payable to the
				Treasurer, State of Wyoming.
(C)
				Applicant shall demonstrate full compliance with the licensure requirements in
				paragraph (b) of this section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 19 - LICENSURE OF NURSING CARE FACILITIES › Section 19-6 - Disaster Plan

Current through July 13, 2024
(a) All Nursing Care Facilities shall develop
				and adopt a written disaster preparedness plan in accordance with the Chapter
				11, Health Care Emergency Preparedness, of NFPA 99, Standard for Health Care
				Facilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 19 - LICENSURE OF NURSING CARE FACILITIES › Section 19-8 - Life Safety and Electrical Safety

Current through July 13, 2024
Department of Health Chapter III, Construction Rules for
				  Health Facilities apply.
(i) Nursing
				Care Facilities operating prior to the effective date of these rules, shall
				meet the Life Safety Code of the National Fire Protection Association that was
				in effect at the time the facility was licensed as a Nursing Care
				Facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-1 - Purpose

Current through July 13, 2024
These rules are implemented to amplify procedures for
				  regulations of health care cooperative arrangements permitted under W.S. §
									
										35-24-101 through W.S. §
									
										35-24-116.
These rules are implemented to further Wyomings policy of
				  promoting quality and access to health care for all citizens, to contain health
				  care costs, and to promote a comprehensive health care system.
These rules are to be read in conjunction with the Wyoming
				  Administrative Procedures Act, applicable Wyoming Rules of Civil Procedure,
				  and, addressing Contested Hearings, any rules pertaining to the conduct of
				  hearings before the Office of Administrative Hearings.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-3 - Application

Current through July 13, 2024
(a) Application content shall be in accord
				with W.S. §
									
										35-24-104 and W.S. §
									
										35-24-111.
(i) Application information is to be provided
				in the sequence in accord with the statutes.
(ii) If information requested by the statutes
				is not applicable, a statement indicating such and providing a reason therefore
				shall be provided in lieu of such information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-4 - Filing of Applications and Related Documents

Current through July 13, 2024
(a) Filing
				of applications
(i) Applications shall be
				filed by presenting an original and three (3) copies to the Director.
(ii) The filing date of a conforming
				application shall be the date stamped received by the Department.
(iii) No application shall be filed by
				facsimile machine.
(iv)
				Applications filed with the Department become property of the State.
(v) Applications shall be accompanied by the
				filing fee as determined by Section
				5 of
				these rules in accord with W.S. §
										
											35-24-104(d).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-5 - Filing Fees

Current through July 13, 2024
(a) Remittance of filing fees
(i) In accord with W.S. §
										
											35-24-104(d), filing fees
				shall be remitted along with the application.
(ii) Filing fees must be remitted by cashiers
				check made payable to the Department.
(iii) The filing fee shall be in the amount
				of one-fourth (1/4) of one (1) percent of total gross revenue during the last
				complete fiscal year for all practitioners, health care facilities, and health
				insurers included in the application up to a maximum amount of one hundred
				thousand ($100,000.00) dollars. The minimum filing fee shall be twenty-five
				thousand ($25,000.00) dollars.
(iv)
				If the calculated fee in (iii) is greater than twenty-five thousand
				($25,000.00) dollars, the applicant may submit the minimum filing fee amount of
				twenty-five thousand ($25,000.00) dollars.
(v) The Director may request additional
				financing in increments of twenty-five thousand ($25,000.00) dollars with the
				last increment being twenty-five thousand ($25,000.00) dollars or
				less.
(vi) The filing fee submitted
				with the application and additional financing increments shall not exceed the
				filing fee established in (iii).
(vii) Additional filing fee increments must
				be submitted to the Department within thirty (30) days of the
				request.
(viii) Failure to submit
				additional filing fee increments within thirty (30) days of the request places
				the application on hold until such time the additional filing fee is
				forthcoming.
(ix) In lieu of
				disclosure of actual gross revenues for individual physicians, an applicant may
				elect to have the portion of the fee attributable to individual physicians
				based upon a standard imputed amount for each physician which would be set by
				the Department.
(x) The filing fee
				associated with submitting a modification to an approved application shall be
				in the amount of twenty-five thousand ($25,000.00) dollars.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-6 - Notification of Pending Application

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-104(b):
(i) The applicant shall, at the time of
				filing, provide notice to the public and all persons on record.
(ii) The notice of a pending application
				shall be approved by the Director.
(iii) The public notice of a pending
				application shall conform to the notice criteria and shall be published for a
				minimum of seven (7) days in a Wyoming newspaper of general circulation in the
				area.
(iv) The notice of a pending
				application shall conform to the notice criteria and shall be mailed to all
				persons on record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-7 - Initial Review of Application

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-105(a):
(i) If the Director determines that an
				application is unclear, incomplete, or contains an insufficient basis on which
				to provide a decision, the application shall be returned with a written
				description of the deficiencies to the applicant.
(ii) The initial review by the Director shall
				be completed within thirty (30) days of the date the application is filed with
				the Department. The Director may extend the thirty (30) day period to a maximum
				of sixty (60) days, for good cause.
(iii) If an application is returned to the
				applicant, the initial review period ceases. If an application is returned for
				review, a new initial review period begins.
(iv) If an application is returned to the
				applicant and the applicant will be resubmitting the application for further
				review, the filing fee shall remain deposited.
(v) If an application is returned and the
				applicant elects not to resubmit an amended application, the Director shall
				return the filing fee submitted with the application less costs associated with
				the initial review process.
(vi) A
				determination by the Director that an application is unclear, incomplete, or
				provides an insufficient basis to make a determination, is not subject to
				administrative or judicial review.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-8 - Notice of Application by the Director

Current through July 13, 2024
(a) When an
				application is in accord with W.S. §
									
										35-24-104, the Director shall provide the
				following notifications:
(i) General Notice:
				Within ten (10) days of completion of the initial review of the application,
				the notice required shall be published for a minimum of seven (7) days in a
				Wyoming newspaper of general circulation in the area.
(ii) Requested Notice: The Director shall
				provide one (1) copy of the notice to all persons on record.
(iii) Special Notice: The Director may notify
				and request comments from persons. Copies of any request for comments shall be
				provided to the applicant.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-9 - Comment Period by Persons

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-106:
(i) Within twenty (20) days after the
				publication period for notice of the proposed application, any person may
				submit typed comments with respect to the application.
(ii) Comments shall, to the extent
				applicable, conform to the application format.
(iii) Any comment regarding a specific
				provision of the application shall designate the specific page number(s) of the
				application.
(iv) Comments must be
				filed with the Director by delivering or mailing an original and three (3)
				copies. The filing date of comments shall be the date stamped received by the
				Department.
(v) Comments may be
				filed by facsimile machine provided an original is sent to the Director within
				seven (7) days of transmission of the facsimile.
(vi) Comments on file with the Department
				become property of the State.
(vii)
				Persons submitting comments shall provide a copy of the comments to the
				applicant by certified mail.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-10 - Applicant Response to Comments

Current through July 13, 2024
(a) The applicant
				shall have ten (10) days after the close of the comment period to file a
				response with the Director by delivering or mailing an original and three (3)
				copies of the response to the Department.
(i)
				Responses to comments shall, to the extent applicable, conform to the
				application format.
(ii) Responses
				may be filed by facsimile machine provided an original is sent to the Director
				within seven (7) days of transmission of the facsimile.
(iii) The filing date of a comment shall be
				the date stamped received by the Department.
(iv) The applicant shall provide a copy of
				any response to the person submitting the comment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-11 - Objections by Aggrieved Parties

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-106:
(i) Within thirty (30) days after the
				publication period for notice of the proposed application, any aggrieved party
				may submit written objections with respect to the application.
(ii) Objections shall, to the extent
				applicable, conform to the application format.
(iii) Objections regarding a specific
				provision of the application shall designate the specific page number(s) of the
				application.
(iv) Objections shall
				be filed by presenting or mailing an original and three (3) copies to the
				Director.
(v) The filing date of an
				objection shall be the date stamped received by the Department.
(vi) Objections may be filed by facsimile
				machine provided an original is sent to the Director within seven (7) days of
				transmission of the facsimile.
(vii) Objections on file with the Department
				become property of the State.
(viii) The aggrieved party submitting an
				objection shall provide a copy of the objection to the applicant by certified
				mail.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-12 - Determination of Review Procedures

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-107, the Director shall determine the
				review procedure to be used.
(i) The Director
				shall provide the applicant and aggrieved parties written notification, sent by
				certified mail, of the method of review to be used within fifteen (15) days of
				the close of the objection period.
(ii) The criteria to be used in determining
				the method of review shall consider the factual record, size, complexity,
				novelty, substance, and quantity of comments.
(iii) A contested hearing shall be held upon
				the request of an applicant, the timely filing of an objection by an aggrieved
				party, or at the determination of the Director.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-13 - Decision Based Upon the Written Record

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-108, the Director may issue a decision
				based upon the record.
(i) A written decision
				shall be provided to the applicant and all persons on record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-14 - Limited Hearings

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-109, the Director may, prior to making
				a final decision on any application, order a limited hearing.
(i) A limited hearing shall be held within
				sixty (60) days of the close of the notice of determination of
				review.
(ii) The order for a
				limited hearing shall be sent by certified mail to the applicant, and to all
				persons on record.
(iii) The
				limited hearing shall be conducted in accord with W.S. §
										
											35-24-109 and the Wyoming Administrative
				Procedures Act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-15 - Contested Case Application Hearings

Current through July 13, 2024
(a) In accord with
				W.S. §
									
										35-24-107, a contested hearing shall be
				conducted when requested by the applicant, upon filing of an objection, or at
				the determination of the Director.
(i) The
				Director shall order a contested hearing no later than thirty (30) days after
				the conclusion of the objection period for an application under W.S. §
										
											35-24-110. The Director may extend the thirty
				(30) day period for good cause.
(ii) The order for a contested hearing shall
				be sent, by certified mail, to the applicant, and all persons on
				record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-16 - Final Decision

Current through July 13, 2024
(a) The final
				decision regarding an application shall be made by the Director in accord with
				Wyoming statutes and rules regarding health care cooperative agreements.
(i) The final decision shall be in writing
				and include specific findings of fact concerning cost, access, and quality
				criteria and shall identify one or more of these criteria as the basis of the
				decision.
(ii) An approval may be
				conditioned on modification(s) of all or part of the proposed
				agreement.
(iii) A decision based
				upon the written record shall be made thirty (30) days after the date of notice
				of determination.
(iv) A decision
				based upon a limited hearing shall be made thirty (30) days after the
				conclusion of the hearing.
(v) A
				decision based upon a contested hearing shall be made by the Director within
				thirty (30) days after written recommendations are received from the hearing
				officer.
(vi) A copy of the final
				decision shall be sent, by certified mail, to the applicant and aggrieved
				parties. All persons on record shall be provided notice of the
				decision.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-17 - Judicial Review of Final Decisions, Conditions for Approval, Findings, Ongoing Supervision and Reporting

Current through July 13, 2024
(a) After the
				Director has rendered a decision in accord with W.S. §
									
										35-24-112, the applicant, or any other
				aggrieved party, may request judicial review of the Directors decision by
				filing a petition for review within thirty (30) days in accord with Wyomings
				Administrative Procedures Act. A determination under W.S. §
									
										35-24-107(a) shall not be
				raised on appeal.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-18 - Ongoing Supervision and Renewal of Health Care Cooperative Arrangements

Current through July 13, 2024
(a) The decision to approve an application
				shall specify a time schedule for the submission of data required to supervise,
				monitor, and regulate the arrangement.
(i)
				Requested data shall be in the following format:
(A) The pages shall be numbered and printed
				on paper measuring 8 1/2 by 11 inches. The margins shall not be less than one
				(1) inch on all sides. Unless otherwise required, all data shall be printed on
				white paper.
(B) The required data
				shall be in courier type at ten (10) characters per inch and double
				spaced.
(C) Footnotes shall be in
				the same size type and format as the text.
(D) Trade secret information shall be
				designated and printed on goldenrod colored paper to assist in identifying
				material exempt from Wyomings Public Record Act.
(E) The Department shall develop procedures
				to protect trade secret information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 24 - HEALTH CARE COOPERATIVE ARRANGEMENTS FOR ANTI-TRUST EXCEPTION › Section 24-19 - Revocation of Approval

Current through July 13, 2024
(a) Health care
				cooperative arrangements are subject to the revocation in accord with W.S.
				§
									
										35-24-115.
(i) Prior to initiating an action to revoke
				approval, the Director shall comply with the provisions of W.S. §
										
											35-24-114.
(ii) A proceeding to revoke approval is
				initiated by the Director providing notice, by certified mail, to the applicant
				of the proposed action.
(iii) The
				notice shall be in writing and specify, with particularity, the grounds for the
				proposed action.
(iv) Upon request
				of the applicant, by certified mail to the Director, a proceeding to revoke
				will be conducted as a contested hearing. The hearing shall be conducted in
				accord with W.S. §
										
											35-24-110.
(v) Notice of a revocation proceeding shall
				be as follows:
(A) The notice of the time,
				date, and location of the revocation proceeding shall be sent, by certified
				mail, to the applicant and all persons on record.
(B) The Director shall publish notice of the
				purpose, time, date, and location of the revocation proceeding for a minimum of
				seven (7) days prior to the date of the hearing in a Wyoming newspaper of
				general circulation in the area.
(C) A contested hearing shall be conducted
				pursuant to the Wyoming Administrative Procedures Act, applicable provisions of
				the Wyoming Rules of Civil Procedure, and any rules adopted by the Office of
				Administrative Hearings.
(D) The
				Director shall issue a final decision, by certified mail, within thirty (30)
				days following receipt of the written recommendations from the hearing
				officer.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-2 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter applies to the operation of
				a birthing center.
(b) This Chapter
				does not apply to the operation of a birthing center that is exempt from
				licensure under Section
				4(b) of this
				Chapter.
(c) The Department may
				issue a provider manual, provider bulletin, or other guidance materials to
				interpret the provisions of this Chapter. Such guidance must be consistent with
				and reflect the policies contained in this rule.
(d) If any portion of this Chapter is found
				to be invalid or unenforceable, the remainder shall continue in
				effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-4 - Licensing

Current through July 13, 2024
(a) A birthing center may not operate in
				Wyoming unless the center is licensed by the State Survey Agency under this
				Chapter.
(b) Despite the licensure
				requirement under Subsection (a) of this Section, a center may operate without
				a license if the center:
(i) Consists of no
				more than one (1) birthing room; and
(ii) Is located within thirty (30) road miles
				of an acute care hospital.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-5 - Surveys

Current through July 13, 2024
(a) A center shall submit to and comply with
				a survey performed by the State Survey Agency.
(b) The State Survey Agency shall perform:
(i) A survey before the State Survey Agency
				may issue a license under Section
				4(e) of this
				Chapter;
(ii) A survey as necessary
				to monitor or resolve previously-identified deficiencies;
(iii) A survey as necessary to periodically
				monitor compliance with these Rules;
(iv) A survey upon receipt of a complaint
				against a center for the alleged violation of these Rules or other applicable
				laws; and
(v) Any other surveys the
				State Survey Agency deems necessary to enforce the provisions of these Rules,
				to enforce other applicable law, or to protect the public health, safety, or
				welfare.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-6 - Deficiencies and Actions Against a License

Current through July 13, 2024
(a) If the State Survey Agency determines
				during a survey that a center is out of compliance with any provision of these
				Rules or other applicable law, the following conditions apply:
(i) The State Survey Agency shall provide the
				center a statement of deficiencies within ten (10) business days of the survey
				exit date.
(ii) If a center
				receives a statement of deficiencies, the center shall comply with the
				following provisions.
(A) The center shall
				submit an acceptable plan of correction to the State Survey Agency within ten
				(10) business days.
(B) The plan of
				correction must be a written document that provides the following information:
(I) Who will be charged with the
				responsibility to correct each deficiency;
(II) What will be done to correct each
				deficiency;
(III) How the plan of
				correction will be incorporated into the center's quality management
				program;
(IV) Who will be charged
				with monitoring the center to ensure each deficiency does not occur or develop
				again; and
(V) The date the center
				expects to correct all deficiencies, which may not exceed sixty (60) calendar
				days after the survey exit date.
(iii) If the State Survey Agency determines
				it will take the center longer than the sixty (60) days to implement the plan
				of correction and there is no threat to the health or safety of patients, the
				State Survey Agency may extend the sixty (60) day deadline.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-7 - Governing Body

Current through July 13, 2024
(a) The governing body of a center shall:
(i) Adopt and maintain bylaws that define,
				identify, and establish responsibilities for the operation and performance of
				the center,
(ii) Establish
				administrative policies including qualifications and responsibilities of the
				center administrator;
(iii) Provide
				the appropriate personnel, equipment, supplies and special services necessary
				to provide safe and effective care; and
(iv) Meet at least annually and keep minutes
				or other records necessary for the orderly conduct of the center. Meetings held
				by the center's governing body shall be separate meetings with separate
				minutes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-8 - Center Administrator

Current through July 13, 2024
(a) Prior to licensure, a center shall employ
				and designate a center administrator.
(b) The center administrator shall:
(i) Oversee management and operation for the
				center;
(ii) Comply with policies,
				rules and regulations and statutory provisions pertaining to the health and
				safety of patients;
(iii) Serve as
				the liaison between the governing body and the staff;
(iv) Plan, organize and direct activities
				that may be delegated by the governing body;
(v) Control the purchase, maintenance, and
				distribution of the equipment, materials, and facilities of the
				center;
(vi) Establish lines of
				authority, accountability, and supervision of staff;
(vii) Establish controls related to the
				custody of the official documents of the center and to maintaining the
				confidentiality, security, and physical safety of data on patients and staff;
				and
(viii) Ensure personnel
				policies are adopted, implemented, and enforced to facilitate attainment of the
				mission, goals, and objectives of the center.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-9 - Duties and Powers of a Birthing Center

Current through July 13, 2024
(a) A center shall provide:
(i) Anesthetic agents according to Section
				10 of this Chapter;
(ii) Provision of services according to
				Section 11 of this Chapter;
				and
(iii) Pharmaceutical services
				according to Section
				12 of this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-10 - Anesthetic Agents

Current through July 13, 2024
(a) A center may not administer general or
				conduction anesthesia.
(b) A center
				may administer:
(i) Systemic analgesia for
				pain control; and
(ii) Local
				anesthesia for perineal repair if indicated.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-11 - Provision of Services

Current through July 13, 2024
(a) A center may not accept a pregnant woman
				under sixteen (16) years of age for care.
(b) A center may not perform a delivery if
				the pregnant woman exhibits medical evidence of the following conditions:
(i) Hypertension, pre-eclampsia, or
				eclampsia;
(ii) Multiple gestation
				(i.e. twins);
(iii) Placental
				abnormalities, including previa or abruptio, which may threaten the
				neonate;
(iv) Premature labor,
				post-maturity labor, or medically-induced labor;
(v) More than one (1) prior cesarean section
				with no history of a vaginal delivery; a cesarean section within eighteen (18)
				months of the current delivery; or, any cesarean section that was surgically
				closed with a classical or vertical uterine incision; or
(vi) Known breech or other abnormal,
				non-vertex, presentation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-12 - Pharmaceutical Services

Current through July 13, 2024
(a) A center shall provide pharmaceutical
				services necessary to meet the needs of patients and to adequately support the
				center's clinical capabilities.
(b)
				A center shall:
(i) Maintain the pharmacy or
				drug storage area according to relevant federal and state law;
(ii) Package and dispense drugs and
				biologicals according to relevant federal and state law;
(iii) Keep drugs and biologicals in a locked
				storage area; and
(iv) Destroy
				drugs and biologicals as necessary according to accepted medical practices. If
				the drug is a controlled substance, a RN shall destroy the drug in the presence
				of another qualified professional and shall document the destruction in the
				patient's medical record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-13 - Emergency Preparedness

Current through July 13, 2024
(a) A center shall develop and maintain an
				emergency preparedness plan according to Chapter 3 of these Rules.
(b) A center shall:
(i) Ensure the plan includes ongoing
				coordination with community agencies and other local health care
				facilities;
(ii) Review the plan
				annually; and
(iii) Update the plan
				as necessary.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-14 - Patient Rights

Current through July 13, 2024
(a) A center shall promote and protect
				patient rights.
(b) A center shall:
(i) Treat a patient with respect,
				consideration, and dignity;
(ii)
				Provide a patient appropriate privacy;
(iii) Provide a patient, to the degree known
				by the center, appropriate information concerning the patient's diagnosis,
				treatment, and prognosis. When it is medically inadvisable to give such
				information to a patient, the center shall provide the information to a person
				designated by the patient or to a legally authorized person;
(iv) Provide a patient the opportunity to
				participate in decisions involving the patient's health care, except when the
				patient's participation is contraindicated for medical reasons; and
(v) Provide the patient written information
				regarding the patient's rights including the following subjects:
(A) Patient conduct and
				responsibilities;
(B) Services
				available at the center;
(C) The
				center's transfer policy and procedures;
(D) Fees for services provided at the
				center;
(E) The center's payment
				policies; and
(F) The center's
				procedure for filing and pursuing a grievance, including all relevant steps
				from filing the initial grievance to achieving a resolution.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-15 - Quality Management

Current through July 13, 2024
(a) A center shall implement a quality
				management function under
				W.S.
				35-2-910.
(b) A center's quality management program
				must:
(i) Ensure and evaluate the quality of
				patient care provided at the center; and
(ii) Provide for the annual review of:
(A) The utilization of the center's services,
				including the number of patients served and volume of services;
(B) The center's health care
				policies;
(C) The center's
				infection control program including antibiotic stewardship; and
(D) The initiation and documentation of
				appropriate remedial action to address deficiencies found through the quality
				management program, as well as documentation of the outcome of remedial
				action.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-16 - Records

Current through July 13, 2024
(a) If a patient receives services at a
				center, the center shall maintain a patient medical record. As applicable, a
				patient medical record must include:
(i)
				Regarding a pregnant woman or mother:
(A)
				Documentation of prenatal care, including:
(I) A complete blood count;
(II) Urinalysis;
(III) Prenatal blood serology;
(IV) Rhesus factor (Rh) determination and
				evidence of a plan for the appropriate use of Rh immune globulin;
(V) Past obstetrical history;
(VI) Physical examination;
(VII) Rubella titer;
(VIII) Identification data including patient
				history and physical examination;
(IX) Signed consent;
(X) Medication orders signed by licensed
				provider (Physician, CNM or CPM); and
(XI) Other laboratory test results.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-17 - Staff

Current through July 13, 2024
(a) A center may not permit a staff member to
				provide a service unless:
(i) The staff
				member possesses the necessary education, training, experience, licensure, and
				certifications; and
(ii) The staff
				member is certified in Basic Life Support (BLS) and has required training in
				bloodborne pathogens.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 26 - BIRTHING CENTERS › Section 26-18 - Equipment and Supplies

Current through July 13, 2024
(a) A center shall maintain appropriate
				equipment and supplies, including:
(i) A bed
				suitable for labor, delivery, and recovery;
(ii) Oxygen with flow meters and masks or
				equivalent;
(iii) Mechanical
				suction or bulb suction;
(iv)
				Endotracheal tubes;
(v) Oral
				airways;
(vi) Needles;
(vii) Syringes;
(viii) Emergency drugs;
(ix) A laryngoscope;
(x) An automated external
				defibrillator;
(xi) Emergency
				medications, intravenous fluids, and related supplies and equipment for both
				mother and newborn;
(xii) Equipment
				for monitoring fetal heartrate;
(xiii) Equipment specifically designed for
				thermal regulation and transport of newborns, and regular training and review
				in proper use of equipment;
(xiv)
				An infant scale;
(xv) A
				clock;
(xvi) Sterile suturing
				equipment and supplies;
(xvii)
				Adjustable lighting that is adequate for examinations;
(xviii) Containers for soiled linen which
				shall be closed or covered;
(xix)
				Infection control supplies for the sanitary disposal of all wastes;
(xx) An emergency communication
				system;
(xxi) A sphygmomanometer,
				stethoscope and fetoscope;
(xxii)
				Supplies for routine laboratory testing; and
(xxiii) Any other equipment necessary to
				ensure the safety of pregnant women, mothers, and children.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0029 - Hospital, State - Patient Bill of Rights › Chapter 1 - PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES › Section 1-1 - Authority

Current through July 13, 2024
The Board of Charities and Reform, Pursuant to
				  W.S.
				  25-10-120, is authorized to promulgate rules
				  creating a patient's Bill of Rights and establishing the procedures by which
				  such rights shall be enforced, limited or denied.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0029 - Hospital, State - Patient Bill of Rights › Chapter 1 - PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES › Section 1-2 - Purpose

Current through July 13, 2024
(a) These rules are adopted to create a
				patient's Bill of Rights and establish the administrative procedures whereby
				patient's rights shall be enforced, limited or denied.
(i) The creation of a patient's Bill of
				Rights acknowledges the importance of recognizing and preserving the rights and
				dignity of individuals served by the State Hospital while providing the most
				effective treatment possible, with the goal of advancing each patient's welfare
				and health.
(ii) The guidelines,
				procedures and criteria contained in these rules are intended to facilitate the
				provision of care and services by providing official guidelines to hospital
				staff and employees, and all others involved in the provision and
				administration of such care and services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0029 - Hospital, State - Patient Bill of Rights › Chapter 1 - PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES › Section 1-3 - Definitions

Current through July 13, 2024
(a) "Head of hospital" means the individual
				in charge of the State Hospital;
(b) "Hospital" means the Wyoming State
				Hospital at Evanston, Wyoming;
(c)
				"Mental Health Professional" means:
(i) A
				psychiatrist with three years of residency training in psychiatry;
(ii) A psychologist with a doctoral degree
				from an accredited program;
(iii) A
				social worker with a masters degree from an accredited program and two years of
				clinical experience under the supervision of a qualified mental health
				professional;
(iv) A registered
				nurse with a graduate degree in psychiatric nursing and two years of clinical
				experience under the supervision of a qualified mental health
				professional.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0029 - Hospital, State - Patient Bill of Rights › Chapter 1 - PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES › Section 1-4 - Patient's Bill of Rights

Current through July 13, 2024
(a) A person
				admitted to the hospital for the purposes of receiving mental health services
				shall be accorded the following:
(i) The
				right to appropriate treatment and related services in a setting and under
				conditions that:
PAT-5.2
(Addendum)
8 pages
(A) Are
				most supportive of the persons personal liberty; and Patient Bill of Rights
				Page Administrative Policies and Procedures 29 Jun 90
(B) Restrict such liberty only to the extent
				necessarily consistent with the persons treatment needs, applicable
				requirements of law, and applicable judicial orders.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0029 - Hospital, State - Patient Bill of Rights › Chapter 1 - PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES › Section 1-5 - Administrative Policies and Procedures

Current through July 13, 2024
(a) In addition to
				any policies and procedures required by the Patient's Bill of Rights contained
				in section
				4 of
				these rules, the hospital shall establish appropriate policies and procedures
				as required to implement and enforce these rules. Appropriate policies and
				procedures required to implement and enforce these rules include but are not
				limited to the following:
(i) Affirm and
				protect the patient's right stated under Section
				4, to
				include:
(A) Ensure that all allegations of
				mistreatment, abuse or neglect, as well as any injuries to patient's, are
				reported immediately to the administrator or to other officials in accordance
				with State law and through established hospital standard reporting
				procedures;
(B) Ensure that action
				is taken as necessary to prevent the potential of further abuse while an
				investigation is in process;
(C)
				Provide for an immediate and thorough investigation of all allegations by
				trained, experienced personnel delegated with all necessary authority; results
				of all investigations must be reported to the administrator or designated
				representative, or to other officials in accordance with state law, within five
				working days of the incident;
(D)
				Establish reasonable and appropriate corrective actions, including education,
				training and/or punishment for any hospital-affiliated individual who has been
				found to be responsible for acts of mistreatment, abuse or neglect of
				patient's;
(E) Prohibit the
				employment of individuals with a conviction or substantial documentation of
				child or patient abuse, neglect or mistreatment;
(F) Provide training and informational
				materials on patient's rights and on the prevention of
				abuse/neglect/mistreatment for administrators, mental health professionals and
				direct care staff and volunteers; each new staff member should be presented
				this information at the time of employment and training should be given for
				each of the groups at least annually.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Wyoming Public Records Act (W.S.
				  16-4-201,
et seq
.),
				  W.S. W.S. W.S. 14-3-214,
				  42 CFR
				  2.53(a)(b) and (d),
				  42 CFR 2.2
				  Sec. 290dd-3,
				  42
				  CFR 401.134 and 45 CFR Parts 160, 162, and
				  164, for the purpose of protecting health and personally identifiable
				  information.