Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 17 - Licensure of Critical Access Hospitals › Section 17-6 - Organization and Management

Current through July 13, 2024
(a) Governing Body. The Critical Access
				Hospital shall have a governing body which:
(i) Has the legal authority and
				responsibility to operate the facility.
(ii) Appoints an administrator who is
				responsible for managing the facility.
(iii) Provides verification of a central
				registry information check on all employees hired at the time of or after the
				filing of these rules. The individual agencies or corporations are responsible
				to initiate and follow this process to completion.
Central registry information can be obtained by contacting
				  the Department of Family Services at
												307-777-5366. (This number is subject to
				  change.)
(iv) Adopts,
				revises, and approves personnel policies, including; but not limited to:
(A) Frequency of evaluations;
(B) Insuring confidentiality of central
				registry information checks.
(v) Prepare an organizational chart that
				reflects the administrative control and lines of authority for the delegation
				of responsibility from management down to the client care level.
(vi) The governing body shall ensure that all
				services provided are consistent with accepted standards of practice.
(vii) The governing body shall be accountable
				for the quality of care provided to the patient.
(viii) There shall be policies and procedures
				for services offered, which shall be reviewed annually by the governing body.
				Policies required, but not limited to:
(A)
				Every patient shall be under the care of a physician or under the care of a
				mid-level practitioner consistent with the mid-level practitioner's scope of
				practice and as otherwise authorized by law.
(B) A CRNA may administer anesthetics without
				physician supervision if the CRNA's practice is otherwise consistent with the
				medical staff bylaws.
(C) A
				physician, a mid-level practitioner or a registered nurse shall be on duty and
				physically available in the facility when there are inpatients;
(D) When there are no inpatients, the
				facility may close (i.e. be unstaffed) provided an effective system is in place
				to ensure that a practitioner with training and experience in emergency care is
				on call and available by telephone or radio twenty-four (24) hours a day;
				and
(E) Patient care shall meet the
				provisions in Section
				4.(h).
(ix) Personnel Records.
(A) There shall be one person designated
				responsible for maintaining confidentiality.
(x) Employee Health.
(A) Policies and procedures shall be
				developed for employee health, including a policy identifying communicable
				diseases that could put the patient population at risk.
(xi) Services.
(A) Furnished services, including contracted
				services, shall comply with all applicable licensure standards;
(B) Medical and nursing staff shall be
				licensed, certified, or registered according to Wyoming laws and rules;
				and
(C) Staff members shall provide
				health services only within the scope of his or her license, certification or
				registration.