reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 20 - HEALTH CARE FACILITIES JURISDICTION AND DELEGATION › Section 20-4 - Department of Health Jurisdiction

Current through July 13, 2024
(a)W.S.
				35-9-121.1. Health care facilities;
				jurisdiction; delegation; rules.
(i) The
				Department of Health has jurisdiction over all aspects of construction and
				remodeling, except electrical installation, of any state licensed health care
				facility as defined in W.S. W.S.
				W.S.
				35-2-901.
(ii) The fire safety code requirements for
				the construction and remodeling of any state licensed health care facility
				shall meet the minimum requirements established in the National Fire Protection
				Association 101 Life Safety Code or any other code required to meet federal
				fire and life safety certification. If any code requirements for federal
				certification conflict with the code of any other state or local governmental
				entity, the code required for federal certification shall prevail.
(iii) The Department of Health shall
				promulgate rules and regulations for all aspects of construction and remodeling
				of Health Care Facilities except electrical installation. For aspects of
				construction and remodeling included in codes adopted by the Council pursuant
				to W.S. W.S. 35-9-106, the rules and
				regulations shall be based on and not exceed the standards of these codes
				except where federal certification requirements dictate otherwise.
(iv) Upon written request from any county or
				municipality, the Department of Health shall delegate plan review and
				inspection responsibilities to the county or municipality that has personnel
				who are certified pursuant to the applicable code. The Department of Health
				shall transfer jurisdiction and authority by letter. The Department of Health
				shall notify the governing body of the municipality or county of the minimum
				standards and requirements under this section and W.S. W.S.
				W.S.
				16-6-501 and
				16-6-502. The following shall
				apply:
(A) Any municipality or county may
				issue a certificate of occupancy for a health care facility. The certificate
				shall reference any code applied to the construction or remodeling of the
				facility;
(B) A municipality or
				county which has enforcement authority under this subsection may create its own
				appeals board to determine the suitability of alternate materials and types of
				construction. If a municipality or county has not created an appeals board, the
				Department of Health shall establish an appeals board which includes
				representation from the Department of Health and the Council.
(v) After construction or
				remodeling of any health care facility, the Department of Health shall have
				jurisdiction over the fire and life safety inspections required for federal
				certification.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 20 - HEALTH CARE FACILITIES JURISDICTION AND DELEGATION › Section 20-5 - Delegation

Current through July 13, 2024
(a) Per
				W.S.
				35-9-121.1(d), upon written
				request from any county or municipality, the Department shall delegate plan
				review and inspection responsibilities to the county or municipality that has
				personnel who are certified to the pursuant to the applicable code.
(b) County or municipality personnel who
				perform plan review and inspection functions for the purpose of health care
				facility licensing shall, as a minimum, be certified as follows:
(i) Building Plans Examiner - certified by
				the International Code Council.
(ii) Fire Plans Examiner - certified by the
				National Fire Protection Association.
(iii) Mechanical Plans Examiner - certified
				by the International Code Council.
(iv) Plumbing Plans Examiner - certified by
				the International Code Council.
(v)
				Commercial Building Inspector - certified by the International Code
				Council.
(vi) Fire Inspector I -
				certified by the National Fire Protection Association.
(vii) Commercial Mechanical Inspector -
				certified by the International Code Council.
(viii) Commercial Plumbing Inspector -
				certified by the International Code Council.
(ix) Fire inspector I - certified by the
				International Code Council
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 20 - HEALTH CARE FACILITIES JURISDICTION AND DELEGATION › Section 20-6 - Appeals Board

Current through July 13, 2024
(a) The
				Department's Health Care Facilities construction appeals board shall serve as
				the appeals board for a municipality or county that has not created an appeals
				board per WS35-9-1211(d)(ii) The board shall consist of five (5) members:
(i) State Health Officer shall serve as
				chairman;
(ii) Two members from the
				State Survey Agency;
(iii) Two
				members from the Council as determined by the Council Chairman.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 20 - HEALTH CARE FACILITIES JURISDICTION AND DELEGATION › Section 20-7 - Construction Rules and Regulations

Current through July 13, 2024
(a) The
				Department's Chapter 3 Construction Rules for Health Care Facilities shall
				apply to and govern the construction, remodel, or expansion of Health Care
				Facilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  Office of Healthcare Licensing and Surveys, pursuant to
				  W.S.
				  35-2-901, et seq., W.S. W.S.
				  W.S.
				  35-9-121.1, and the Wyoming Administrative
				  Procedure Act at W.S. W.S.
				  W.S.
				  16-3-101, et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules are
				being promulgated to establish a procedure for Healthcare Facilities to appeal
				adverse actions taken by the Department of Health, hereinafter referred to as
				the "Department," pursuant to its authority under Chapter 3, Construction Rules
				and Regulations for Healthcare Facilities.
(b) The Department may issue policies,
				bulletins, or both, to interpret the provisions of these rules and regulations.
				Such policies and bulletins shall be consistent with and reflect the intent of
				these rules and regulations. The provisions contained in policies or bulletins
				shall be subordinate to the provisions of these rules and
				regulations.
(c) The incorporation
				by reference of any external standard is intended to be the incorporation of
				that standard as it is in effect on the effective date of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-3 - Definitions

Current through July 13, 2024
The following definitions, as well as the definitions found
				  in Chapter 3, Construction Rules and Regulations for Healthcare Facilities,
				  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 interchangeably, except where
				  the context dictates otherwise. 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.
(a) "Adverse action" means any remedy or
				sanction defined by statute, rule, or regulation that may be imposed or
				recommended by the Department against a licensed and/or federally certified
				Healthcare Facility that has failed to achieve or maintain compliance with
				local, state or federal laws, statutes, rules, or regulations. Federal remedies
				or adverse actions are defined in the State Operations Manual published by the
				Centers for Medicare and Medicaid Services (CMS). An adverse action may be
				imposed in addition to or instead of termination from the federal Medicare
				certification program or may be imposed in addition to or instead of actions
				against the facility's license.
(b)
				"Applicable code authority" means the particular jurisdictional entity or
				authority ultimately responsible for interpretation of a published Code. For
				example: the International Code Council is the jurisdictional authority that
				issues interpretations and provides technical support for the International
				Building Code.
(c) "Informal
				conference" means, as agreed to by the parties, either a teleconference
				meeting, electronically enhanced meeting, or an in-person meeting between the
				parties, and any other relevant parties, to discuss the issues and to determine
				if a resolution may be reached without the necessity of further
				action.
(d) "Formal administrative
				hearing" means the process outlined below where a hearing is held pursuant to
				the Wyoming Administrative Procedure Act at
				W.S.
				16-3-101, et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-4 - Informal Conferences

Current through July 13, 2024
Facilities may request an informal conference to reconsider
				  any decision made by the Department related to state construction requirements
				  and/or federal regulatory requirements (when applicable). The informal
				  conference will be conducted by the regulatory agency of the Department in
				  accordance with written policies and procedures. Any decision made by the
				  Department may be appealed in accordance with these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-5 - Informal Conference Procedures

Current through July 13, 2024
(a) Procedure if
				action based on state requirements. If a Healthcare Facility receives one or
				more deficiencies as a result of an inspection, receives mark-ups or comments
				on a set of plans, or receives notice of a pending or actual adverse action
				from the Department, which action is based solely on state construction
				requirements, the following informal procedure may be instituted to resolve the
				issue(s) in as expedient a manner as possible:
Initial Meeting:
(i)
				The Healthcare Facility, in collaboration with the Department, shall meet
				either by telephone, electronically, or in person to discuss the issue(s) and
				to determine whether an informal resolution of the issue(s) is possible and
				acceptable.
(ii) This initial
				meeting shall be conducted as soon as possible on a date acceptable to all
				parties.
(iii) The parties may
				agree at this initial meeting to another informal meeting between themselves to
				resolve the matter between the Department and the Healthcare
				Facility.
(iv) If the Healthcare
				Facility agrees at this initial meeting to an informal resolution of the issue,
				but desires to have an outside entity review the question, the parties each
				agree to outline the issue(s) and that party's position on the issue(s) in
				writing.
(v) A written statement of
				the issue(s) and positions of the parties shall be prepared to send to an
				outside entity within ten (10) working days of the meeting at which this
				decision was made.
Submit Statement of the Issues and Party Positions to Code
				  Authority:
(vi) Once this
				statement of the issue(s) and the parties' positions are reduced to writing so
				that both parties can agree to what is contained in the document, it shall be
				submitted by the Department to the applicable Code authority, such as the
				International Code Council or the American Institute of Architects, as agreed
				upon by the parties.
Code Authority Decision:
(vii) Once the applicable Code authority
				renders its decision, and if the decision or interpretation is still
				unsatisfactory to the Healthcare Facility, it may request a formal
				administrative hearing.
(viii) The
				Healthcare Facility shall send a written request for a formal administrative
				hearing to the Department no later than ten (10) calendar days after receipt of
				the Code authority's decision.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-6 - Formal Administrative Hearing Procedure

Current through July 13, 2024
(a) Procedure if
				action based on state construction requirements.
(i) If a Healthcare Facility receives a
				notice of one or more deficiencies, mark-ups, or comments with which it
				disagrees on a set of building plans, or a notice of a pending adverse action
				from the Department which action is based solely on state construction
				requirements, the following procedure may be instituted to resolve the issue
				through an administrative hearing process. The Department prefers to resolve
				all disputes through the informal review process. However, the formal hearing
				process may be initiated after the informal process has been exhausted, or may
				be requested immediately upon notice of a pending adverse action.
(ii) If a Healthcare Facility requests a
				formal administrative hearing, it shall provide written request for a formal
				administrative hearing to the Department within ten (10) working days of
				receiving notice of the adverse action.
(iii) The request shall provide the specific
				details about the issue and the position of the Healthcare Facility.
(iv) The Department shall refer the matter to
				the Office of Administrative Hearings (OAH) pursuant to its Contested Case
				Proceeding Rules, Chapter 2 (2008) and its Evidentiary Hearings and Decision
				rules, Chapter 3 (2002). Referral to the OAH shall be done within five (5)
				working days of receipt of the request from the Healthcare Facility.
(v) Healthcare Facilities are encouraged to
				request, and the Department will agree if appropriate, to the Expedited
				Contested Case procedures at Section 11 of Chapter 2 in order to obtain a
				ruling as quickly and efficiently as possible to prevent any unnecessary delay
				in the process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 21 - PROCEDURE FOR INFORMAL CONFERENCE ON APPEAL OF AGENCY DECISION & PROCEDURES FOR FORMAL ADMINISTRATIVE HEARINGS ON APPEAL OF AGENCY DECISION › Section 21-7 - Severability

Current through July 13, 2024
If any portion of this Chapter is found to be invalid or
				  unenforceable, the remainder shall continue in full force and
				  effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-1 - Authority

Current through July 13, 2024
This rule is promulgated by the Wyoming Department of Health
				  pursuant to the Health Facilities Act at
				  W.S.
				  35-2-901,
et seq.
, and the
				  Wyoming Administrative Procedure Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-5 - Licensure

Current through July 13, 2024
(a) Licensing Procedure.
(i) For an initial license to be issued, the
				State Survey Agency shall receive:
(A) A
				completed application form supplied by the State Survey Agency, including the
				completed items identified on the Rehabilitation Hospital Licensure Checklist
				supplied by the State Survey Agency.
(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.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-6 - Governing Body

Current through July 13, 2024
There shall be a governing body legally responsible for the
				  management and operation of the rehabilitation hospital.
(a) Bylaws shall be adopted by the governing
				body in accordance with legal requirements.
(i) The bylaws shall:
(A) Stipulate the basis upon which members
				are selected, term of office, and duties.
(B) Specify to whom responsibilities for the
				operation and maintenance of the rehabilitation hospital, including evaluation
				of the rehabilitation hospital practices, shall be delegated.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-7 - Medical Staff

Current through July 13, 2024
The rehabilitation hospital shall have a medical staff
				  organized under bylaws approved by the governing body and responsible to the
				  governing body for the quality of all medical care provided patient's and for
				  the ethical and professional practices of its members.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-8 - Emergency Services

Current through July 13, 2024
Pursuant to
				  42 CFR
				  482.55 the rehabilitation hospital may opt
				  not to have an Emergency Department. If it opts not to have an Emergency
				  Department, signage designating such shall be posted in a prominent location to
				  ensure the public does not perceive that the hospital has an emergency room.
				  The hospital shall have the ability to provide basic life saving measures to
				  patient's, staff, and visitors and have written policies for appraisals of
				  emergencies, initial treatment, and referral when
				  appropriate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-9 - Radiology Services

Current through July 13, 2024
The rehabilitation hospital shall maintain or have
				  radiological services readily available to meet the needs of the patient's. If
				  the rehabilitation hospital has a radiological department on-site, it shall
				  have:
(a) Personnel adequate to
				supervise and conduct radiology services shall be provided and interpretations
				of radiological examinations shall be made by physicians competent to make such
				interpretations.
(b) Written
				policies and procedures shall be in place for the operation of equipment, the
				use of radium or other radioactive isotopes, safety precautions, and radiation
				exposure.
(c) Yearly inspection of
				x-ray equipment shall be made by competent personnel.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-10 - Laboratories

Current through July 13, 2024
(a) If laboratory services are provided
				on-site, the rehabilitation hospital shall have a well organized CLIA (Clinical
				Laboratory Improvement Act of 1988) certified, supervised clinical laboratory
				with the necessary space, facilities, equipment, and suitable location to
				perform those services commensurate with the rehabilitation hospital's needs
				for its patient's.
(b) If the
				rehabilitation hospital performs waived testing, it must comply with laboratory
				requirements.
(c) Anatomical and/or
				clinical pathology services and blood bank services shall be available either
				in the rehabilitation hospital or by other arrangements with a CLIA-certified
				laboratory.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-11 - Outpatient Services

Current through July 13, 2024
If the rehabilitation hospital provides outpatient services,
				  there shall be policies and procedures relating to the staff, functions of the
				  service, outpatient medical records, and necessary facilities in order to
				  assure the health and safety of the patient's.
(a) Outpatient services shall be organized
				into sections (clinics); the number will depend on the size of the medical
				staff, available facilities, and patient needs.
(i) Outpatient services shall have
				arrangements and communications with community agencies, such as other
				outpatient agencies, public health nursing, and health and welfare
				agencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-12 - Nursing Services

Current through July 13, 2024
(a) The
				rehabilitation hospital shall provide nursing services twenty-four (24) hours
				per day, seven (7) days a week. These services shall be supervised by a
				registered nurse.
(b) Job
				descriptions delineating the qualifications, responsibilities, and duties for
				each category of nursing personnel shall be in writing and approved by the
				rehabilitation hospital administrator or his designee.
(c) Personnel records, including the
				application and verification of credentials, shall be maintained for each
				member of the nursing staff. Documentation shall be maintained which verifies
				the current Wyoming licensure status for those persons requiring licenses.
				Electronic verification must be evidenced in the personnel file by hard
				copy.
(d) Medications shall be
				administered by a registered nurse, LPN, a certified medication aide (MA-C) if
				allowed by the rehabilitation hospital's policy, or a student nurse in an
				approved school of nursing under the direct supervision of a registered nurse.
				In all instances, this activity shall be in accordance with the Wyoming Nurse
				Practice Act.
(e) All medication
				orders shall be in writing and signed by the physician. Telephone orders shall
				be used sparingly, and shall be signed or initialed by the physician within
				forty-eight (48) hours.
(f) Blood
				transfusions and intravenous medications shall be administered in accordance
				with state law. If administered by a registered nurse and/or LPN, they shall be
				administered only by those who have been specially trained.
(g) There shall be monthly meetings of the
				nursing staff. Minutes of these meetings shall be recorded.
(i) The minutes, when appropriate, shall
				reflect:
(A) The purpose of the staff
				meeting;
(B) Review and evaluation
				of nursing care, ways of improving nursing services, discussion of nursing
				care, and plans for individual patient's;
(C) Consideration of specific nursing
				techniques and procedures;
(D)
				Establishment and/or interpretation of nursing services policies;
(E) Interpretation of administrative and
				medical staff policies, reports of meetings, etc.; and
(F) The names of individuals attending the
				meeting.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-13 - Dietary Services

Current through July 13, 2024
The rehabilitation hospital shall have an organized dietary
				  service function directed by qualified personnel.
(a) The rehabilitation hospital shall provide
				dietary services that meet the nutritional needs of patient's according to the
				science of nutrition.
(i) Dietary services
				must operate with safe food handling practices in accordance with the current
				edition of the Food Code, published by the U.S. Public Health Service, Food and
				Drug Administration, from receipt through production and service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-14 - Social Services

Current through July 13, 2024
There shall be policies and procedures for the social
				  services' staff and its functions.
(a)
				Social services shall be under the direction of a qualified social
				worker.
(b) Social services and
				other rehabilitation hospital services shall perform as an integrate unit.
(i) Social services shall participate in
				appropriate in-service training programs and conferences.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-15 - Rehabilitation, Physical Therapy, Speech Therapy, Audiology, and Occupational Therapy Services

Current through July 13, 2024
The following requirements must be met:
(a) Written policies and procedures shall be
				in place to address the scope of services provided.
(b) Therapy personnel shall have the
				necessary knowledge, training, experience, and capabilities to properly
				supervise and administer the applicable therapy services. The
				rehabilitation/therapy services program shall be under the direction of an
				individual qualified by education and experience as appropriate to the scope of
				the rehabilitation/therapy services provided.
(c) Facilities and equipment for physical
				therapy, speech therapy, audiology, and occupational therapy shall be in good
				condition and adequate to meet patient needs.
(d) All therapies shall be given in
				accordance with a physician's orders and such orders shall be incorporated in
				the patient's record.
(e) Complete
				records shall be maintained for each patient who receives
				rehabilitation/therapy services and shall be part of the patient's permanent
				medical record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-16 - Dental Services

Current through July 13, 2024
If the rehabilitation hospital provides dental services, the
				  department shall be organized comparable to other rehabilitation hospital
				  services or departments. The appointment of dentists shall be in accordance
				  with the rehabilitation hospital's medical staff bylaws and rules and
				  regulations.
(a) The following
				requirements shall be met:
(i) Members of the
				dental staff shall be licensed in Wyoming pursuant to
				W.S.
				33-15-120;
(ii) There shall be a physician in attendance
				who is responsible for the medical care of the patient throughout the
				rehabilitation hospital stay;
(iii)
				Patient's admitted for dental services shall be admitted in compliance with
				rehabilitation hospital regulations;
(iv) There shall be specific bylaws
				concerning the dental staff written as combined medical-dental staff bylaws or
				as separate or adjunct dental bylaws;
(v) Bylaws and rules and regulations shall
				specifically delineate the rights and privileges of the dentists; and
(vi) Complete records, both medical and
				dental, shall be required for each dental patient and shall be part of the
				rehabilitation hospital records.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-17 - Pharmacy

Current through July 13, 2024
The rehabilitation hospital shall have a pharmacy directed
				  by a registered pharmacist. The pharmacy shall be administered in accordance
				  with accepted professional principles.
(a) The pharmacist shall be responsible to
				the rehabilitation hospital administrator for developing, supervising, and
				coordinating all the activities of the pharmacy.
(b) Prescription medications shall be
				compounded in a proper location by a qualified pharmacist.
(c) Facilities shall be provided for storing,
				safeguarding, preparing, and dispensing of drugs.
(i) Drugs shall be issued to floor units in
				accordance with approved policies and procedures.
(ii) Drug cabinets on the nursing units shall
				be routinely checked by the pharmacist and all floor stocks shall be
				controlled.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-18 - Health Information and Management System

Current through July 13, 2024
The health information and management system shall be
				  maintained in accordance with accepted professional principles for every
				  patient evaluated or treated in the rehabilitation hospital.
(a) There shall be qualified personnel
				adequate to supervise, maintain, and conduct the health information and
				management system function. Preferably, a Registered Health Information
				Administrator (RHIA) or Medical Records/Health Information Technician (MRHIT)
				will be in charge. If such a professional is not in charge, a qualified RHIA or
				MRHIT on a consultant or part-time basis shall organize the function, train the
				personnel, and make periodic on-site visits to evaluate the medical records
				function.
(b) All medical records
				and health information shall be maintained in accordance with the Health
				Insurance Portability and Accountability Act (HIPAA) of 1996, 42 CFR Part 2,
				and any other relevant state or federal laws relating to the maintenance of
				protected health information.
(c)
				Records of public rehabilitation hospitals shall be preserved, either in the
				original form or by other permanent means, for a period of time determined by
				the rehabilitation hospital administrator, based upon the legally approved
				retention schedules for publically-funded rehabilitation hospitals established
				by the Wyoming State Archives and the State Records Committee.
(d) A system of identification and filing to
				ensure the prompt location of a patient's medical records shall be
				maintained.
(e) Indexing shall be
				current within three (3) months following discharge of the patient.
(f) Medical records shall contain sufficient
				information to justify the diagnosis and warrant the treatment and end results.
(i) The medical records shall contain the
				following information:
(A) Identification
				data;
(B) Chief
				complaint;
(C) Present
				illness;
(D) Past
				history;
(E) Family
				history;
(F) Physical
				examination;
(G) Provisional
				diagnosis;
(H) Clinical laboratory
				reports;
(I) X-ray
				reports;
(J)
				Consultations;
(K) Treatment,
				medical and surgical;
(L) Tissue
				report;
(M) Progress
				notes;
(N) Final
				diagnosis;
(O) Discharge summary;
				and
(P) Autopsy findings.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-19 - Infection Control Program

Current through July 13, 2024
An infection control program shall be established based on
				  nationally recognized standards of practice. The program shall prevent,
				  identify, and control infections and communicable diseases.
(a) The infection control program is
				coordinated by the rehabilitation hospital administrator, the medical staff,
				and director of nursing services in conjunction with the hospital's quality
				assurance and performance improvement programs.
(b) Problems identified are reported to the
				medical staff, nursing, administration, and addressed in the rehabilitation
				hospital's quality assurance and in-service training programs.
(c) Documentation concerning corrective
				actions and outcomes is maintained.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-20 - Sanitary Environment

Current through July 13, 2024
The rehabilitation hospital shall provide for housekeeping,
				  maintenance, and laundry services.
(a)
				There shall be written policies and procedures for each of these functions to
				ensure the use of approved practices, procedures, and products.
(i) A designated person shall be responsible
				for plant maintenance, laundry, and general housekeeping. These
				responsibilities may be assigned to a single person in small rehabilitation
				hospitals.
(ii) Housekeeping shall
				be responsible for keeping the rehabilitation hospital free of offensive odors,
				accumulations of dirt, rubbish, dust, insects, and rodents.
(iii) Laundry facilities shall have physical
				separation of clean and dirty areas, adequate ventilation, and temperature
				control.
(iv) There shall be
				written policies and procedures covering the sterilization process used on
				various types of equipment, surfaces, supplies, and instruments.
(A) There shall be a procedure for quality
				control in relation to the sterilization process.
(B) Humidifiers and any associated tubing
				shall be replaced after each usage and the length of continuous usage shall not
				exceed twenty-four (24) hours.
(v) There shall be written policies and
				procedures covering the disinfectants used on various types of equipment,
				surfaces, and instruments.
(vi)
				There shall be a written policy covering the cleaning and disinfecting of ice
				machines.
(vii) All garbage and
				kitchen refuse shall be kept in leak-proof, nonabsorbent containers with tight
				fitting covers. All garbage containers kept within the rehabilitation hospital
				buildings shall be washed, inside and out, daily. Other dry waste materials,
				normally designated "trash," may be stored in plastic bags.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-21 - Physical Environment

Current through July 13, 2024
Rehabilitation hospital buildings shall be designed,
				  constructed, arranged, equipped and maintained to ensure the safety of
				  patient's, personnel, and visitors and to provide adequate and efficient care
				  and treatment to the patient's.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-22 - Disaster Plan

Current through July 13, 2024
All rehabilitation hospitals shall develop and adopt a
				  written disaster preparedness plan.
(a) For rehabilitation hospitals that are
				federally certified, the disaster preparedness plan shall be in accordance
				with, at a minimum, the edition of the NFPA 99, Standards for Health Care
				Facilities required by the federal government.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-23 - Construction and Remodeling

Current through July 13, 2024
Wyoming Department of Health Chapter 3, Construction Rules
				  and Regulations for Healthcare Facilities, shall apply to all construction and
				  remodeling of rehabilitation hospitals.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 22 - RULES AND REGULATIONS FOR LICENSURE OF REHABILITATION HOSPITALS › Section 22-24 - Life Safety and Electrical Safety

Current through July 13, 2024
Existing life safety and electrical safety in rehabilitation
				  hospitals shall be maintained in accordance with the requirements of the
				  edition of the NFPA 101 Life Safety Code that was in effect at the time the
				  facility was licensed as a hospital.
(a) Where portions of a rehabilitation
				hospital have been licensed at different times, the existing life safety and
				electrical safety in each portion shall be maintained in accordance with the
				requirements of the NFPA 101 Life Safety Code that was in effect at the time
				that portion was added to the license.
(b) Rehabilitation hospitals that are
				federally certified shall meet, at a minimum, the edition of the NFPA 101 Life
				Safety Code required by the federal government.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-2 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter applies to the operation of
				a freestanding emergency center.
(b) The Department may issue a provider
				manual, bulletin, or other guidance materials to interpret the provisions of
				this Chapter. Such guidance must be consistent with and reflect the policies
				contained in these Rules.
(c) If
				any portion of this Chapter is found to be invalid or unenforceable, the
				remainder continues in effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-4 - Licensing

Current through July 13, 2024
(a) A freestanding emergency center may not
				operate in Wyoming unless the center is licensed by the State Survey Agency
				under this Chapter.
(b) A center
				shall display its current license in a public area within the center.
(c) The State Survey Agency may issue a
				center a provisional license according to the following conditions:
(i) A provisional license provides a center
				with temporary authorization to operate while the center pursues compliance
				with these Rules. A provisional license is effective for no more than three (3)
				months. The State Survey Agency may extend the term of a provisional license
				for additional three (3) month periods, as deemed necessary by the State Survey
				Agency.
(ii) To apply for a
				provisional license, a center shall submit the following to the State Survey
				Agency:
(A) A complete and accurate
				application form, available from the State Survey Agency upon request or at
http://health.wyo.gov/aging/hls
;
(B) A complete and accurate Freestanding
				Emergency Center Required Licensure Documentation Checklist, available from the
				State Survey Agency upon request or at
http://health.wyo.gov/aging/hls
;
				and
(C) The required licensure fee,
				in the form of a check or money order made payable to "Treasurer, State of
				Wyoming," as identified in
Rules, Department of Health, Health
				Quality,
Chapter 1 (1998).
(iii) Upon receipt and review of the required
				application, checklist, and fee, the State Survey Agency may issue the center a
				provisional license if the State Survey Agency finds the center has
				demonstrated a good faith effort to comply with these Rules. The State Survey
				Agency may also issue a provisional license to a center as the State Survey
				Agency deems necessary to allow the center to become compliant with these
				Rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-5 - 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(d) 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 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-6 - 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 deadline by when
				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) calendar 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) calendar day
				deadline.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-7 - Governing Body

Current through July 13, 2024
(a) A 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
				medical director and center administrator;
(iii) Ensure the center does not provide care
				that exceeds twenty-four (24) hours of treatment until discharge or
				transfer;
(iv) Provide appropriate
				personnel, physical resources, and equipment for the delivery of safe and
				effective emergency medical care;
(v) Approve policies for the provision of an
				effective procedure for the immediate transfer of patients requiring emergency
				care beyond the capabilities of the center to a hospital; and
(vi) 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 must be separate meetings with separate
				minutes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-8 - Center Administrator

Current through July 13, 2024
(a) Prior to licensure, a center shall employ
				and designate a center administrator.
(b) A person is eligible to serve as center
				administrator if the person possesses the education, training, and experience
				necessary to oversee the management and operations of a center.
(c) 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 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-9 - Medical Director

Current through July 13, 2024
(a) Prior to licensure, a center shall employ
				and designate a medical director.
(b) A person is eligible to serve as a
				medical director, including the center administrator, if the person is a
				Wyoming licensed physician and:
(i) Board
				Certified or Board Eligible in Emergency Medicine; or
(ii) Board Certified in Internal Medicine
				with a minimum of 3 years of emergency medicine experience; or
(iii) Board Certified in Family Medicine with
				a minimum of 3 years of emergency medicine experience.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-10 - Duties and Powers of a Licensed Freestanding Emergency Center

Current through July 13, 2024
(a) A center shall provide:
(i) Dietary services according to Section
				11 of this Chapter;
(ii) Emergency services according to Section
				12 of this Chapter;
(iii) Laboratory services according to
				Section 13 of this Chapter;
(iv)
				Pharmaceutical services according to Section 14 of this Chapter;
(v) Radiologic services according to Section
				15 of this Chapter; and
(vi)
				Respiratory services according to Section 16 of this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-11 - Dietary Services

Current through July 13, 2024
(a) A center shall maintain a nourishment
				station within the center that contains refrigerated storage, a self-dispensing
				ice machine, and a handwashing sink.
(b) A center shall designate a person
				responsible for properly receiving, storing, and handling food at the
				center.
(c) A center may not offer
				meal services, except the center may provide nutritional snacks as needed in
				accordance with practitioner orders.