Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-6 - Organization and Management

Current through July 13, 2024
(a) Governing Body.
				The medical assistance facility shall have a governing body which has the legal
				authority and responsibility to operate the medical assistance facility.
The governing body shall:
(i) Appoint an administrator who is
				responsible for managing the facility.
(ii) Obtain a fidelity bond for client
				protection arising from the want of honesty, integrity or fidelity of an
				employee. The bond shall consist of no less than $2500 and shall be augmented
				in relation to the number of employees.
(iii) Provide 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 at307-777-5366. (This number is subject to
				  change.)
(iv) Adopt,
				revise, and approve personnel policies; including:
(A) Frequency of evaluations;
(B) Insuring confidentiality of a 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 supervised by a physician;
(B) Whenever a patient is admitted to the
				facility by a mid-level practitioner, the facilitys sponsoring physician shall
				be notified of that fact, by phone or otherwise, within 24 hours, and a written
				notation of the consultation and of the physicians approval or disapproval
				shall be maintained in the patients record;
(C) A physician, a mid-level practitioner or
				a registered nurse shall be on duty and be physically available in the
				facility.
(D) No patient is cared
				for in the facility for more than 60 hours.
(ix) ab Personnel Records.
(A) ab There shall be one person designated
				responsible for maintaining the confidentiality.
(x) Employee Health. The medical assistance
				facility shall:
(A) Develop policies and
				procedures for employee health including a policy identifying communicable
				diseases that could put the client population at risk.
(xi) Advanced Directives.
(A) The medical assistance facility shall
				adopt policies which assure that they provide information on advanced
				directives to clients. If the clients advanced directives are known they shall
				be followed by the medical assistance facility.
(xii) Services:
(A) Furnished services, including the
				contracted services, shall comply with all applicable licensure standards;
				and
(B) Medical and nursing staff
				shall be licensed, certified, or registered according to Wyoming law and
				rules.
(C) Staff member shall
				provide health services only within the scope of his or her license,
				certification or registration.