reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part III - REVIEW PROCESS › Section 246-312-060 - Timelines for review

Current through Register Vol. 24-14, July 15, 2024
(1) For good
				  cause, the department of health or the attorney general may request a one-time,
				  thirty-day extension to each timeline.
(2) The department, in consultation with the
				  attorney general, will determine if an application is complete within fifteen
				  working days of the receipt of the application package, documents and required
				  fee(s). If a determination is made that the application is incomplete, the
				  applicant will be notified of the reasons the application is incomplete, with
				  reference to the particular deficiencies.
(3) The department will publish a notice of
				  the application in the newspaper(s) in the county or counties where the
				  hospital is located within five working days of receiving a completed
				  application. The department will notify any person who has requested to receive
				  such notices. The notice shall contain:
(a)
				  Information about the parties to the acquisition;
(b) Where and when to send comments to the
				  department; and
(c) Other
				  information required for adequate public notice of the transaction and the
				  department's review.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part III - REVIEW PROCESS › Section 246-312-070 - Public hearing

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  will hold at least one public hearing in the county where the hospital being
				  acquired is located. Any person may provide written or oral testimony. The
				  department reserves the right to limit the time each presenter may have to make
				  an oral statement.
(2) The
				  department may subpoena witnesses or information, administer oaths, take
				  depositions, and use related discovery procedures.
Statutory Authority: Chapter 70.45 RCW and RCW 70.44.007.
						98-14-056, § 246-312-070, filed 6/26/98, effective
						7/27/98.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part IV - ACQUISITION APPROVAL OR DISAPPROVAL › Section 246-312-080 - Grounds for approval, disapproval or modification of an acquisition

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  department's decision must be based on the requirements of chapter 70.45 RCW.
				  Any condition or modification must have a direct and rational relationship to
				  the application under review.
(2)
				  The written opinion of the attorney general may not constitute a final decision
				  for purposes of review.
(3) The
				  department will only approve an application if the parties to the acquisition
				  have taken the proper steps to safeguard the value of charitable assets and to
				  ensure that any proceeds from the acquisition are used for appropriate
				  charitable health purposes.
Statutory Authority: Chapter 70.45 RCW and RCW 70.44.007.
						98-14-056, § 246-312-080, filed 6/26/98, effective
						7/27/98.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part IV - ACQUISITION APPROVAL OR DISAPPROVAL › Section 246-312-090 - Appeals

Current through Register Vol. 24-14, July 15, 2024
The acquiring person or nonprofit hospital may appeal a
					 decision made by the department of health under the Administrative Procedure
					 Act (chapter 34.05 RCW).
Statutory Authority: Chapter 70.45 RCW and RCW 70.44.007.
						98-14-056, § 246-312-090, filed 6/26/98, effective
						7/27/98.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part V - COMPLIANCE WITH DEPARTMENT'S DECISION › Section 246-312-100 - Compliance with the terms of the acquisition and the department's decision

Current through Register Vol. 24-14, July 15, 2024
(1) At the time of
				  the final decision, the department will notify the parties to the acquisition
				  whether the nonprofit hospital, the acquiring party, or both, must submit
				  periodic reports detailing how commitments made are being adhered to. The
				  frequency of the reports will also be determined at that time, and will not be
				  more frequent than semiannually but no less frequent than every three
				  years.
(2) Any person, whether a
				  party of the initial acquisition or not, may submit information concerning
				  whether the acquiring person is fulfilling the terms of the acquisition and the
				  department's approval or conditions. If the department determines there is
				  reasonable cause to believe that the information indicates failure to comply, a
				  public hearing will be held. The department must give at least ten days'
				  written notice to the affected parties, including the local community
				  affected.
(3) The cost of the
				  public hearing and any on-site reviews related to determining the validity of
				  the allegations will be borne by the acquiring parties.
(4) If the department finds that the parties
				  to the acquisition have failed to adhere to their commitments or the conditions
				  of the department's approval, the department may:
(a) Revoke or suspend the hospital license
				  pursuant to
				  RCW
				  70.41.130;
(b) Refer the matter to the attorney general
				  for appropriate action; or
(c)
				  Both.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part V - COMPLIANCE WITH DEPARTMENT'S DECISION › Section 246-312-200 - Public health care service district (also known as public hospital district)

Current through Register Vol. 24-14, July 15, 2024
(1) Prior to
				  approving the acquisition of a public health care service district hospital,
				  the district board of commissioners must obtain a written opinion from a
				  qualified independent expert or the department of health as to whether or not
				  the acquisition meets the review criteria in
				  RCW
				  70.45.080.
(2) If requested by the district to conduct a
				  review, the department will charge the district for the review costs as
				  provided in the fee schedule (WAC
				  246-312-990).
(3) The department will deliver its opinion
				  within ninety days of the district's request.
Statutory Authority: Chapter 70.45 RCW and RCW 70.44.007.
						98-14-056, § 246-312-200, filed 6/26/98, effective
						7/27/98.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-312 - Acquisition of nonprofit hospitals › Part V - COMPLIANCE WITH DEPARTMENT'S DECISION › Section 246-312-990 - Fees

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  will assess on the acquiring party a nonrefundable application processing fee,
				  a review fee and other charges as authorized in chapter 332, Laws of 1997. The
				  fees shall consist of the following:
Processing Fees
Nonrefundable
Processing Fee
Each New Application will be subject
to a
$1,000
Each Amendment to an application
undergoing review will be subject
to a
$ 500
Type of Acquisition
								  Description
Review Fee
Acquisition of 20% or more of the
assets of the hospital
$40,000
Change in current ownership position
that results in acquiring party
holding or controlling 50% or more
of the hospital assets
$50,000
Any Other Change in Ownership
$60,000
Amendment to an approved Change of
Ownership
$15,000
Other Fees (When Applicable)
Fee Amount
Exemption Determinations
$ 250
Fair Market Value Determination-
Nonrefundable
$ Based on
Contracted
Amount
Public Health Services District-
Voluntary Review
$ To be
billed at Cost
On-Site Compliance Visit-
Nonrefundable
$ To be
billed at Cost
Attorney General Opinion-
Nonrefundable
$ As billed to
the department
by the attorney
general's office
(2) When an applicant submits a written
				  request to withdraw an application, the department shall refund the review fee
				  using the following schedule:
Time Period For Requesting
Withdrawal of Application
Amount of
Review Fee
to be Refunded
Within 10 working days after receipt
of the completed application
100%
Between the 11th working day and the
45th working day after receipt of
the completed application
50%
After the 45th working day
0%
(3) Fees for the fair market value
				  determination shall be paid in addition to the applicable processing and
				  application review fees. These fees shall be based on the contracted amount for
				  consultants with the expertise to make such an evaluation. The acquiring party
				  is responsible for this payment. If payment of this fee is not made within ten
				  working days following being billed, the review of the application shall be
				  suspended until payment is made.
(4) Fees for the public health services
				  district voluntary review shall be paid by the public health services district.
				  These fees shall be billed at cost and must be paid within ten working days of
				  being billed.
(5) Fees for the
				  attorney general's opinion shall be paid in addition to the applicable
				  processing and application review fees. These fees shall be based on the
				  charges billed to the department and then billed to the acquiring party. Fees
				  must be paid within ten working days of being billed or the review of the
				  application shall be suspended until payment is made.
Statutory Authority: 1997 c 332 § 14. 97-21-052,
						§ 246-312-990, filed 10/13/97, effective
						11/13/97.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-314 - Construction review services › Section 246-314-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to establish fees to support
				  the department's predesign, subsequent review, approval activities, and to
				  enable the department to provide technical assistance for health and
				  residential care facility construction projects.
Statutory Authority: RCW 43.70.110. 06-16-118, §
					 246-314-001, filed 8/1/06, effective 9/1/06; 91-16-107 (Order 185), §
					 246-314-001, filed 8/7/91, effective 9/7/91. Statutory Authority:
					 RCW
					 43.70.040. 91-02-050 (Order 122), §
					 246-314-001, filed 12/27/90, effective
					 1/31/91.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-314 - Construction review services › Section 246-314-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
				  chapter unless the context clearly indicates otherwise:
(1) "Certified" means facilities that must be
				certified to participate in medicare or medicaid programs and meet physical
				environment minimum standards as required in the Code of Federal
				Regulations.
(2) "Change of
				approved use only" means a change in the function of a room that does not alter
				the physical elements.
(3)
				"Finishes" includes, but is not limited to, products such as carpet, vinyl wall
				covering, wall paper, exterior siding, landscaping, or paneling applied to an
				existing surface as the exposed surface.
(4) "Licensed" means facilities licensed from
				the state department of health (DOH) or state department of social and health
				services (DSHS) that must obtain approval from construction review services
				before licensure activity.
(5)
				"Permit" means a recommendation to the licensing or certifying authority from
				construction review services indicating that a facility meets the physical
				environment rules and the plan review process is complete.
(6) "Program" means the Washington state
				department of health, construction review services.
(7) "Project" means a change to a facility
				including new construction, replacement, alterations, additions, expansions,
				conversions, change of approved use, improvements, remodeling, renovating, and
				upgrading of the following types of facilities:
(a) "Ambulatory surgery center" defined as a
				facility that is required to be certified for participation in medicare or
				medicaid or ambulatory surgical facilities licensed under chapters 70.230 RCW
				and 246-330 WAC;
(b) "Birthing
				centers" (formerly maternity homes) and "childbirth centers" licensed under
				chapters 18.46 RCW and 246-329 WAC;
(c) " Assisted living facilities" licensed
				under chapters 18.20 RCW and 388-78A WAC;
(d) "Correctional facilities" as defined
				under RCW
				43.70.130(8);
(e) "Hospice care center" licensed under
				chapters 70.127 RCW and 246-335 WAC;
(f) "Hospitals" licensed under chapters 70.41
				RCW and 246-320 WAC;
(g) "Nursing
				homes" licensed under chapters 18.51 RCW and 388-97 WAC;
(h) "Private alcohol and chemical dependency
				hospitals" licensed under chapters 71.12 RCW and 246-324 WAC;
(i) "Private psychiatric and alcoholism
				hospitals" licensed under chapters 71.12 RCW and 246-322 WAC;
(j) "Residential treatment facilities"
				licensed under chapters 71.12 RCW and 246-337 WAC; and
(k) "Temporary worker housing" licensed under
				chapters 70.114A RCW and 246-358 WAC.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-314 - Construction review services › Section 246-314-015 - Application requirements

Current through Register Vol. 24-14, July 15, 2024
The project sponsor shall submit to the program:
(1) An estimated permit value at the time of
				application. Permit valuations include the total value of work, including
				materials and labor, such as electrical, gas, mechanical, plumbing equipment
				and permanent systems. If the program determines the valuation is
				underestimated, the program shall deny the application unless the applicant can
				show detailed estimates to meet the program's approval. Final building permit
				valuation is set by program;
(2) A
				completed project review application form with project documents for
				review;
(3) Documentation as
				required by the applicable licensing or certification rules; and
(4) The appropriate fee based upon the
				initial project construction cost as determined from the construction fee table
				in WAC 246-314-990.
Statutory Authority: RCW 43.70.110. 06-16-118, §
					 246-314-015, filed 8/1/06, effective
					 9/1/06.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-314 - Construction review services › Section 246-314-990 - Construction review fees

Current through Register Vol. 24-14, July 15, 2024
(1) Upon prior
				approval by the program the project sponsor may exclude from the "project cost"
				the cost for fixed or installed technologically advanced clinical equipment
				such as but not limited to: Lithotripters, CT scans, linear accelerators, and
				MRIs.
(2)
Project fee
				table.
Except as provided in subsection (4) and (5) of this section, the
				following fees will be charged for project review based on the cost of the
				project:
PROJECT FEE TABLE
Project Cost
Project Review Fee
$
0
to
$
999
$
150
1,000
to
1,999
305
2,000
to
2,999
400
3,000
to
4,999
500
5,000
to
9,999
650
10,000
to
19,999
815
20,000
to
29,999
1,000
30,000
to
39,999
1,190
40,000
to
49,999
1,375
50,000
to
64,999
1,620
65,000
to
79,999
1,875
80,000
to
99,999
2,250
100,000
to
124,999
2,690
125,000
to
149,999
3,120
150,000
to
199,999
3,625
200,000
to
249,999
4,060
250,000
to
324,999
4,455
325,000
to
449,999
5,000
450,000
to
574,999
5,615
575,000
to
699,999
6,350
700,000
to
849,999
7,110
850,000
to
999,999
7,995
1,000,000
to
1,249,999
8,725
1,250,000
to
2,499,999
9,560
2,500,000
to
2,999,999
10,430
3,000,000
to
3,499,999
11,350
3,500,000
to
4,999,999
13,115
5,000,000
to
6,999,999
14,885
7,000,000
to
9,999,999
16,840
10,000,000
to
14,999,999
19,340
15,000,000
to
19,999,999
21,780
20,000,000
to
29,999,999
24,280
30,000,000
to
39,999,999
28,060
40,000,000
to
59,999,999
31,235
60,000,000
and over
31,235 plus 0.05% per dollar above 60
								million
(3)
Existing building conversions.
Building conversion fees will be
				based on the value of existing construction. Fees will be charged for project
				review based on the project fee table in subsection (2) of this section.
(a) The existing construction value is based
				on the local area cost data.
(b)
				Current cost data is available and posted on the construction review services
				web site:
http://www.doh.wa.gov/crs
.
(c) Project sponsors may submit specific cost
				data that accurately describes the estimate good faith value for the program's
				consideration.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-315 - Dental laboratories › Section 246-315-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout the chapter
				  unless the context clearly requires otherwise.
(1) "Department" means the Washington state
				department of health.
(2)
				"Responsible person" means an owner or employee who meets the requirements
				listed in RCW 70.352.050(1) and
				(2).
(3) "Supervising dentist" means an individual
				licensed to practice dentistry pursuant to chapter 18.32 RCW, and who has
				personally authorized the procedures to be performed.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-315 - Dental laboratories › Section 246-315-020 - Registration required

Current through Register Vol. 24-14, July 15, 2024
As of January 31, 2021, each dental laboratory operating,
				  doing business, or intending to operate or do business in this state must
				  possess a current registration issued by the department, unless exempt under
				  RCW
				  70.352.020(3) or
				  70.352.900.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-315 - Dental laboratories › Section 246-315-030 - Registration application requirements

Current through Register Vol. 24-14, July 15, 2024
An applicant for a dental laboratory registration shall
				  submit to the department the following:
(1) An application on forms provided by the
				department;
(2) A verification that
				the dental laboratory meets the requirements listed in
				RCW
				70.352.050;
(3) An acknowledgment by the responsible
				person or supervising dentist who is licensed in this state attesting that the
				dental laboratory will provide written material disclosure to the prescribing
				dentist that contains the information required in
				RCW
				70.352.030(1)(e);
(4) An acknowledgment by the responsible
				person or supervising dentist who is licensed in this state attesting that the
				dental laboratory will disclose in writing to the prescribing dentist the point
				of origin of the manufacture of each prescribed restoration as required in
				RCW
				70.352.030(1)(f); and (5)
				The fee required under WAC
				246-315-990.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-315 - Dental laboratories › Section 246-315-040 - Denial of registration and disciplinary action

Current through Register Vol. 24-14, July 15, 2024
(1) Under
				RCW
				70.352.070 and chapter 34.05 RCW the
				department may deny a registration to any applicant who does not comply with
				the requirements or standards listed in chapter 70.352 RCW or the rules adopted
				in this chapter.
(2) Pursuant to
				chapter 34.05 RCW, the department may impose conditions, suspend or revoke the
				registration of any dental laboratory which fails or refuses to comply with the
				requirements of chapter 70.352 RCW or the rules adopted in this
				chapter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-315 - Dental laboratories › Section 246-315-990 - Registration renewal and fees

Current through Register Vol. 24-14, July 15, 2024
Dental laboratory registration fees, renewal requirements and
				  renewal cycle.
(1) Registration must
				be renewed annually prior to July 31st of each year as provided in
				RCW
				70.352.060.
(2) The department will renew the dental
				laboratory registration when the responsible person or supervising dentist
				submits:
(a) A completed renewal form,
				provided by the department;
(b) The
				designated renewal fee; and
(c) A
				signed attestation verifying that the dental laboratory continues to meet the
				registration requirements listed in
				RCW
				70.352.030 and
				70.352.050(3).
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-319 - Initial medicare certification survey fee schedule › Section 246-319-990 - Fees

Current through Register Vol. 24-14, July 15, 2024
Purpose: This chapter implements
				  RCW
				  43.70.125 allowing the department to assess a
				  fee for the department to conduct an initial medicare survey. An applicant for
				  medicare certification must pay the fee whenever the department has not
				  received sufficient funding from the Centers for Medicare and Medicaid
				  Services.
(1) Definitions. The
				definitions in this section apply throughout this section unless the context
				clearly requires otherwise.
(a) "Initial
				medicare certification survey" means an on-site visit conducted by department
				staff for the purpose of determining compliance with medicare regulations. This
				survey is required before a health care provider can receive medicare or
				medicaid reimbursement.
(b)
				"Insufficient funding" means the department has spent or encumbered eighty
				percent of the total available Title XVIII medicare grant award to complete
				required certification activities.
(c) "Sufficient funding" means the department
				has received, through the Title XVIII medicare grant, funds intended to fully
				reimburse the department for all required certification activities in the
				annual grant.
(d) "Title XVIII
				grant priority" means the four tier system established by the Centers for
				Medicare and Medicaid Services that guides state agencies to complete
				certification activities in accordance with statutory mandates and Centers for
				Medicare and Medicaid Services policy.
(e) "Title XVIII medicare grant" means the
				grant authorized in Section 1864(a) of the Federal Social Security Act and
				administered by the Centers for Medicare and Medicaid Services to the
				department to fund the annual certification activity requirements.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-001 - Purpose and applicability of chapter

Current through Register Vol. 24-14, July 15, 2024
This chapter is adopted by the Washington state department of
				  health to implement chapter 70.41 RCW and establish minimum health and safety
				  requirements for the licensing, inspection, operation, maintenance, and
				  construction of hospitals.
(1)
				Compliance with the regulations in this chapter does not constitute release
				from the requirements of applicable federal, state and local codes and
				ordinances. Where regulations in this chapter exceed other codes and
				ordinances, the regulations in this chapter will apply.
(2) The department will update or adopt
				references to codes and regulations in this chapter as necessary.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
					 09-07-050, § 246-320-001, filed 3/11/09, effective 4/11/09. Statutory
					 Authority:
					 RCW
					 70.41.030 and
					 43.70.040. 99-04-052, §
					 246-320-001, filed 1/28/99, effective
					 3/10/99.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
For the purposes of this chapter and chapter 70.41 RCW, the
				  following words and phrases will have the following meanings unless the context
				  clearly indicates otherwise:
(1)
				"Abuse" means injury or sexual abuse of a patient indicating the health,
				welfare, and safety of the patient is harmed:
(a) "Physical abuse" means acts or incidents
				which may result in bodily injury or death.
(b) "Emotional abuse" means verbal behavior,
				harassment, or other actions which may result in emotional or behavioral stress
				or injury.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-011 - Department responsibilities-Licensing-Adjudicative proceeding

Current through Register Vol. 24-14, July 15, 2024
This section identifies the actions and responsibilities of
				  the department for licensing hospitals.
(1) Before issuing an initial license, the
				department will verify compliance with chapter 70.41 RCW and this chapter which
				includes, but is not limited to:
(a) Approval
				of construction documents;
(b)
				Receipt of a certificate of need as provided in chapter 70.38 RCW;
(c) Approval by the local jurisdiction of all
				local codes and ordinances and the permit to occupy;
(d) Approval of the initial license
				application;
(e) Receipt of the
				correct license fee;
(f) Compliance
				with the on-site survey conducted by the state fire marshal required in
				RCW
				70.41.080; and
(g) Conduct an on-site licensing survey in
				accordance with WAC
				246-320-016.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-013 - Department responsibilities-Enforcement

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				may deny, suspend, modify, or revoke a license when it finds an applicant or
				hospital has failed or refused to comply with chapter 70.41 RCW or this
				chapter. The department's notice of a license denial, suspension, modification,
				or revocation will be consistent with
				RCW
				43.70.115. The proceeding is governed by the
				Administrative Procedure Act chapter 34.05 RCW, this chapter, and chapters
				246-08 and 246-10 WAC. If this chapter conflicts with chapter 246-08 or 246-10
				WAC, this chapter governs.
(2) The
				department may assess civil fines on a hospital according to
				RCW
				70.41.130.
(a) The department may assess a civil fine of
				up to $10,000 per violation, not to exceed a total fine of $1,000,000, on a
				hospital when:
(i) The hospital has
				previously been subject to an enforcement action for the same or similar type
				of violation of the same statute or rule; or
(ii) The hospital has been given any previous
				statement of deficiency that included the same or similar type of violation of
				the same or similar statute or rule; or
(iii) The hospital failed to correct
				noncompliance with a statute or rule by a date established or agreed to by the
				department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-016 - Department responsibilities-On-site survey and complaint investigation

Current through Register Vol. 24-14, July 15, 2024
This section outlines the department's on-site survey and
				  complaint investigation activities and roles.
(1) Surveys. The department will:
(a) Conduct on-site surveys of each hospital
				on average at least every eighteen months or more often using the health and
				safety standards in this chapter and chapter 70.41 RCW;
(b) Coordinate the on-site survey with other
				agencies, including local fire jurisdictions, state fire marshal, and the
				pharmacy quality assurance commission, and report the survey findings to those
				agencies;
(c) Notify the hospital
				in writing of the survey findings following each on-site survey;
(d) Require each hospital to submit a
				corrective action plan addressing each deficient practice identified in the
				survey findings;
(e) Notify the
				hospital when the hospital submitted plan of correction adequately addresses
				the survey findings; and
(f) Accept
				on-site surveys conducted by the Joint Commission or American Osteopathic
				Association as meeting the eighteen-month survey requirement in accordance with
				RCW
				70.41.122.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-021 - Department responsibilities - General

Current through Register Vol. 24-14, July 15, 2024
This section outlines the department's responsibility to post
				  information to the agency web site and time frames to respond to
				  interpretations, exemptions and alternative methods.
The department will:
(1) Post to the agency web site a list of the
				most frequent problems identified during hospital surveys and complaint
				investigations in accordance with
				RCW
				70.41.045.
(2) Respond within thirty calendar days to a
				hospital's request for an exemption or use of an alternative as provided for in
				WAC 246-320-026.
(3) Respond within thirty calendar days to a
				hospital's request for an interpretation as provided for in WAC
				246-320-026.
(4) Maintain hospital provided information
				confidentially according to the Public Disclosure Act, chapters 42.17 and 42.56
				RCW, RCW
				70.41.150,
				70.41.200, and
				70.41.210.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
					 09-07-050, § 246-320-021, filed 3/11/09, effective
					 4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-026 - Department role - Exemptions, interpretations, alternative methods

Current through Register Vol. 24-14, July 15, 2024
This section outlines the department's responsibilities and
				  actions in response to requests for interpretations, exemptions and alternative
				  methods.
(1) The department may exempt
				a hospital from complying with portions of this chapter when:
(a) The exemption will not change the purpose
				and intent of chapter 70.41 RCW or this chapter;
(b) Patient safety, health or well being is
				not threatened;
(c) Fire and life
				safety regulations, infection control standards or other codes or regulations
				would not be reduced; and
(d) Any
				structural integrity of the building would not occur.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-031 - Criminal history, disclosure, and background inquiries - Department responsibility

Current through Register Vol. 24-14, July 15, 2024
This section outlines the department's responsibilities to
				  review and use criminal history, disclosure and background information.
(1) The department will:
(a) Review hospital records required under
				WAC 246-320-126;
(b) Investigate allegations of noncompliance
				by hospitals with
				RCW
				43.43.830 through
				43.43.842; and
(c) Use information collected under this
				section only to determine hospital licensure or relicensure eligibility under
				RCW
				43.43.842.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › Section 246-320-036 - Department responsibility, refund initial license fee

Current through Register Vol. 24-14, July 15, 2024
This section outlines the department's actions regarding a
				  request for refund of an initial licensing fee.
The department will, upon request of an applicant:
(1) Refund two-thirds of the initial fee,
				less a fifty dollar processing charge provided the department did not conduct
				an on-site survey or give technical assistance.
(2) Refund one-third of the initial fee, less
				a fifty dollar processing charge when the department conducted an on-site
				survey or gave technical assistance and did not issue a license.
(3) The department will not refund an initial
				license fee if:
(a) The department conducted
				more than one on-site visit;
(b)
				One year has passed since the department received an initial licensure
				application;
(c) One year has
				passed since the department received an initial application and the department
				has not issued the license because the applicant failed to complete
				requirements for licensure; or
(d)
				The amount to be refunded is one hundred dollars or less.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-101 - Application for license - Annual update of hospital information - License renewal - Right to contest a license decision

Current through Register Vol. 24-14, July 15, 2024
This section identifies the applicant or hospital actions
					 and responsibilities for obtaining a license.
(1) Initial license. An applicant must submit
				  an application packet and fee to the department at least sixty days before the
				  intended opening date of the new hospital.
(2) Annual update. Before November 30 of each
				  calendar year, a licensed hospital must submit to the department the hospital
				  update documentation and fee.
(3)
				  License renewal. Before November 30 of the year the license expires, a licensed
				  hospital must submit to the department the hospital update documentation, fee
				  and the results of the most recent on-site survey conducted by the state fire
				  marshal.
(4) An applicant or
				  hospital has the right to contest a license decision by:
(a) Sending a written request for an
				  adjudicative proceeding within twenty-eight days of receipt of the department's
				  licensing decision showing proof of receipt with the office of the Adjudicative
				  Service Unit, Department of Health, P.O. Box 47879, Olympia, WA 98504-7879;
				  and
(b) Including as part of the
				  written request:
(i) A specific statement of
				  the issues and law involved;
(ii)
				  The grounds for contesting the department decision; and
(iii) A copy of the contested department
				  decision.
(c) The
				  adjudicative proceeding is governed by the Administrative Procedure Act chapter
				  34.05 RCW, this chapter, and chapters 246-08 and 246-10 WAC. If this chapter
				  conflicts with chapter 246-08 or 246-10 WAC, this chapter governs.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-106 - Application for license, specialty hospital - Annual update of hospital information - License renewal - Right to contest a license decision

Current through Register Vol. 24-14, July 15, 2024
This section identifies the applicant or specialty hospital
					 actions and responsibilities for obtaining a license.
(1) Initial license. An applicant must submit
				  an application packet and fee to the department at least sixty days before the
				  intended opening date of the specialty hospital.
(2) Annual update. Before November 30 of each
				  calendar year, a licensed specialty hospital must submit to the hospital the
				  specialty hospital update information and fee.
(3) License renewal. Before November 30 of
				  the year the license expires, a licensed specialty hospital must submit to the
				  department the hospital update documentation, fee and the results of the most
				  recent on-site survey conducted by the state fire marshal.
(4) An applicant or specialty hospital has
				  the right to contest a license decision by:
(a) Sending a written request for an
				  adjudicative proceeding within twenty-eight days of receipt of the department's
				  licensing decision showing proof of receipt with the office of the Adjudicative
				  Service Unit, Department of Health, P.O. Box 47879, Olympia, WA 98504-7879;
				  and
(b) Including as part of the
				  written request:
(i) A specific statement of
				  the issues and law involved;
(ii)
				  The grounds for contesting the department decision; and
(iii) A copy of the contested department
				  decision.
(c) The
				  adjudicative proceeding is governed by the Administrative Procedure Act chapter
				  34.05 RCW, this chapter, and chapters 246-08 and 246-10 WAC. If this chapter
				  conflicts with chapter 246-08 and 246-10 WAC, this chapter governs.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-111 - Hospital responsibilities

Current through Register Vol. 24-14, July 15, 2024
This section identifies a hospital obligation, actions and
					 responsibilities to comply with the hospital law and rules.
(1) Hospitals must:
(a) Comply with chapter 70.41 RCW and this
				  chapter;
(b) Only set up inpatient
				  beds within the licensed bed capacity approved by the department or the
				  medicare provider agreement; and
(c) Receive approval for additional inpatient
				  beds as required in chapter 70.38 RCW before exceeding department approved bed
				  capacity.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-116 - Specialty hospital responsibilities

Current through Register Vol. 24-14, July 15, 2024
This section identifies a specialty hospital obligation,
					 actions and responsibilities to comply with the hospital law and rules.
Specialty hospitals must:
(1) Comply with chapter 70.41 RCW and this
				  chapter;
(2) Only set up inpatient
				  beds within the licensed bed capacity approved by the department or the
				  medicare provider agreement;
(3)
				  Receive approval for additional inpatient beds as required in chapter 70.38 RCW
				  before exceeding department approved bed capacity;
(4) Provide appropriate discharge
				  planning;
(5) Provide staff
				  proficient in resuscitation and respiration maintenance twenty-four hours per
				  day, seven days per week;
(6)
				  Participate in the medicare and medicaid programs and provide at least the same
				  percentage of services to medicare and medicaid beneficiaries, as a percent of
				  gross revenues, as the lowest percentage of services provided to medicare and
				  medicaid beneficiaries by a general hospital in the same health service area.
				  The lowest percentage of services provided to medicare and medicaid
				  beneficiaries shall be determined by the department in consultation with the
				  general hospitals in the health service area but shall not be the percentage of
				  medicare and medicaid services of a hospital that serves primarily members of a
				  particular health plan or government sponsor;
(7) Provide at least the same percentage of
				  charity care, as a percent of gross revenues, as the lowest percentage of
				  charity care provided by a general hospital in the same health service area.
				  The lowest percentage of charity care shall be determined by the department in
				  consultation with the general hospitals in the health service area but shall
				  not be the percentage of charity care of a hospital that serves primarily
				  members of a particular health plan or government sponsor;
(8) Require any physician owner to:
(a) In accordance with chapter 19.68 RCW,
				  disclose a financial interest in the specialty hospital and provide a list of
				  alternative hospitals before referring a patient to the specialty hospital;
				  and
(b) If the specialty hospital
				  does not have an intensive care unit, notify the patient that if intensive care
				  services are required, the patient must be transferred to another
				  hospital;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-121 - Requests for exemptions, interpretations, alternative methods

Current through Register Vol. 24-14, July 15, 2024
This section outlines a process to request an exemption,
					 interpretation, or approval to use an alternative method. This section is not
					 intended to prevent use of systems, materials, alternate design, or methods of
					 construction as alternatives to those prescribed by this chapter.
(1) A hospital requesting exemption from this
				  chapter must:
(a) Send a written request to
				  the department;
(b) Include in the
				  request:
(i) The specific section of this
				  chapter to be exempted;
(ii)
				  Explain the reasons for requesting the exemption; and
(iii) When appropriate, provide documentation
				  to support the request.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-126 - Criminal history, disclosure, and background inquiries - Hospital responsibility

Current through Register Vol. 24-14, July 15, 2024
This section outlines the requirements for hospitals to
					 conduct criminal history background inquiries for all medical staff, employees
					 or prospective employees who have or may have unsupervised access to children,
					 vulnerable adults, and developmentally disabled adults.
Hospitals must:
(1) Require a disclosure statement according
				  to RCW
				  43.43.834 for each prospective employee,
				  volunteer, contractor, student, and any other person associated with the
				  licensed hospital with unsupervised access to:
(a) Children under sixteen years of
				  age;
(b) Vulnerable adults as
				  defined under
				  RCW
				  43.43.830; and
(c) Developmentally disabled
				  individuals;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-131 - Governance

Current through Register Vol. 24-14, July 15, 2024
This section provides organizational guidance and oversight
					 responsibilities of hospital resources and staff to support safe patient
					 care.
For the purposes of this section "practitioner" means
					 pharmacists as defined in chapter 18.64 RCW; advanced registered nurse
					 practitioners as defined in chapter 18.79 RCW; dentists as defined in chapter
					 18.32 RCW; naturopaths as defined in chapter 18.36A RCW; optometrists as
					 defined in chapter 18.53 RCW; osteopathic physicians and surgeons as defined in
					 chapter 18.57 RCW; osteopathic physicians' assistants as defined in chapter
					 18.57A RCW; physicians as defined in chapter 18.71 RCW; physician assistants as
					 defined in chapter 18.71A RCW; podiatric physicians and surgeons as defined in
					 chapter 18.22 RCW; and psychologists as defined in chapter 18.83 RCW.
The governing authority must:
(1) Establish and review governing authority
				  policies including requirements for:
(a)
				  Reporting practitioners according to
				  RCW
				  70.41.210;
(b) Informing patients of any unanticipated
				  outcomes according to
				  RCW
				  70.41.380;
(c) Establishing and approving a performance
				  improvement plan;
(d) Providing
				  organizational management and planning;
(e) Reporting adverse events and conducting
				  root cause analyses according to chapter 246-302 WAC;
(f) Providing a patient and family grievance
				  process including a time frame for resolving each grievance;
(g) Defining who can give and receive patient
				  care orders that are consistent with professional licensing laws; and
(h) Providing communication and conflict
				  resolution between the medical staff and the governing authority;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-136 - Leadership

Current through Register Vol. 24-14, July 15, 2024
This section describes leadership's role in assuring care
					 is provided consistently throughout the hospital and according to patient and
					 community needs.
The hospital leaders must:
(1) Appoint or assign a nurse at the
				  executive level to:
(a) Direct the nursing
				  services; and
(b) Approve patient
				  care policies, nursing practices and procedures;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-141 - Patient rights and organizational ethics

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to improve patient care and
					 outcomes by respecting every patient and maintaining ethical relationships with
					 the public.
Hospitals must:
(1) Adopt and implement policies and
				  procedures that define each patient's right to:
(a) Be treated and cared for with dignity and
				  respect;
(b) Confidentiality,
				  privacy, security, complaint resolution, spiritual care, and communication. If
				  communication restrictions are necessary for patient care and safety, the
				  hospital must document and explain the restrictions to the patient and
				  family;
(c) Be protected from abuse
				  and neglect;
(d) Access protective
				  services;
(e) Complain about their
				  care and treatment without fear of retribution or denial of care;
(f) Timely complaint resolution;
(g) Be involved in all aspects of their care
				  including:
(i) Refusing care and treatment;
				  and
(ii) Resolving problems with
				  care decisions.
(h) Be
				  informed of unanticipated outcomes according to
				  RCW
				  70.41.380;
(i) Be informed and agree to their
				  care;
(j) Family input in care
				  decisions;
(k) Have advance
				  directives and for the hospital to respect and follow those
				  directives;
(l) Request no
				  resuscitation or life-sustaining treatment;
(m) End of life care;
(n) Donate organs and other tissues according
				  to RCW
				  68.50.500 and
				  68.50.560 including:
(i) Medical staff input; and
(ii) Direction by family or surrogate
				  decision makers.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › LICENSING › Section 246-320-146 - Adverse health events reporting requirements

Current through Register Vol. 24-14, July 15, 2024
The National Quality Forum identifies and defines
					 twenty-nine serious reportable events (adverse health events) as updated and
					 adopted in 2011.
(1) Hospitals must
				  report adverse health events to the department.
(2) Hospitals must comply with the reporting
				  requirements under chapter 246-302 WAC.
(3) Adverse health events are listed in
				  chapter 246-302 WAC.
Statutory Authority: Chapter 70.56 RCW. 12-16-057, §
						246-320-146, filed 7/30/12, effective 10/1/12. Statutory Authority: Chapter
						70.41 RCW and
						RCW
						43.70.040. 09-07-050, § 246-320-146,
						filed 3/11/09, effective 4/11/09.