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Ohio Laws and Rules
As used in this chapter:
(A) “Active medical staff” means staff with clinical privileges who are designated as active pursuant to the bylaws or other governing prescript of the hospital.
(B) “Alcohol and drug hospital” means a hospital engaged primarily in providing specialized care to inpatients with alcoholism or chemical dependency rehabilitative service needs.
(C) “Alcohol or drug abuse rehabilitation bed” means a hospital bed that is staffed and equipped for care of inpatients whose primary diagnosis is alcoholism or other chemical dependency.
(D) “Associate medical staff” means staff with clinical privileges who are designated as associate pursuant to the bylaws or other governing prescript of the hospital.
(E) “Average daily census” means total patient days for a given calendar year divided by the number of days in the year.
(F) “Beds in use” means the sum of the number of beds staffed and available for patient care on the last day of each month of the calendar year, divided by twelve.
(G) “Board certified physician” means an individual licensed under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery who has passed an examination given by a medical specialty board and has been certified by that board as a specialist. “Board certified” does not include board eligible physicians. For physicians certified by more than one board, “board certified: includes only the primary certification board.
(H) “Burn care bed” means a hospital bed that is staffed and equipped for care of inpatients whose primary diagnosis is burn-related.
(I) “Burn care hospital” means a hospital engaged primarily in providing inpatient care to patients requiring specialized burn-related diagnostic or therapeutic services.
(J) “Children’s hospital” means a hospital as defined in division (V) of section 3702.51 of the Revised Code.
(K) “Department” means the department of health of the state of Ohio.
(L) “Direct care services” means any in-person patient contact where health care or personal care is provided in the hospital.
(M) “Director” means the director of health or the director’s designated representative.
(N) “Discharge” means a patient who is formally released from a hospital including deaths. Discharge does not include temporary transfers to other settings.
(O) “Full-time equivalent” means at least one thousand eight hundred and twenty hours per calendar year.
(P) “General hospital” means a hospital that primarily functions to furnish the array of diagnostic and therapeutic services needed to provide care for a variety of medical conditions, such as diagnostic X-ray, clinical laboratory, and operating room services.
(Q) “Hospice beds” means the inpatient beds of a hospice care program as defined in division (A) of section 3712.01 of the Revised Code.
(R) “Hospital” means an institution located as a single site engaged primarily in providing to inpatients, by or under the supervision of an organized medical staff of physicians licensed under Chapter 4731. of the Revised Code, diagnostic services and therapeutic services for medical diagnosis and treatment or rehabilitation of injured, disabled, or sick persons. “Hospital” does not mean an institution that is operated by the United States government or by the Ohio department of mental health.
(S) “Hospital bed” or “bed” means a bed in a hospital with the attendant physical space, fixtures, and equipment for use in caring primarily for inpatients. “Hospital bed” includes beds used in caring for patients who stay for less than twenty-four hours, but the primary use of such beds is for care of inpatients.
(T) “House staff” means interns, residents, and fellows receiving stipends from the hospital who are in training positions approved by the accreditation council of graduate medical education, the American osteopathic association, or the American dental association
(U) “Inpatient” means a patient whose length of stay is twenty-four hours or more.
(V) “Inpatient surgical operating room” means a room in a hospital used to perform any operative or manual procedure undertaken for the diagnosis or treatment of a disease or other disorder.
(W) “Long term acute care hospital” means a hospital that is classified as a long-term care hospital under 42 C.F.R. 412.23(e), that is engaged primarily in providing specialized acute hospital care for medically complex patients who are critically ill or have multi-system complications or failures, and that has an average length of stay of thirty days or less.
(X) “Long term acute care hospital bed” means a bed in a long term acute care hospital.
(Y) “Long term care bed” means a hospital bed within a unit when the unit has an average length of stay of more than thirty days. “Long term care bed” does not include beds in the following categories:
(1) Alcohol or drug abuse rehabilitation;
(2) Burn care;
(3) Hospice beds;
(4) Physical rehabilitation; or
(5) Psychiatric care.
(Z) “Maternity hospital” means a hospital providing inpatient care primarily to newborn infants and women during all or part of the maternity cycle.
(AA) “Medical/surgical bed” means a hospital bed in a medical or surgical unit where general medical/surgical services are provided.
(BB) “Multi-hospital system” means two or more hospitals that are subject to the control and direction of one common owner responsible for the operational decisions of the entire system or that have integrated administrative functions and medical staff that report to one governing body as the result of a formal legal or contractual obligation.
(CC) “Number of admissions” means the number of patients accepted for inpatient service of twenty-four hours or more, including transfers by a service within the hospital.
(DD) “Number of inpatient surgical cases” means number of patients treated on an inpatient basis after surgery in an operating room.
(EE) “Other special hospital” means any hospital not specifically listed in section (A)(8)(b)(i) through (A)(8)(b)(vii) of rule 3701-59-05 of the Administrative Code that is engaged primarily in providing inpatient services to patients with specialized care needs.
(FF) “Outpatient” means a patient whose length of stay is less than twenty-four hours.
(GG) “Outpatient surgical operating room” means a room in a hospital designed to perform an operative or manual procedure undertaken for the diagnosis or treatment of a disease or other disorder on non-inpatients.
(HH) “Patient” means an individual who receives diagnostic or therapeutic services for medical diagnosis treatment, or rehabilitation. “Patient” also includes an individual receiving palliative care.
(II) “Patient days of care” means annual total number of inpatients in a hospital on a daily count at a specific uniform time of day.
(JJ) “Physical rehabilitation bed” means a hospital bed that is staffed and equipped for care of inpatients requiring intensive, multi-disciplinary physical restorative services.
(KK) “Physical rehabilitation hospital” means a hospital engaged primarily in providing specialized care to inpatients with intensive, multi-disciplinary physical restorative service needs.
(LL) “Psychiatric care bed” means a hospital bed that is staffed and equipped for care of inpatients whose primary diagnosis in mental illness.
(MM) “Psychiatric hospital” means a hospital engaged primarily in providing specialized care to inpatients diagnosed with mental illness.
(NN) “Register” means to report to the department on an annual basis information required under section 3701.07 of the Revised Code and rule 3701-59-05 of the Administrative Code.
(OO) “Satellite unit” means a unit owned and operated by a hospital that is providing outpatient diagnostic, therapeutic, or rehabilitative services in a geographically separate location from the hospital that owns and operates it. “Satellite unit” does not include facilities that are licensed under section 3702.30 of the Revised Code.
(PP) “Special care bed” means a hospital bed in which special medical/surgical services, beyond general medical/surgical care and including intensive care or coronary care, are provided.
(QQ) “Special hospital” means a hospital that primarily functions to furnish the limited diagnostic and therapeutic services needed to provide care for inpatients who have specialized medical conditions, both surgical and non-surgical.
(RR) “Total number of beds” means the total number of beds in which patient care may be provided, whether or not the bed is staffed and available. Beds in temporarily closed units are included in the total. Beds that are temporarily unavailable as the result of building renovations are included in the total. A temporary increase in the number of beds in use that is caused by unusually high volumes of admissions is not included in the total, where “temporary increase” means the average daily census exceeds registered capacity for less than forty-five days in any six month period.
R.C. 119.032 review dates: 05/11/2006 and 01/10/2010
Promulgated Under: 119.03
Statutory Authority: 3701.07
Rule Amplifies: 3701.07
Prior Effective Dates: 7/24/1978, 9/28/78, 5/6/80, 1/13/88 (Emer.), 5/16/88, 12/16/89 (Emer.), 12/31/90, 6/21/2004