3701-84-36 Open heart surgery service standards.

(A) The provisions of rules 3701-84-36 to 3701-84-40 of the Administrative Code are applicable to each provider of open heart surgery services performing procedures on adult patients greater than or equal to twenty-two years of age, regardless of the date service was initiated. An adult open heart surgery service may serve a patient greater than or equal to eighteen years of age and less than twenty-two years of age if the patient's attending physician and the adult service's medical director determine that the adult service best serves the needs of the patient.

(B) The provider of an open heart surgery service shall have available at all times in the same building as the open heart surgery service and accessible by gurney, adequate facilities for the open heart surgery service, including but not limited to the following:

(1) Cardiac operating rooms;

(2) A cardiac surgery intensive care unit;

(3) A post-intensive care "step-down" unit; and

(4) Cardiac catheterization services.

(C) The provider of an open heart surgery service shall have the capability, equipment, and personnel to perform twenty-four hour emergency open heart procedures. A cardiovascular surgical team shall be available in less than sixty minutes on a twenty-four hour basis.

(D) The provider of an open heart surgery service shall have access to the following services:

(1) Cardiology;

(2) Hematology;

(3) Nephrology;

(4) Pulmonary medicine;

(5) Infectious disease;

(6) Radiology;

(7) Neurology;

(8) Emergency care;

(9) Electrocardiography;

(10) Stress testing;

(11) Nuclear medicine;

(12) Pathology;

(13) Echocardiography;

(14) Pulmonary function testing;

(15) Cardiac rehabilitation;

(16) Pre-admission testing; and

(17) Follow-up outpatient nursing referral services.

(E) An open heart surgery service shall only be provided in a fully permanent setting within the permanent frame of the building of a registered hospital that is classified as a general hospital or as a special hospital - cardiac that primarily furnishes limited services to patients with cardiac conditions. The hospital shall be fully equipped to perform the service.

Effective: 06/21/2012
R.C. 119.032 review dates: 04/05/2012 and 05/01/2017
Promulgated Under: 119.03
Statutory Authority: 3702.11, 3702.13
Rule Amplifies: 3702.11, 3702.12, 3702.13 , 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Prior Effective Dates: 3/20/1997, 3/24/03, 5/15/08