Ohio Administrative Code Search

...Each hospital, other than a critical access hospital or a rural emergency hospital, is to provide for the following: (A) A quality assessment and performance improvement program, in accordance with 42 CFR 482.21. In addition, the hospital will participate in quality assessment and performance improvement projects identified by the director in consultation with the representatives of the regulated i...

...Each critical access hospital is to comply with 42 CFR 485 subpart F. In addition, each critical access hospital will: (A) Participate in quality assessment and performance improvement projects identified by the director in consultation with the representatives of the regulated industry. Such projects may include those required by the United States centers for medicare and medicaid services or the ...

...Each rural emergency hospital is to comply with 42 CFR 485 subpart E. In addition, each rural emergency hospital will: (A) Submit: (1) A complete application for a license to operate a rural emergency hospital or renewal of an existing license may be made either in writing on a form provided by the director and signed by the applicant or the applicant's agent, or using an electronic system prescr...

...(A) This rule is not to be construed to require any maternity unit licensed on or before March 20, 1997, to alter, upgrade, or otherwise improve the structure or fixtures of the maternity unit in order to comply with the requirements of this rule, unless one of the following applies: (1) The maternity unit initiates or has, after March 20, 1997, initiated a construction, renovation, or a re...

...(A) Obstetric license. A level I obstetric service will provide antepartum, intrapartum and postpartum care for obstetrical patients, including: (1) Low-risk patients, such as patients with: (a) Term deliveries; (b) Singleton deliveries; and (c) Deliveries with vertex presentation; (2) Selected uncomplicated patients with higher-risk conditions, such as patients with: (a) Term twin gestation...

...(A) Obstetric license. A level II obstetrical service will provide antepartum, intrapartum and postpartum care for obstetrical patients, including: (1) All low-risk patients; (2) All uncomplicated patients with higher-risk conditions; (3) Selected high-risk patients as identified by the service, such as patients with: (a) Severe preeclampsia; or (b) Placenta previa with prior uterine surgery ...

...(A) Obstetric license. A level III obstetrical service will provide antepartum, intrapartum and postpartum care for obstetrical patients, including: (1) All low-risk patients; (2) All uncomplicated patients with higher-risk conditions; (3) All high-risk patients; (4) Patients with more complex maternal or fetal conditions as identified by the service, such as patients: (a) With suspec...

...(A) Obstetric license. A level IV obstetric service will provide antepartum, intrapartum and postpartum care for obstetrical patients, including: (1) All low-risk patients; (2) All uncomplicated patients with higher-risk conditions; (3) All high-risk patients; (4) Patients with more complex maternal or fetal conditions; (5) Patients with the most complex medical conditions as identifi...

...(A) A freestanding children's hospital with a level III neonatal care service will provide care for newborns, including: (1) Low-risk newborns; (2) Convalescing and moderately ill newborns; (3) Extremely low birth weight infants; (4) Newborns who require advanced respiratory care, other than extracorporeal membrane oxygenation, such as high-frequency ventilation and inhaled nitric oxid...

...(A) A freestanding children's hospital licensed under this chapter may provide special delivery services to pregnant women as part of a comprehensive multidisciplinary program of fetal and neonatal care when it is determined that the fetus, once delivered, will require immediate highly specialized neonatal intensive care or neonatal surgery typically provided by a level III or level IV neonatal ca...

...(A) A freestanding children's hospital with a level IV neonatal care service may also provide a level III obstetrical service. In addition to the standards set forth in paragraphs (C) to (H) of rule 3701-22-25 of the Administrative Code, a freestanding children's hospital with a level IV neonatal care service and a level III obstetric service will provide antepartum, intrapartum and postpartum car...

...(A) Each maternity unit or newborn care nursery will develop and follow written service plans for the following: (1) Administration of donor human milk and donor human milk products, if used, including protocols, equipment, and supplies for the administration of donor milk and donor milk products to newborns requiring intervention; and (2) Maintenance of newborn nutrition services to ensur...

...(A) Each solid organ transplant service will provide services in a manner that meets or exceeds the conditions of participation set forth in Title 42 CFR Part 482, 482.72 to 482.104. (B) Each solid organ transplant service will be located in a transplant hospital that is a member of and abides by the rules and requirements of the organ procurement and transplantation network (OPTN) establishe...

...(A) All candidates for blood and bone marrow transplantation are subject to prospective patient selection criteria as specified in appendix A to this rule. (B) If a transplantation service desires to perform a transplant on a patient who does not meet the selection protocols set forth in appendix A to this rule, the service is obligated to undertake a thorough review of the case, conducted by a b...

...(A) The provisions of rules 3701-22-38 to 3701-22-42.1 of the Administrative Code are applicable to each provider of cardiac catheterization services performing procedures on adult patients greater than or equal to eighteen years of age. An adult cardiac catheterization service may serve a patient less than eighteen years of age if the patient's attending physician and the adult service's medical ...

...(A) Level I cardiac catheterization service or "level I service" means an adult cardiac catheterization service located in a hospital without an on-site open-heart surgery service that provides only diagnostic cardiac catheterization procedures on an organized regular basis. (B) Each level I service will perform only diagnostic cardiac catheterization procedures to diagnose anatomical and/or ...

...(A) Level II cardiac catheterization service or "level II service" means an adult cardiac catheterization service located in a hospital without an on-site open-heart surgery service that provides only diagnostic and authorized therapeutic cardiac catheterization procedures on an organized and regular basis. (B) Level II services are prohibited from providing the following procedures: (1) Transca...

...(A) Level III cardiac catheterization service or "level III service" means an adult cardiac catheterization service located in a hospital with an on-site open-heart surgery service that provides all levels of diagnostic and therapeutic cardiac catheterization procedures. (B) Each level III service will operate on an organized, regular, twenty-four hours a day, seven days a week basis to perfo...

...(A) Adult electrophysiology studies may be conducted in any level adult cardiac catheterization laboratory or an electrophysiology procedure room. (B) Procedure rooms where adult electrophysiology studies are conducted will: (1) Have a minimum floor area of three hundred fifty square feet; (2) Have the following minimum clearances: (a) Sufficient footage on each side of the procedure table ...

...(A) Each adult cardiac catheterization service will designate a medical director. (B) The medical director of service will: (1) Have at least five years catheterization experience and recognized skills in the cardiac catheterization laboratory; (2) Have performed at least five hundred catheterizations; (3) Be an active participant in the operation of the cardiac catheterization laboratory ...

...(A) Each adult cardiac catheterization service, or "service" will provide adequate, properly designed space to perform cardiac catheterization procedures safely and effectively. The amount of space may vary with the types of procedures performed and the nature of the facility (e.g., interventional versus diagnostic, teaching versus non-teaching). (B) Each service will utilize the following: ...

...(A) The medical director of the adult open-heart surgery service will be board-certified in thoracic surgery. The medical director will: (1) Be a physician certified or eligible for certification by the American board of thoracic surgery, the American board of surgery or, in lieu of board certification: (a) A physician who is board-certified by a foreign board and is eligible to take the exa...

...(A) Operating rooms used for open-heart surgery: (1) Standard operating rooms will: (a) Have a minimum floor area of four hundred fifty square feet; (b) Have the following minimum clearances: (i) If anesthesia is utilized, six feet at the head of the operating table. This dimension will result in an anesthesia work zone with a clear floor area of six feet by eight feet; and (ii) Suf...

...(A) Each PICU service will have a medical director whose appointment, acceptance and responsibilities will be in writing and on file in the PICU. (B) The PICU medical director will be: (1) An active service provider in the PICU where he or she is the medical director; and (2) Be board-certified in one of the following: (a) Pediatric critical care; (b) Anesthesiology with practice limited to i...

...(A) Appropriate drugs for resuscitation and pediatric advanced life support will be present and immediately available for use in the treatment of any patient in the PICU. (B) The following life-saving, therapeutic and monitoring equipment will be present or immediately available in the PICU: (1) Portable equipment including: (a) An emergency ("code" or "crash") cart; (b) A procedure lamp; (c)...