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007.05.10-3. Definitions.

AR ADC 007.05.10-3Arkansas Administrative CodeEffective: February 5, 2021

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 10. Rules for Critical Access Hospitals in Arkansas (Refs & Annos)
Effective: February 5, 2021
Ark. Admin. Code 007.05.10-3
007.05.10-3. Definitions.
For purposes of the rules, the following definitions apply.
A. Administrator means the person responsible for the management of any facility requiring licensure under these rules.
B. Alcohol/Drug Abuse Inpatient Treatment Center means a distinct unit within a hospital in which services are provided for the diagnosis, treatment and rehabilitation of alcohol and drug abuse.
C. Basic hospital services means the services that all licensed hospitals must provide. Basic services consist of:
1. Governing Body;
2. Medical Staff;
3. General Administration;
4. Patient Care;
5. Health Information;
6. Pharmacy;
7. Food and Nutrition;
8. Infection Prevention and Control;
9. Laboratory;
10. Radiology;
11. Respiratory Therapy;
12. Emergency; and
13. Physical facility maintenance
D. Critical Access Hospital (CAH) means a hospital located in a rural area that is:
1. Located more than a 35-mile drive (or, in the case of mountainous terrain or in areas with only secondary roads available, a 15-mile drive) from a hospital, or;
2. Provides 24-hour emergency care services as determined necessary for ensuring access to emergency care in each area served by a Critical Access Hospital;
3. Provides staffing according to Rules and Regulations for Hospitals and Related Institutions in Arkansas;
4. Meets Centers of Medicare and Medicaid Services (CMS) Conditions of Participation for Critical Access Hospitals; or
5. Was operating as a licensed Critical Access Hospital in Arkansas as of April 2007.
E. Department means the Arkansas Department of Health.
F. Emergency Services Facility means a facility originally operated as a licensed hospital that has discontinued inpatient services but is licensed to continue to provide emergency services.
G. General Hospital means any facility used for the purpose of providing short-term inpatient diagnostic care and treatment, including general medical care, surgical care, obstetrical care, and specialized services or specialized treatment.
H. Infirmary means any facility used for the purpose of offering temporary medical care and/or treatment exclusively for persons residing on a designated premise, e.g., schools, reformatories, prisons, etc. and where the persons are kept for 24 hours or more.
I. Institution means, for the purpose of these rules, a facility which requires a license. Institution does not include an establishment:
1. Operated by the federal government or by any of its agencies; or
2. Licensed or certified by the Office of Alcohol and Drug Abuse Prevention of the Division of Behavioral Health of the Department of Human Services as an alcohol and drug abuse inpatient treatment center.
J. Licensee means the person to whom a license is issued for the purpose of operating the institution described in the application for licensure, who shall be responsible for maintaining approved standards for the institution of any state, county, or local government unit and any division, board, or agency thereof.
K. Observation is a designated patient status as opposed to a designated area. Patients in observation status are those patients requiring periodic monitoring and assessment necessary to evaluate the patient's condition or to determine the need for possible admissions to the hospital in an inpatient status. Usually observation status shall be for 48 hours or less.
L. Off-campus Emergency Department means an emergency services department located off-site from the main hospital campus but functions as a fully integrated department of the parent hospital.
M. Outpatient Psychiatric Center means a facility in which psychiatric services are offered for a period of 8 to 16 hours a day, and where, in the opinion of the attending psychiatrist, hospitalization as defined in the present licensure law is not necessary. This definition shall not include Community Mental Health Clinics and Centers, as they now exist.
N. 1. Outpatient Surgery Center (Ambulatory Surgery Center) means a facility in which surgical services are offered that require the use of general or intravenous anesthetics, and where, in the opinion of the attending physician, hospitalization is not necessary.
2. “Outpatient surgery Center” does not include:
a. a medical office owned and operated by a physician or more than one (1) physician licensed by the Arkansas State Medical Board, if the medical office does not bill facility fees to a third party payor; or
b. a dental office that has a Facility Permit for Moderate Sedation or a Facility Permit for General/Deep Sedation issued by the Arkansas State Board of Dental Examiners.
O. Psychiatric Hospital means any facility, or a distinct part of a facility, used for the purpose of providing inpatient diagnostic care and treatment for persons having mental disorders.
P. Recuperation Center means any facility or distinct part of a facility, which includes inpatient beds with an organized Medical Staff, and with medical services that include physician services and continuous nursing services to provide treatment for patients who are not in an acute phase of illness but who currently require primarily convalescent or restorative services (usually post-acute hospital care of relatively short duration). A facility that furnishes primarily domiciliary care is not within this definition.
Q. Rehabilitation Hospital or Facility means, for the purpose of these rules, an inpatient care facility, or a distinct part of a facility, which provides rehabilitation services for two or more disabled persons not related to the proprietor, for more than 24 hours through an integrated program of medical and other restorative services. A disabled person shall be considered to be an individual who has a physical or mental condition which, if not treated, will probably result in limiting the performance or activity of the person to the extent of constituting a substantial physical, mental, or vocational handicap.
R. Shall means mandatory.
S. State Health Officer means the Secretary of the State Board of Health.
T. Surgery and General Medical Care Hospital means any facility limited to providing short-term inpatient surgical and general medical diagnostic care and treatment.

Credits

Amended Jan. 1, 2016; Feb. 5, 2021.
<Statutory authority: Promulgated under the Authority of Ark. Code Ann. § 20-7-123, 20-9-201 et seq.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.10-3, AR ADC 007.05.10-3
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