Alabama Administrative Code

(1) Creation. Regional councils are established to advise, consult with, and accommodate specific regional needs. Each regional council shall provide data required by the Department or the Council to assess the effectiveness of the statewide trauma system (2) Membership. Each reg…

Patients shall be entered into the Alabama Trauma System according to the criteria set out in Appendix F. Notes Ala. Admin. Code r. 420-2-2-.07 New Rule: Filed December 17, 2008; effective January 21, 2009. Amended (Appendix F only): Filed September 17, 2009; effective October 22…

Refer to EMS Alabama Patient Care Protocols 1.16, Appendix G. Notes Ala. Admin. Code r. 420-2-2-.08 New Rule: Filed February 18, 2009; effective March 25, 2009 Amended by Alabama Administrative Monthly Volume XXXII, Issue No. 09, June 30, 2014, eff. 7/25/2014. Amended by Alabama …

(1) Creation. There is established a Statewide Trauma Registry to collect data on the incidence, severity, and causes of trauma, including traumatic brain injury. The registry shall be used to improve the availability and delivery of pre-hospital or out-of-hospital care and hospi…

Communications are critical to the function to the Trauma System. (1) The Alabama TCC will be staffed 24-hours-a-day by personnel with specific in-depth knowledge of the Trauma System design, function, and protocols. (2) It will be primary responsibility of the Alabama TCC to coo…

Refer to Guidelines for Early Activation of Helicopter Emergency Medical Services 7.9, Appendix I. Refer to Guidelines for Helicopter Transport of Trauma System Patients 7.10, Appendix J. Notes Ala. Admin. Code r. 420-2-2-.11 New Rule: Filed February 18, 2009; effective March 25,…

Quality Assurance and Quality Improvement (QA/QI) activities are a vital component of the trauma system. They are used to document and foster continuous improvement in performances and the quality of patient care. In addition, they will assist the Department in defining standards…

(1) State and Regional Trauma QA/QI members shall be provided access to all information, reports, statements, or memoranda reviewed by or furnished to the State and Regional Trauma QA/QI workgroups members; and any discussion, findings, conclusions or recommendations resulting fr…

(1) The Statewide Trauma Fund has been created by § 22-11D-9, Code of Ala. 1975. Funding allocations received from the Alabama State Legislature, and from gifts or other payments that may be received by the Department for the Fund, are to be distributed according to a methodology…

(1) Definitions. (a) "Alabama Trauma Communications Center (ATCC)" - A central communication facility with the capability to constantly communicate with all pre-hospital providers and hospitals that have been designated by the Department as trauma/stroke/cardiac centers. The ATCC…

(1) Types of Designation. (a) Regular Designation. A regular designation may be issued by the Board after it has determined that an applicant hospital has met all requirements to be designated as a stroke center at the level applied for and is otherwise in substantial compliance …

(1) Application Provisions. To become a stroke center, a hospital must submit an application which can be downloaded from www.alabamapublichealth.gov/strokesystem/index.html and follow the application process provided in paragraph (2) below. (2) The Application Process. The strok…

(1) Initial inspection.(a) Each applicant hospital will have an opportunity to meet face to face with Department staff prior to designation as a stroke center. (b) Each applicant hospital will be asked to provide information to the Department for inspection to ensure the hospital…

(1) There is established a Statewide Trauma and Health Care Center Advisory Council. The Council assists in the development of these rules and serves as a consultant to the Board on matters related to the statewide trauma system and other statewide coordinated health care systems…

(1) Creation. Regional Councils are established to advise, consult with, and accommodate specific regional needs. Each Regional Council shall provide data required by the Department or the Council to assess the effectiveness of the statewide stroke system. (2) Membership. Each Re…

(1) Entry Criteria for Designated Stroke Centers. Strokepatients shall be entered into the Alabama Statewide Stroke System. (2) Entry Criteria for Pre-hospital Providers. Patients shall be entered into the Alabama Statewide Stroke System according to the Alabama EMS Patient Care …

(1) Creation. The Statewide Stroke Registry shall become operational within 12 months after the Department has received sufficient funds to finance its development, implementation, and operation. At this time, the Statewide Stroke Registry shall collect data on the incidence, sev…

(1) The ATCC will be staffed 24 hours a day by personnel with specific in-depth knowledge of stroke system design, function, and protocols. (2) It will be a primary responsibility of the ATCC to coordinate stroke system activities by maintaining and providing information and reco…

(1) State and Regional Stroke QA/QI Committees shall be provided access to all information, reports, statements, or memoranda reviewed by or furnished to the State and Regional Stroke QA/QI Workgroups members; and any discussion, findings, conclusions, or recommendations resultin…

(1) The Department shall distribute funding allocated to the Department for the purpose of creating, administering, maintaining, or enhancing the statewide health system for stroke. The Department may apply for, receive, and accept gifts and other payments, including property and…

This chapter applies to the reporting of head and/or spinal cord injury to the Alabama Head and Spinal Cord Injury Registry (AHSCIR or Registry). Notes Ala. Admin. Code r. 420-2-4-.01 Adopted by Alabama Administrative Monthly Volume XXXVII, Issue No. 08, May 31, 2019, eff. 6/30/2…

(1) "Accuracy" means the correctness of data reported on head and spinal cord injury cases submitted to the AHSCIR. (2) "Advisory Council" means the council appointed by the State Health Officer consisting of health care professionals, university representatives, appropriate stat…

(1) All confirmed cases of head and/or spinal cord injuries diagnosed or treated and admitted to acute care hospital facilities in the state shall be reported via electronic submission to the AHSCIR preferably within 30 days but no longer than 90 days of admission or diagnosis as…

(1) All confirmed cases of head and/or spinal cord injury with the following International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)* diagnostic codes as a primary and/or secondary diagnosis must be reported: Traumatic Brain Injury Begin With E…

(1) All health care facilities shall permit periodic quality control reviews by OEMS staff including case finding, abstracting, coding, and data submission processing. The OEMS shall provide at least 15 days' notice to a facility when OEMS seeks access to information on site at a…

(1) The OEMS will facilitate referring of persons who sustain head and/or spinal cord injuries by sharing registry data with the Alabama Department of Rehabilitation Services (ADRS). (2) The OEMS will submit data to the ADRS based on an Interagency Agreement between the two agenc…

(1) The clinical records of individual patients submitted to the AHSCIR shall be confidential and shall not be public records open to inspection. Only state personnel authorized by the State Health Officer and other individuals authorized by the State Health Officer or designee s…

(1) The OEMS may release statistical data only to a person or agency for the following purposes: (a) Medical research or education. (b) Epidemiologic studies. (c) Health education. (d) Health planning or administration. (e) Required statistical reports necessary for publication o…

(1) The OEMS shall provide assistance and consultation for public health work. (2) The OEMS shall provide consultation for any agency, facility, or organization actively engaged in the effort to reduce the incidence of head and/or spinal cord injuries, whether through direct serv…

The purpose of this chapter is to minimize the adverse effects of the disposal of sewage on human health and the environment by establishing and enforcing requirements for the design, permitting, installation, approval, and operation of an onsite sewage and disposal system (OSS) …

Compliance with these rules shall be the responsibility of the designer, wastewater management entity, responsible person, developer, installer, or user of the system, as applicable, with the system owner bearing ultimate responsibility to comply with the provisions of this chapt…

(1) Any person who violates the provisions of these rules, shall, upon conviction be guilty of a misdemeanor and fined in accordance with Section 22-26-6, Code of Ala. 1975. (2) Upon failure of a wastewater management entity to comply with this chapter, or any permit requirements…

(1) ADEM -- the Alabama Department of Environmental Management. (2) ADPH -- the Alabama Department of Public Health, the administrative arm of the Board, including variations in the name such as State of Alabama Department of Public Health, State Department of Public Health, Stat…

(1) Purpose - These rules are promulgated to provide definitions; to set minimum standards for the construction, operation, and maintenance of hotels; to provide for hotel permit issuance, suspension, and revocation; to provide for inspections; and to provide for plan review and …

(1) General - Enough potable water for the needs of the hotel shall be provided from a source operated and constructed according to law. (2) Transportation - All potable water not provided directly by pipe to the hotel from the source shall be transported in a bulk water transpor…

General - All sewage, including liquid waste, shall be disposed of by a public sewage system or by a sewage disposal system constructed and operated according to law. Non-water carried sewage disposal facilities are prohibited. Authors: Ronald Dawsey, Tim Hatch Notes Ala. Admin. …

(1) General - Plumbing shall be sized, installed and maintained according to the local plumbing codes as enforced by the local plumbing officials. There shall be no cross connection between the potable water supply and any nonpotable or questionable water supply or any source of …

(1) General. (a) All buildings occupied by hotels shall be kept in good repair. (b) The construction, materials, and workmanship shall comply with all local and state building and fire codes, laws, rules and regulations as enforced by local and/or state building or fire officials…

(1) General. (a) All floors, walls and ceilings of hotel public areas, guest rooms, laundry rooms, utensil washing and/or wrapping rooms, and storage areas or rooms shall be constructed of materials suitable to their intended use and shall be kept in good repair. (b) All surface …

(1) General - All furniture, mattresses, window coverings, equipment, lighting fixtures and other items provided by the hotel as a part of the guest room or public area furnishings shall be kept clean and maintained in good repair. All furnishings shall comply with local codes, l…

(1) General (a) In hotels where there are floors which have guest rooms without private or adjoining bath and toilet rooms, there shall be installed at least one male and one female facility per floor. These facilities shall conform to all applicable plumbing and building codes a…

(1) Linens (a) All sheets, pillow cases, blankets, bed coverings and mattress pads shall be maintained in sound condition. Every bed, cot or crib in a guest room shall be provided with two clean sheets and clean pillow cases, which have been laundered using an approved method sin…

(1) General - All utensils and single-service articles furnished to guests that are used to contain ice, water or other beverages or food shall be constructed of safe materials. Utensils which are designed for repeat services shall also be of durable, nonabsorbent and easily clea…

(1) Source - only ice that has been made from potable water and handled in a sanitary manner shall be provided by a hotel. Ice that is not made by the hotel shall be obtained from an approved source and shall be protected from contamination during transportation and storage. Ice …

(1) General - Effective measures intended to minimize the presence of rodents, flies, cockroaches and other insects on the premises shall be utilized. The premises shall be kept in such condition as to prevent the harborage or feeding of insects or rodents. Openings to the outsid…

(1) Health - No employee, while infected with a disease in a communicable form that can be transmitted to other employees or guests, or who is a carrier of organisms that cause such a disease, or who is affected with a boil, an infected wound or an acute respiratory infection sha…

(1) Employees (a) When the Health Officer has reasonable cause to suspect possible communicable disease transmission by an employee of a hotel, he/she shall immediately secure a morbidity history of the suspected employee, make other investigations as indicated, and notify the St…

(1) Materials Permitted - There shall be present in hotels only those poisonous or toxic materials necessary for maintaining and cleaning the premises, maintaining the landscaped grounds, maintaining the swimming pool/spa, washing linens and towels, cleaning and sanitizing equipm…

(1) General (a) Hotels and all appurtenances of the property used in connection with their operations shall be kept free of litter. (b) The walking and driving surfaces of all immediate exterior areas of hotels shall be surfaced with concrete or asphalt, or with gravel or other a…

(1) Submission of Plans (a) Whenever a hotel is constructed or extensively remodeled and whenever an existing structure is converted to use as a hotel, properly prepared plans and specifications for such construction, remodeling, or conversion shall be submitted to the Health Off…