Alabama Administrative Code

(1) Each hospice care program shall make available counseling services to the hospice patient and the patient's family. Counseling services shall include dietary, spiritual, and any other necessary counseling services while the patient is enrolled in the hospice care program. Cou…

(1) A hospice care program shall not admit any individual who does not meet the definition of a hospice patient. (2) A hospice care program shall obtain informed consent from the patient. The program shall require that the patient, or the patient's authorized representative, sign…

(1) Each hospice care program shall conduct an ongoing, comprehensive, integrated, self-assessment of the quality and appropriateness of care provided by the program including inpatient care, home care, and care provided under contracts with other persons or public agencies. (2) …

The hospice develops policies and procedures governing all aspects of the medical record. (1) Records Shall be Confidential. When an individual enters a hospice program, records and information regarding him are confidential. Access to these records shall be limited to the patien…

Those facilities located within a hospital or nursing home shall meet the dietary licensure requirements of that facility. In the inpatient hospice classified as a health care-limited care facility, the provision of dietary services shall comply with the following: (1) Staffing. …

(1) Each hospice care program shall arrange for provision of medical supplies, appliances, drugs, and biologicals to patients as needed for the palliation and management of the patient's terminal illness and related conditions. The program shall ensure that drugs and biologicals …

(1) Policies and procedures list the source of laboratory and radiology services and defines whether these services are provided by the hospice or under arrangement with an outside source. (2) A hospice which does not provide laboratory, radiology, or other diagnostic services, m…

(1) The home care hospice has a written transfer agreement with one or more hospitals sufficiently close to the hospice's service area to make feasible the transfer of the patient and their records. This agreement provides the basis for effective working arrangements under which …

All hospices shall establish an infection control policy. The inpatient hospice shall also comply with the following: (1) Reasonable Accommodations. Reasonable accommodations shall be made for all patients with contagious disease. The nature and extent of said accommodations shal…

(1) The inpatient hospice has a written plan with procedures to be followed in the event of an internal or external disaster and for the care of casualties (patients and personnel) arising from such disasters. (2) The hospice has an acceptable disaster plan with procedures to be …

The provisions of this section shall apply to all inpatient hospices licensed by the State Board of Health. (1) General Requirements. The hospice shall have physical space for private patient and family visiting. (a) The hospice shall provide accommodations for family members to …

(1) Legal Authority for Adoption of Regulations. Pursuant to the authority granted by Code of Ala. 1975, §§ 22-21-20 to § 22-21-33, and in accordance with the Alabama Administrative Procedures Act, Code of Ala. 1975, §§ 41-22-1 to § 41-22-27, the State Board of Health does hereby…

(1) Types of License. All licenses are issued for the calendar year and shall expire December 31 unless renewed by the owner for the succeeding year. (a) Regular license. A regular license shall be issued by the State Board of Health after the Board has determined that the sleep …

(1) The overall conduct and operation of the sleep disorders facility shall be the full legal responsibility of a clearly defined, organized governing body which shall perform the following functions. (a) Establish and review policies for the management, operation, and evaluation…

(1) Medical Supervision. Sleep disorders facilities are medical units and the core responsibility must be medical. While other health care professionals may participate in a patient's evaluation, each patient must have a clearly-identifiable staff physician who is responsible for…

(1) Outside Information. Any available outside information must be properly obtained with suitable releases. The receipt of this information by the facility must be reflected in the patient's chart. (2) Medical and Sleep History, Physical Examination, Laboratory Tests. Evidence o…

(1) Patient Charts. Charts should be well-organized and the information in them easily accessible. Materials such as questionnaires, sleep and temperature logs, and psychological tests should be made part of the patient's chart. (2) Narrative Entries. Narrative entries must be in…

(1) Local Restrictions. The location and construction of sleep disorders facilities shall comply with all local zoning and building codes and fire or other emergency ordinances. (2) Personal Amenities. A facility must demonstrate a high sense of responsibility toward and sensitiv…

(1) Administering Drugs and Medicines. Drugs and medicines shall not be administered to individual patients nor to anyone within or outside the facility unless ordered by a physician duly licensed to prescribe drugs. Such order shall be in writing and signed personally by the phy…

Surrogate health care decision makers, as authorized by Act 97-187, shall complete the form attached hereto as Appendix I which, when properly completed and duly notarized, shall constitute the certification of the surrogate as required by the act and shall authorize the surrogat…

(1) Definitions. (a) Do Not Attempt Resuscitation (DNAR) Order. A physician's order that resuscitative measures not be provided to a person under a physician's care in the event the person is found with cardiopulmonary cessation. A DNAR order would include, without limitation, ph…

(1) Definitions. (a) Attending Physician. The physician selected by, or assigned to, the patient who has primary responsibility for the treatment and care of the patient. (b) Health Care Provider. A person who is licensed, certified, registered, or otherwise authorized by the law…

(1) Legal Authority for Adoption of Rules. Under and by virtue of authority vested in it by the Legislature of Alabama (Code of Ala. 1975, §§ 22-21-20, et seq.), the State Board of Health does hereby adopt and promulgate the following rules governing outpatient surgical treatment…

(1) Governing Authority. (a) Responsibility. The governing authority or the owner or the person or persons designated by the owner as the governing authority shall be the supreme authority of the facility, responsible for the management, control, and operation of the facility, in…

(1) Admission and Examination Procedures.(a) Admission. All persons admitted to the ambulatory surgical center shall be under the care of a medical staff member. (b) History and Physical Examination. A complete medical history shall be obtained and recorded. A complete physical e…

(1) Submission of Plans and Specifications. (a) Scope. A facility constructed or renovated after the effective date of these rules shall be classified as Ambulatory Health Care Occupancy of the Life Safety Code, and Business Occupancy of the building code, and shall comply with t…

(1) Legal Authority for Adoption of Rules. Under and by virtue of the authority vested in it by the Legislature of Alabama, Code of Ala. 1975, Sections 22-21-20, et. seq., the Alabama State Board of Health does hereby adopt and promulgate the following Rules governing all special…

(1) Classifications of Licenses. All licenses are granted for the calendar year and shall expire on December 31 unless renewed by the owner for the succeeding year. (a) Regular License. A regular license shall be granted by the State Board of Health upon a determination by the Bo…

(1) The Specialty Care Assisted Living Facility Governing Authority. (a) A specialty care assisted living facility shall have an identified sole proprietorship, corporation, partnership, limited partnership, or other business entity that is its governing authority, or it shall ha…

(1) A specialty care assisted living facility shall ensure adequate personnel are employed and on duty to meet the care and safety needs of all residents 24 hours a day, 7 days a week. No specialty care assisted living facility shall have fewer staff on duty than specified in Tab…

(1) General. (a) Responsibility for Records. The administrator shall prepare and file all records, or shall oversee the preparation and filing of records. This duty shall be assigned to other employees in the administrator's absence. (b) All records and reports required by these …

(1) Medical Direction and Supervision. The medical care of residents shall be under the direction and supervision of a physician. (a) Designation of Attending Physician. Upon admission, each resident shall be asked to designate an attending physician of his or her choice. If the …

(1) General. (a) Direction and Supervision. The services of a dietitian shall be provided to any resident of a specialty care assisted living facility who requires a therapeutic diet. A congregate specialty care assisted living facility shall be under the direction and supervisio…

(1) Administrative Facilities. Each specialty care assisted living facility shall provide office space(s) or administrative office(s). (a) As a minimum, the administrative office(s) shall be provided with a desk, file cabinet, and related office equipment and supplies. (b) Congre…

(1) General. (a) Direction and Supervision. Responsibility for laundry services shall be assigned to an employee. (b) Linen. Linens shall be handled, stored, processed, and transported in a manner consistent with generally accepted infection control practices. (2) Location and Sp…

(1) Sanitation. (a) Water Supply. 1. If at all possible, all water shall be obtained from a public water supply. If it is impossible to connect to a public water system, the private water supply shall meet the approval of the local County Health Department. 2. Water under pressur…

(1) General. (a) Fire Safety and Emergency Plan. All specialty care assisted living facilities shall maintain a current written fire safety, relocation, and evacuation plan. In facilities which do not have multiple smoke compartments, an evacuation floor plan shall be appropriate…

(1) Buildings and Grounds. (a) The specialty care assisted living facility including site and grounds must be constructed, arranged, and maintained to ensure the safety of the residents and building occupants. (b) Building Classification. 1. Group specialty care assisted living f…

The following procedures are applicable to submittals of drawings and specifications for new construction, addition or alteration projects to hospitals or other health care facilities in the State of Alabama as defined by Section 22-21-20, Code of Ala. 1975. These rules apply to …

(1) FEE SCHEDULE: Fees are based on a percentage of the cost of construction of each project. The fee schedule is set out in Alabama Administrative Code Rule 420-1-5-.08, "State Level Fees," and is available online at www.adph.org/facmgmt. (2) Initial Fee: The first submittal of …

(1) Final Stage Drawing Approval Fee Payment shall be accompanied by the completed "Final Stage Drawing Approval Fee Worksheet" and a copy of the architect's or contractor's latest estimated cost of building construction. The cost estimate will be the basis for calculating the es…

The following codes, standards and submittal requirements are applicable to all new construction, addition or alteration projects of hospitals or other health care facilities in Alabama as defined by Section 22-21-20, Code of Ala. 1975. Licensed and unlicensed facilities seeking …

(1) New Facilities, Additions, and Alterations. Plans and specifications shall be submitted for review and approval to the Alabama Department of Public Health for any building that is intended to be occupied as a health care facility, and for additions and alterations to health c…

The following codes and standards are hereby adopted by the State Board of Health, and are applicable to all health care facility projects submitted to the Department of Public Health for review. (1) Guidelines for Design and Construction of Hospitals and Outpatient Facilities, 2…

The codes and standards listed above are produced by the following organizations: (1) Guidelines for Design and Construction of Hospitals and Outpatient Facilities Facility Guidelines Institute 1919 McKinney Avenue Dallas, TX 75201 www.fgiguidelines.org (2) International Building…

(1) Legal Authority for Adoption of Rules. The following rules for Rural Emergency Hospitals are adopted by the Alabama State Board of Health pursuant to § 22-21-20, et seq., Code of Ala. 1975. (2) Definitions. (a) "Administrator" means a natural person who is the governing autho…

(1) Classifications of Licenses. Each REH shall be licensed pursuant to the regulations adopted herein. All licenses are granted for the calendar year and shall expire on December 31 unless renewed by the owner for the succeeding year.(a) Unrestricted License. An unrestricted lic…

(1) An REH shall have an effective governing authority that is legally responsible for the conduct of the REH as an institution and shall provide administrative oversight for the care and services of the REH. The governing body must: (a) Determine, in accordance with state law, w…

(1) The REH shall have an obligation to protect and promote the rights of each patient and shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7, Ala. Admin. Code, with the exception of the training requirements for restraint and seclusion, and the additional requ…

(1) The REH shall have personnel management as a section of the hospital's personnel system. The REH shall be adequately staffed at all times to meet the needs of the patient population served. At a minimum, the ED must be physically staffed 24 hours a day, 7 days a week by a phy…