Arkansas Administrative Code

20 CAR § 53-518. Permit for nonincinerator facility. Before a permit or permit application for a nonincinerator commercial medical waste treatment, storage, and/or disposal (TSD) facility is granted, the following conditions will be met by the Department of Health: (1) Notice by …

20 CAR § 53-519. Permit cancellation. The Department of Health may cancel a permit or modification permit if construction or modifications are: (1) Not begun within eighteen (18) months from the date of the permit; or (2) Suspended for eighteen (18) months or more from the date o…

20 CAR § 53-520. Operating license. To apply for an operating license, the commercial medical waste treatment, storage, and/or disposal (TSD) facility or mobile treatment system shall submit each of the following to the Department of Health’s Medical Waste Program: (1) An annual …

20 CAR § 53-601. Inspections. (a) The Department of Health is authorized to conduct inspections of generators, transporters, medical waste treatment, storage and/or disposal (TSD) facilities, and mobile treatment systems where commercial medical waste is: (1) Generated; (2) Trans…

20 CAR § 53-701. Closure of facilities. (a)(1) A minimum of ninety (90) days prior to closure of any facility in which commercial medical waste was either treated, stored, or disposed, a Notice of Closure shall be submitted to the Department of Health. (2) The Notice of Closure s…

20 CAR § 53-801. Generally. Any person generating, transporting, treating, storing, or disposing of medical waste, unless exempted as outlined in 20 CAR § 53-201 et seq., or transporting or treating, storing, and/or disposing of commercial medical waste, shall be responsible for …

20 CAR § 53-802. Illegal dumping. (a) Any person who is convicted of illegally dumping medical waste in violation of the Litter Control Act, Acts 1977, No. 883, shall be guilty of a Class C misdemeanor and the penalties for such shall be those established under the Arkansas Crimi…

20 CAR § 53-803. Violations concerning nonincineration TSD facilities. (a)(1) Any person who violates any provision of this part concerning commercial medical waste nonincineration TSD facilities shall be guilty of a felony. (2) Upon conviction, that person shall be subject to im…

20 CAR § 54-101. Introduction. (a)(1) A statewide Hospital Discharge Data System (HDDS) is one of the most important tools for addressing a broad range of health policy issues. (2) Acts 1995, No. 670, State Health Data Clearinghouse Act, Arkansas Code § 20-7-301 et seq., requires…

20 CAR § 54-102. Data reporting source. (a)(1) All facilities operating and licensed as hospitals in the State of Arkansas by the Department of Health, Division of Health Facility Services, will report discharge data to the department for each patient admitted as an inpatient or …

20 CAR § 54-103. Confidentiality of data. (a)(1) Acts 1995, No. 670, State Health Data Clearinghouse Act, Arkansas Code § 20-7-301 et seq., provides for the strictest confidentiality of data and severe penalties for the violation of the State Health Data Clearinghouse Act. (2) An…

20 CAR § 54-104. Submittal schedule. (a)(1) Discharge data records will be submitted to the Department of Health as specified below. (2) The data to be submitted is based on the discharges occurring in a calendar quarter. (3) If a patient has a bill generated during a quarter but…

20 CAR § 54-105. Data errors and certification. (a)(1) Hospitals will review the discharge data records prior to submission for accuracy and completeness. (2) Correction of invalid records and validation of aggregate tabulation are the responsibility of the hospital. (3) All hosp…

20 CAR § 54-106. Data submittal specifications. (a)(1) The preferred method of submitting data is via secure FTP. (2) Alternate modes of transmission such as email or CD may be established by agreement with the Health Statistics Branch. (3) Data submittals not in compliance with …

20 CAR § 54-107. Data record formats. (a) The accepted data record formats are the UB-04 1450 version 7 formats. (1) This format has altered slightly. (2) The definition specified for each data element is in general agreement with the definition in the UB-04 Users’ Manual. (3) Ho…

20 CAR § 54-108. Exceptions to 1450 format. (a)(1) In general, the submittal is identical to the current UB-04 1450 version 7 format used. (2) The differences are minor but nevertheless important. (3) The most notable difference is the requirement for one (1) discharge record for…

20 CAR § 54-109. Use of multipage claims. (a) All data except revenue code and charge fields should be duplicated on successive records. (b) All available revenue and charge fields should be completely filled before using additional records. (c) The 0001 revenue code: (1) Should …

20 CAR § 80-101. Definitions. For the purpose of this part, the following terms are defined: (1) “Abbreviated injury scale” means an anatomic injury severity scoring system; (2) “ABEM” means American Board of Emergency Medicine; (3) “ABMS” means American Board of Medical Specialt…

20 CAR § 80-102. Administrative. (a) Purpose. The purpose of this part is to establish the procedures and standards for a statewide, comprehensive trauma system in order to decrease morbidity and mortality that results from trauma. (b) The State Board of Health may conduct public…

20 CAR § 80-103. Public information and education. (a) Purpose. (1) Trauma is a preventable disease. (2) Therefore, public information and education are important components of the Arkansas Trauma System. (3) The Trauma and IVP Sections shall provide easily accessible public info…

20 CAR § 80-201. Prehospital triage and transport — Purpose. (a) Emergency care of the traumatically injured patient is best accomplished using an inclusive, multilevel trauma care systems approach. (b) Triage, transport, and transfer protocols have been developed to ensure that …

20 CAR § 80-202. Prehospital trauma treatment standard. (a) Assessment. Traumatically injured patients shall be appropriately triaged using the Field Triage Decision Scheme: The Arkansas Trauma Triage Protocol as defined in 20 CAR § 80-203. (b) Initiate resuscitation. (1) BLS int…

20 CAR § 80-203. Field Triage Decision Scheme: The Arkansas Trauma Triage Protocol.

20 CAR § 80-204. Trauma system transport standard. (a) Patients meeting trauma criteria. Patients who meet the trauma criteria as outlined in 20 CAR § 80-203 shall be transported to the most appropriate trauma center based on ATCC recommendation unless the: (1)(A) EMS provider is…

20 CAR § 80-301. Triage requirements for trauma centers — Purpose. (a) The role of the Level I and Level II (comprehensive) trauma centers shall be to provide the highest level of definitive care for the severely injured adult and pediatric patient with complex, multisystem traum…

20 CAR § 80-302. Standards for Levels I–IV trauma centers. (a) Prehospital (EMS) radio report. (1) The trauma center shall monitor the EMS communications system at all times. (2) In the event of a trauma patient being transported, the EMS report shall be transmitted by the EMS pr…

20 CAR § 80-303. Triage standards for Levels I–IV trauma centers. (a) Receive the EMS provider radio report. (b) Use the predetermined multitiered activation plan to activate the trauma team based on prehospital information when available. (c) Assure placement of a trauma band on…

20 CAR § 80-304. High risk criteria for the consideration of early transfer. (a) These guidelines are not intended to be hospital specific. (b) The following patients, when identified, shall be given consideration for early transfer to a facility with specific expertise in their …

20 CAR § 80-305. Standards for transfers between trauma centers. (a) The decision to transfer an injured patient to a facility for specialty care in an acute situation shall not be based on the patient’s ability to pay or insurance status. (b) Qualified physicians on-call for a f…

20 CAR § 80-401. Trauma center designation — Purpose. (a) Any hospital that desires authorization to provide trauma care services within the Arkansas Trauma System shall request designation from the Trauma Section. (b) No hospital may be represented to the public as an Arkansas-d…

20 CAR § 80-402. Trauma center designation process. (a) Application. Application for trauma center designation shall be made on forms provided by the department. (b) Site survey. (1) Upon the review and approval by the Trauma Section of the application materials submitted pursuan…

20 CAR § 80-403. Appeal process. Any hospital that fails a trauma center designation site survey may file an appeal under the following guidelines: (1)(A) A hospital that files an appeal shall submit a written request for rereview to the Trauma Section within thirty (30) calendar…

20 CAR § 80-404. Suspension/revocation of designation. (a) The Trauma Section may, at its discretion, authorize a random site survey to review a trauma center for compliance with this part at the expense of the Department of Health. (b) A trauma center’s designation may be suspen…

20 CAR § 80-405. Random site survey. (a) The Trauma Section reserves the right to perform a focused or full site survey based on a reason to believe a trauma center is not in compliance with the rules. (b) Should such a survey be conducted, it shall be done at no expense to the f…

20 CAR § 80-406. Joint trauma service applications. (a) Trauma centers may apply for joint designation as a Level I, II, or III trauma center. (b) The plan for multiple trauma centers to operate as a single trauma center shall be endorsed by the TRAC. (c) Once the decision has be…

20 CAR § 80-501. Criteria for Level I and II trauma centers. (a) Purpose. To define and clarify the criteria necessary for a comprehensive care facility to become a Level I trauma center, for a major care facility to become a Level II trauma center, and to ensure optimal care of …

20 CAR § 80-502. Criteria for Level III trauma centers. (a) Purpose. To define and clarify the criteria necessary for a general care facility to become a Level III trauma center and ensure optimal care of the injured. (b) Definition. The Level III trauma center (general) serves c…

20 CAR § 80-503. Criteria for Level IV trauma centers. (a) Purpose. To define and clarify the criteria necessary for a rural acute care facility to become a Level IV trauma center and ensure optimal care of the injured. (b) Definition. The Level IV trauma center (basic) is a rura…

20 CAR § 80-601. Pediatric trauma center — Purpose. (a) The highest level of pediatric trauma care is provided in a pediatric trauma center. (b) This center shall be capable of providing comprehensive care for all injured infants and children, particularly the most severely injur…

20 CAR § 80-602. Level I pediatric trauma center. (a) An annual volume of at least two hundred fifty (250) admitted pediatric patients (less than or equal to fifteen (≤15) years of age). (b)(1) The hospital seeking pediatric Level I designation shall meet all the criteria listed …

20 CAR § 80-603. Level II pediatric trauma center. (a) An annual volume of at least one hundred twenty-five (125) admitted pediatric patients (less than or equal to fifteen (≤15) years of age). (b)(1) The hospital seeking pediatric Level II designation shall meet all the criteria…

20 CAR § 80-701. Trauma Regional Advisory Councils. (a) All participating healthcare entities shall have representation on their respective TRAC. (b) The TRAC shall develop and oversee a regional system plan which consists of: (1) Bylaws; (2) A QI plan; and (3) An IVP plan. (c) E…

20 CAR § 80-801. Rehabilitation facilities. (a) Purpose. A complete trauma system shall include early integration of rehabilitation services into all phases of acute and primary care. (b)(1) Trauma centers shall demonstrate that rehabilitation services are initiated at the earlie…

20 CAR § 80-901. Trauma registry — Purpose. (a) The Department of Health shall develop a statewide trauma data collection and evaluation system. (b) This data shall be studied in order to improve both the individual and collective care given to trauma patients. (c) Any hospital t…

20 CAR § 80-902. Data collection, submission, and analysis. (a) Data shall be collected on all patients who meet the defined state trauma registry inclusion criteria in accordance with the standard data set developed by the Trauma Registry Section. (b) Data shall be submitted to …

20 CAR § 81-903. Data security. (a) Data shall be collected in a manner that protects and maintains the confidential nature of patient records. (b) Individual records and reports made pursuant to this part shall: (1) Be held confidential within the hospital and Trauma Registry Se…

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