Minnesota Administrative Code

4640.0600 CONVERSION. On and after the effective date of these rules, any building or structure not then operating as a hospital but which is to be converted for use as a hospital shall be of fire-resistive construction and upon completion shall conform with parts 4645.0200 to 46…

4640.0700 ADMINISTRATION. Subpart 1. Standards. It is recommended that the standards of the Joint Commission on Accreditation of Hospitals, 875 North Michigan, Chicago, Illinois 60611, be adopted. Subp. 2. Governing body. The governing body or the person or persons designated as …

4640.0800 THE MEDICAL STAFF. Subpart 1. Responsibility. The medical staff shall be responsible to the governing body of the hospital for the clinical and scientific work of the hospital. It shall be called upon to advise regarding professional problems and policies. Subp. 2. Orga…

4640.0900 PERSONNEL. Subpart 1. Policies and procedures. Written policies, procedures, rules, and regulations shall be established for the administrative and technical guidance of the personnel of the entire hospital. Employees shall be instructed in the requirements, policies, a…

4640.1000 MEDICAL RECORDS. Subpart 1. Personnel. A trained medical record librarian or other authorized hospital employee shall be given the responsibility for the proper custody, supervision, indexing, and filing of the completed medical records of patients. Subp. 2. Facilities …

4640.1100 HOSPITAL RECORDS. The following hospital records shall be maintained in a form and manner acceptable to the commissioner of health: A. record of admissions and discharges, total patient days, average length of stay, and number of autopsies performed. Separate data shall…

4640.1200 NARCOTIC RECORD. A record shall be maintained for all narcotics administered. This record shall contain the date, hour, name of patient, name of physician, kind of narcotic, dose, and name of person by whom administered. A federal permit is necessary for the purchase of…

4640.1300 REPORTS. Subpart 1. Annual report to commissioner of health. On or before January 31 of each year, there shall be filed with the commissioner of health, on a form provided by the commissioner of health, the annual hospital statistical report covering patient service dat…

4640.1400 CHILD WELFARE REPORTS. Subpart 1. Illegitimate birth reports. Every illegitimate birth shall be reported to the commissioner of human services, on a form furnished by the commissioner, within 24 hours after the birth of the child. Subp. 2. Information confidential. No m…

4642.1000 INDIVIDUAL PERMANENT MEDICAL RECORD. Subpart 1. Scope. This part defines the term "individual permanent medical record." It does not outline content requirements for hospital records. Minnesota Statutes, section 145.32 establishes the record retention requirements for h…

4643.0010 PURPOSE, SCOPE, AND APPLICABILITY. The purpose and scope of parts 4643.0010 to 4643.0040 are to prescribe requirements applicable to the statewide traumatic brain injury and spinal cord injury registry, including what information must be reported, who is required to sub…

4643.0015 INCORPORATIONS BY REFERENCE. The Fourth edition of the International Classification of Diseases, Clinical Modification, 9th Revision, 1991, and corresponding annual updates is incorporated by reference. It is subject to frequent change, is published by the United States…

4643.0020 DEFINITIONS. Subpart 1. Scope. For purposes of parts 4643.0010 to 4643.0040, the following terms have the meanings given them in this part. Subp. 2. Commissioner. "Commissioner" means the state commissioner of health, or the commissioner's designee. Subp. 3. E-Code. "E-…

4643.0030 REGISTRY REPORTING REQUIREMENTS. Subpart 1. Hospitals required to report. Hospitals shall submit to the commissioner reports containing the information items in subpart 2 for all traumatic brain injury and spinal cord injury reportable cases. Subp. 2. Report content. Th…

4643.0040 PROVISION OF REGISTRY DATA. Subpart 1. Summary registry data. Except as provided in Minnesota Statutes, section 144.664, subdivision 3, the commissioner will release only summary registry data. Subp. 2. Data compilation or analyses. The commissioner must provide assista…

4645.0200 CONSTRUCTION DEFINED. The term "construction" as used in parts 4645.0200 to 4645.5200 means the erection of new buildings and the additions to existing buildings commenced on or after the effective date of these rules. Prior to the final selection of a hospital site, it…

4645.5000 [Renumbered 4645.3805] Published Electronically: January 21, 2000

4645.5300 PRELIMINARY PLANS. When construction is contemplated for new buildings, additions to existing buildings, or for major remodeling or alterations of existing buildings, the preliminary plans or sketches shall be submitted to the commissioner of health for review and appro…

4645.5400 FINAL WORKING DRAWINGS AND SPECIFICATIONS. Subpart 1. Plans submitted to the commissioner of health. Before construction is begun, plans and specifications covering the construction of new buildings, additions to existing buildings, or for major remodeling or alteration…

4645.5500 SPECIFICATIONS. Specifications shall supplement the drawings and shall comply with the following: A. The specifications shall fully describe, except where fully indicated and described on the drawings, the materials, construction, the kind, sizes, capacities, finishes, …

4645.5600 PLANS FOR WATER SUPPLY AND SEWERAGE SYSTEMS. No water supply or plumbing system or system for the disposal of sewage, garbage, or refuse shall be installed nor shall any such existing system be materially altered or extended until complete plans and specifications for t…

4645.5700 PREPARATION OF PLANS AND SPECIFICATIONS BY A REGISTERED ARCHITECT OR ENGINEER. Plans and revisions shall be prepared and certified by an engineer or architect registered to practice in the state of Minnesota as provided by state laws. Minnesota Statutes, sections 326.02…

4645.5800 COMPLIANCE WITH APPROVED PLANS. All hospital construction shall take place in accordance with the approved completed plans. If it is desired to make deviations from the approved plans, the commissioner of health shall be consulted and approval of the proposed changes ob…

4645.5900 DELAYED CONSTRUCTION. Unless construction is commenced within one year of approval of final working drawings and specifications, the drawings shall be resubmitted for renewal of review and approval. Statutory Authority: MS s 144.55; 144.56 Published Electronically: Janu…

4645.6000 FIRE MARSHAL APPROVAL REQUIRED. Fire protection for the hospital shall be provided in accordance with requirements of the state fire marshal. Approval by the state fire marshal of the fire protection of a hospital shall be a prerequisite for licensure. Statutory Authori…

4650.0102 DEFINITIONS. Subpart 1. Scope. For the purposes of parts 4650.0102 to 4650.0174, the following terms have the meanings given them. Subp. 1a. Accounting and financial reporting expenses. "Accounting and financial reporting expenses" means all costs related to fiscal serv…

4650.0104 SCOPE; REPORT REQUIREMENTS. Subpart 1. Scope. All hospitals, psychiatric hospitals, specialized hospitals, and outpatient surgical centers licensed under Minnesota Statutes, sections 144.50 to 144.58, are subject to this chapter. Subp. 2. Report requirements. A hospital…

4650.0110 AUDITED ANNUAL FINANCIAL STATEMENT. Subpart 1. Reporting requirements. A hospital or outpatient surgical center shall submit an audited annual financial statement, including all notes, footnotes, and auditor's opinion, to the commissioner or the voluntary, nonprofit rep…

4650.0111 MEDICARE COST REPORT. A hospital or outpatient surgical center shall submit to the commissioner or the voluntary, nonprofit reporting organization approved by the commissioner a copy of the facility's cost report as filed under United States Social Security Act, title X…

4650.0112 FINANCIAL, UTILIZATION, AND SERVICES REPORT; HOSPITALS. Subpart 1. Reporting requirements. A hospital, psychiatric hospital, or specialized hospital shall submit a report including financial, utilization, and services information for the facility's last full and audited…

4650.0113 FINANCIAL, UTILIZATION, AND SERVICES REPORT; OUTPATIENT SURGICAL CENTERS. Subpart 1. Reporting requirements. An outpatient surgical center shall submit a report, including the financial, utilization, and services information described in subpart 4, for the outpatient su…

4650.0115 CHARITY CARE REPORTING. Subpart 1. Facility requirements. For a facility to report amounts as charity care adjustments, the facility must: A. generate and record a charge; B. have a policy on the provision of charity care that contains specific eligibility criteria and …

4650.0117 BAD DEBT REPORTING. In determining whether to classify care as a bad debt expense, a facility must: A. presume that a patient is able and willing to pay until and unless the facility has reason to consider the care as a charity care case under its charity care policy an…

4650.0130 PROVISIONS FOR SUBMITTING REPORTS. Subpart 1. Forms to be specified. The commissioner or the voluntary, nonprofit reporting organization approved by the commissioner shall provide a data collection form or electronic application and instructions for reporting the financ…

4650.0138 REPORTING; OTHER SITUATIONS. Subpart 1. Organizations operating more than one facility. Except as allowed under part 4650.0139, subpart 2, reports required by this chapter are required for each individually licensed hospital, psychiatric hospital, specialized hospital, …

4650.0139 VARIANCES. Subpart 1. Data from other sources. Upon a written request from a hospital, psychiatric hospital, specialized hospital, or outpatient surgical center, or upon the commissioner's own initiative, the commissioner shall determine whether to use data from other s…

4650.0141 SUBMITTING AMENDED REPORTS. Subpart 1. Reports amended by facility. A hospital, psychiatric hospital, specialized hospital, or outpatient surgical center may submit an amended financial, utilization, and services report at any time within 18 months of the required submi…

4650.0150 COMPLETE REPORTS. Subpart 1. Review of each report. The commissioner or the voluntary, nonprofit reporting organization approved by the commissioner shall review each report submitted under this chapter to determine if the report is complete. "Complete" means that the r…

4650.0154 APPROVAL OF VOLUNTARY, NONPROFIT REPORTING ORGANIZATION. Subpart 1. Voluntary, nonprofit reporting organization approval. The commissioner may approve a voluntary, nonprofit reporting organization to collect and process the data and prepare reports required by this chap…

4650.0156 OPEN APPLICATION PERIOD. A voluntary, nonprofit reporting organization may apply for approval of its reporting and review procedures after January 1 and before March 31 of a state fiscal year, for the next subsequent state fiscal year. The commissioner may at any time i…

4650.0158 CONTENTS OF APPLICATION. An application for approval must include: A. general information about the applicant organization, including: organization's name, address, telephone number, contact person, proposed staff, and a detailed description of its computing facilities;…

4650.0160 REVIEW OF APPLICATION. Subpart 1. Commissioner's decision. By May 15 of each year, the commissioner shall issue a decision regarding an unsolicited application from a voluntary, nonprofit reporting organization that the procedures for reporting and review proposed by th…

4650.0166 FEES; HOSPITALS. Subpart 1. Fee required. A hospital whose reports are reviewed by the commissioner rather than the voluntary, nonprofit reporting organization shall submit a fee to the commissioner with the reports. The base for calculating the fee is the sum of the no…

4650.0167 FEES; OUTPATIENT SURGICAL CENTERS. An outpatient surgical center whose reports are reviewed by the commissioner rather than the voluntary, nonprofit reporting organization shall submit a fee of $200 to the commissioner with the reports. Statutory Authority: MS s 62J.321…

4650.0173 FINES. If a hospital, psychiatric hospital, specialized hospital, or outpatient surgical center does not comply with the requirements of this chapter and does not respond to requests from the commissioner and the voluntary, nonprofit reporting organization approved by t…

4650.0174 SUSPENSION OF FEES AND FINES. The commissioner may suspend all or any portion of the submission fees and fines if a facility shows cause. In determining whether a facility has shown cause, the commissioner shall consider: A. the inability of a facility to pay the fees o…

4652.0010 INCORPORATIONS BY REFERENCE. The ICD-9 diagnostic codes referenced in part 4652.0100, subparts 4 and 19, are contained in the fourth edition of the International Classification of Diseases, Clinical Modification, 9th Revision, 1994, and corresponding annual updates. Thi…