Missouri Administrative Code

Facilities Operations 11. Quality assurance program; 12. Complaints; PURPOSE: This rule defines the minimum requirements for the 13. Emergency preparedness and medical response; and provision of care in licensed Prescribed Pediatric Extended Care 14. Staff training and competency…

mination of Pregnancy (Moved to 19 CSR 10-15.010)

Post-Abortion Care (Moved to 19 CSR 10-15.020)

Tissue Report (Moved to 19 CSR 10-15.030) 19 CSR 30-15.040 Induced Termination of Pregnancy Consent Form (Moved to 19 CSR 10-15.040) Rebecca McDowell Cook (6/30/98) CODE OF STATE REGULATIONS 3 Secretary of State

(Moved to 19 CSR 10-15.040) ..............................................................3 Rebecca McDowell Cook (6/30/98) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 15—Abortions 19 CSR 30-15 Title 19—DEPARTMENT OF HEALTH Division 30—Division of Health Standards and …

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 19 CSR 30-20.011 Definitions Relating to Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 19 CSR 30-20.013 Incorporation of Medicare Conditions…

1. Building(s)— PURPOSE: This rule defines terminology used throughout this A. Constructed to hospital standards as outlined in 19 chapter. CSR 30-20.030; and B. Identified on the hospital’s license application as part (1) Automated Dispensing System—An automated system of the fa…

day-to-day basis. Participation (17) Patient—A person who presents to the hospital seeking PURPOSE: This rule incorporates the Medicare Conditions of diagnosis, treatment, or care. Participation into the hospital regulations. (18) Pharmacist—An individual who is currently license…

Program 512-1800 or going to https://bookstore.gpo.gov/. The address is: U.S. Government Publishing Office, U.S. Superintendent of PURPOSE: This rule formalizes the hospital licensing policies being Documents, Washington, DC 20402-0001. This rule incorporates carried out by the D…

(Rescinded February 29, 2008) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 19 CSR 30-20.030 Construction Standards for New Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

PURPOSE: This rule establishes up-to-date construction standards (2) Planning and Construction Procedure. for new hospitals to help ensure accessible, functional, fire-safe, (A) Plans and specifications shall be prepared for the and sanitary facilities. construction of all new ho…

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 19 CSR 30-20.050 Standards for the Operation of Long-Term Care Units . . . . . . . . . . . . . . . . . 13

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 19 CSR 30-20.070 Registration as a Hospital Infectious Waste Generator . . . . . . . . . . . . . . . . 15 19 CSR 30-20.080 Governing Body of Hospitals (Rescinded November 30, …

(Rescinded November 30, 2019) of minor emergency patients, to the extent that the hospital is unable to provide quality care or protect the health or welfare AUTHORITY: sections 192.006 and 197.080, RSMo 2000. This rule of the patients it serves. A diversion also may be implement…

(Rescinded November 30, 2019) awaiting approval of its plan by the department. (A) The diversion plan shall: AUTHORITY: sections 192.006 and 197.080, RSMo 2000. This rule 1. Identify the individuals by title who are authorized by previously filed as 19 CSR 30-20.021(2)(B). Origin…

(Rescinded November 30, 2019) staff, open existing beds that may have been closed, or take any other actions that might prevent a diversion from occurring; AUTHORITY: sections 192.006 and 197.080, RSMo 2000. This rule 4. Include that all ambulance services within a defined previo…

(Rescinded November 30, 2019) available to all EMS agencies and hospitals in the defined service area; AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 5. Include procedures for assessment, stabilization, 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR and tr…

(Rescinded November 30, 2019) 6. Include procedures for implementation of a resource diversion in the event that specialized services are overburdened AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 or temporarily unavailable; and and 197.154, RSMo Supp. 2013. This ru…

(Rescinded November 30, 2019) time, electronic reporting system shall meet the notification requirements of this section. If a hospital participates in an AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 approved community-wide plan, the community-wide plan and 197.154…

(Rescinded November 30, 2019) competency; and 3. Have assisted in the practice of pharmacy as a registered AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 or licensed pharmacy technician in the state of Missouri or and 197.154, RSMo Supp. 2013. This rule previously fi…

(Rescinded November 30, 2019) 1. The pharmacy technician shall have a current certificate John R. Ashcroft (2/28/23) CODE OF STATE REGULATIONS 19 Secretary of State DIVISION 30—DIVISION OF REGULATION 19 CSR 30-20—DEPARTMENT OF HEALTH AND AND LICENSURE SENIOR SERVICES issued by a …

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 19 CSR 30-20.100 Pharmacy Services and Medication Management . . . . . . . . . . . . . . . . . . . 19 19 CSR 30-20.102 Radiology Services in Hospitals (Rescinded Nove…

(Rescinded November 30, 2019) (1) Each hospital shall have an organized service which maintains a clean and safe environment. AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and (A) Housekeeping Services. 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR 1. The ho…

(Rescinded November 30, 2019) and describe the scope of housekeeping services. These shall be reviewed in cooperation with the infection prevention AUTHORITY: section 192.006, RSMo 2000, and section 197.080, control program, kept current per hospital policy, and be readily RSMo S…

(Rescinded November 30, 2019) 6. There shall be a process for the review and evaluation on a regular basis of the quality of housekeeping services provided. AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and (B) Laundry and Linen Services. 197.154, RSMo Supp. 2007. This rule …

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 19 CSR 30-20.114 Environmental Waste Management and Support Services . . . . . . . . . . . . . 21 19 CSR 30-20.116 Infection Prevention and Control (Rescinded November 30, 201…

*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995, 2013, 2017; and 338.165, RSMo 2014. Support Services PURPOSE: This rule specifies the requirements for environmental and support services provided by a hospital.…

(Rescinded November 30, 2019) shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies AUTHORITY: section 192.006, RSMo 2000, and sections 197.080, only to the reference material. The entire text of the ru…

(Rescinded November 30, 2019) following minimum standards: (A) The curriculum of the UAP Program shall consist of a AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 standard plan of instruction to include: and 197.154, RSMo Supp. 2013. This rule previously filed as 19 …

(Rescinded November 30, 2019) for up to fifty (50) hours of classroom time of comparable subject matter; AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 4. A minimum of one hundred (100) hours of clinical 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR pract…

(Rescinded January 30, 2014) medical terminology); B. Patient/Client Rights (Health Insurance Portability AUTHORITY: sections 192.006 and 197.080, RSMo 2000, and and Accountability Act (HIPAA), privacy, confidentiality, ad- section 197.154, RSMo Supp. 2007. This rule previously f…

(Rescinded November 30, 2019) psychological/social needs, activities of daily living, ambu- lation, positioning, personal care, elimination and toileting, AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 nutrition, hydration, feeding, bed making); and 197.154, RSMo Sup…

Program trical, hazardous materials transportation safety information (HAZMAT), emergency procedures, body mechanics); PURPOSE: This rule requires hospitals to have a personnel training (B) The clinical practicum of one hundred (100) hours shall policy that requires unlicensed he…

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 19 CSR 30-20.128 Pediatric Services in Hospitals (Rescinded November 30, 2019) . . . . . . . . 24

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 19 CSR 30-20.132 Psychiatric Services in Hospitals (Rescinded November 30, 2019) . . . . . . 25 19 CSR 30-20.134 Rehabilitation Services in Hospitals (Rescinded November 30, 201…

(Rescinded November 30, 2019) mean— (A) Department shall mean the Department of Health and AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and Senior Services; 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR 30- (B) Essential caregiver shall mean a family member…

(Rescinded November 30, 2019) CSR 30-20.011(9). AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and (2) Every hospital within Missouri shall develop an essential 197.154, RSMo Supp. 2007. This rule previously filed as 19 CSR caregiver program which shall allow a patient who ha…

(Rescinded November 30, 2019) department under this rule. AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 (3) The essential caregiver program shall be operable during and 197.154, RSMo Supp. 2013. This rule previously filed as 19 a state of emergency declared pursuant…

(Rescinded November 30, 2019) designated as essential caregivers, although the hospital may limit the in-person contact to one (1) caregiver at a time. The AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 caregiver shall not be required to have previously served in a a…

(Rescinded November 30, 2019) return during the scheduled hours or be replaced by another essential caregiver; AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 (C) Include procedures to enable physical contact between and 197.154, RSMo Supp. 2013. This rule previously …

(Rescinded November 30, 2019) caregiver is inconsistent with the patient’s therapeutic care and treatment or is a safety risk to other patients or staff at AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 the facility. Any limitations placed upon a particular essential…

Caregiver Program caregiver. Consistent with 42 CFR 482.12(h), a hospital shall inform each patient, or such patient’s guardian or legal PURPOSE: This rule establishes the standards and guidelines representative, where appropriate, of his or her visitation rights regarding the es…

Construction Standards for Rehabilitation 2. Construction shall be undertaken only so noted; and brief noted descriptions of the Hospitals after the plans and specifications have general construction and finish, the structural received the written approval of the Depart- system, …

(Rescinded August 30, 2014) ..............................................................10