North Carolina Administrative Code

10A NCAC 14E .0318 governing authority History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0319 POLICIES AND PROCEDURES and administrative records History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0320 ADMISSION AND DISCHARGE History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0321 MEDICAL RECORDS History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0322 PERSONNEL RECORDS History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0323 NURSING SERVICE History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0324 QUALITY ASSURANCE History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0325 LABORATORY SERVICES History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10a NCAC 14E .0326 EMERGENCY BACK-UP SERVICES History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0327 SURGICAL SERVICES History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0328 MEDICATIONS AND ANESTHESIA History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0329 POST-OPERATIVE CARE History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0330 CLEANING OF MATERIALS AND EQUIPMENT History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

10A NCAC 14E .0331 FOOD SERVICE History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Adoption Eff. July 18, 2023; Emergency Rule Expired Eff. November 16, 2023.

SECTION .0400 - MEDICAL STAFF 10A NCAC 14E .0401 QUALIFICATIONS History Note: Authority G.S. 14-45.1(a); 143B-10; Eff. February 1, 1976; Readopted Eff. December 19, 1977; Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019; Repe…

10A NCAC 14E .0402 FILE History Note: Authority G.S. 14-45.1(a); 143B-10; Eff. February 1, 1976; Readopted Eff. December 19, 1977; Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019; Repealed Eff. July 1, 2023 pursuant to G.S. …

10A NCAC 14E .0403 QUALIFICATIONS History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Rule Eff. July 18, 2023; Emergency Rule Expired Eff. October 13, 2023.

10A NCAC 14E .0404 FILE History Note: Authority G.S. 143B-10; S.L. 2023-14, s. 2.4; Emergency Rule Eff. July 18, 2023; Emergency Rule Expired Eff. October 13, 2023.

subchapter 14F- certification of cardiac rehabilitation programs section .0100 – reserved for future codificaiton

section .0200 – reserved for future codification

section .0300 – reserved for future codification

section .0400 – reserved for future codification

section .0500 – reserved for future codification

section .0600 – reserved for future codification

section .0700 – reserved for future codification

section .0800 – reserved for future codification

section .0900 – reserved for future codification

section .1000 – reserved for future codification

SECTION .1100 – GENERAL INFORMATION: DEFINITIONS 10A NCAC 14F .1101 DEFINITIONS The following definitions shall apply throughout this Subchapter: (1) "ACLS-trained" means training that is current in Advanced Cardiac Life Support, by the American Heart Association and who has appr…

SECTION .1200 – CERTIFICATION 10A NCAC 14F .1201 CERTIFICATE The named person(s) and the street address of the named premises shall appear on the certificate. History Note: Authority G.S. 131E-169; Eff. July 1, 2000; Pursuant to G.S. 150B-21.3A, rule is necessary without substant…

10A ncac 14F .1202 CERTIFICATION PROCESS (a) To initiate the certification process, an application for certification shall be filed with the Department by the owner of the cardiac rehabilitation services. (b) Application forms shall be available from the Department, and each appl…

10A NCAC 14F .1203 CERTIFICATE RENEWAL (a) A certificate issued pursuant to G.S. 131E-167 and this Subchapter shall expire one year after the effective date of the certificate, but may be renewed upon the re-evaluation of the program. To initiate the renewal process, an applicati…

10A NCAC 14F .1204 CERTIFICATION FOLLOWING PROGRAM CHANGES (a) The Department shall be notified, in writing, at least 30 days prior to the effective date, of any expected occurrences of the following: (1) change in program ownership; (2) change in program name; (3) change of the …

10A NCAC 14F .1205 INSPECTIONS (a) In accordance with G.S. 131E-167(c), inspection(s) shall be made by the Department before a program is issued its initial certification as a program defined in the Article. (b) The Department shall make or cause to be made such other inspections…

10A NCAC 14f .1206 ADVERSE ACTION (a) Upon a determination that there has been a substantial failure to comply with the provisions of the Article or the rules contained in this Subchapter, the Department may, at its discretion, deny a new or renewal certificate, suspend or revoke…

SECTION .1300 – ADMINISTRATION 10A NCAC 14F .1301 STAFF REQUIREMENTS AND RESPONSIBILITIES (a) Each program shall be conducted utilizing an interdisciplinary team composed of a program director, medical director, nurse, program staff, mental health professional, dietitian or nutri…

10A NCAC 14F .1302 POLICIES AND PROCEDURES The program director shall assure that written policies and procedures are adopted by the program, approved by the medical director, and available to and implemented by staff. At a minimum, these policies and procedures shall include the…

10a NCAC 14F .1303 CONTINUOUS QUALITY IMPROVEMENT (a) The cardiac rehabilitation program shall have an ongoing Continuous Quality Improvement (CQI) program which identifies quality deficiencies and addresses them with corrective plans of action, as indicated. (b) The CQI program …

SECTION .1400 – PATIENT RIGHTS 10A NCAC 14F .1401 PATIENT RIGHTS (a) Prior to or at the time of admission, the program shall provide each patient with a written notice of the patient's rights and responsibilities. The program shall maintain documentation at least five years showi…

SECTION .1500 – ADMISSION AND DISCHARGE 10A NCAC 14F .1501 ADMISSION AND DISCHARGE (a) All patients admitted to the program shall have a referral from a physician. (b) Prior to discharging a patient, the interdisciplinary team shall develop a discharge plan. At a minimum, the dis…

SECTION .1600 – PATIENT ASSESSMENT 10a NCAC 14F .1601 PATIENT ASSESSMENT (a) Within five weeks of a patient's admission to the program, the interdisciplinary team shall complete and document a cardiac rehabilitation assessment. At a minimum, the assessment shall include the compo…

SECTION .1700 – CARE PLANNING AND FOLLOW-UP EVALUATION 10A NCAC 14F .1701 CARE PLANNING (a) Within five weeks of a patient's admission to the program, the interdisciplinary team shall develop a cardiac rehabilitation care plan for the patient based upon assessments completed as r…

10A NCAC 14f .1702 FOLLOW-UP EVALUATION (a) The interdisciplinary team members shall attend monthly meetings for follow-up evaluation of patients' progress toward cardiac rehabilitation goals. Changes to each patient's cardiac rehabilitation care plan shall be made as needed base…

SECTION .1800 – PROVISION OF SERVICES 10A NCAC 14F .1801 PERSONNEL (a) At least one ACLS trained and one other staff member shall be present at the site during all program hours. (b) For cardiac rehabilitation programs that are not located within a hospital or a hospital emergenc…

10A NCAC 14F .1802 EXERCISE THERAPY (a) The medical director, in consultation with program staff, shall establish staff to patient ratios for exercise therapy sessions based on medical acuity, utilizing an acceptable risk stratification model. (b) The patient's first exercise ses…

10A NCAC 14F .1803 NUTRITION SERVICES If indicated, based on the nutrition assessment and cardiac rehabilitation care plan, each patient's program shall include the following nutrition services: (1) interpretation and feedback on the patient's eating patterns, blood chemistries, …

10A NCAC 14F .1804 MENTAL HEALTH SERVICES If indicated, based on the mental health assessment and cardiac rehabilitation care plan, each patient's program shall include the following mental health services: (1) feedback from mental health assessment to the patient; and (2) presen…

10A NCAC 14F .1805 VOCATIONAL REHABILITATION COUNSELING AND SERVICES (a) The cardiac rehabilitation program shall have a written agreement, with the local DVRS office or other vocational rehabilitation counselor/services, which specifies the following: (1) The program shall admin…

10A NCAC 14F .1806 PATIENT EDUCATION (a) Each patient's cardiac rehabilitation care plan shall include participation in the program's basic education plan. At a minimum, the education plan shall include the following topics: (1) basic anatomy, physiology, and pathophysiology of t…

SECTION .1900 – EMERGENCIES 10A NCAC 14F .1901 EMERGENCY PLAN The facility shall establish and maintain a written plan signed and approved by the medical director to address emergencies occurring on site while cardiac rehabilitation services are being provided. All areas of the p…