Chapter 3701-83 | Licensing Provisions for Health Care Facilities

19.03 PDF: As used in this chapter:(A) "Accreditation award letter" means an official letter stating the accreditation status and effective dates issued to a health care facility by an entity that the director has determined as having standards and a process for assessing complia…

19.03 PDF: (A) Except as provided in section 3702.301 of the Revised Code and paragraph (B) of rule 3701-83-03 of the Administrative Code, all health care facilities shall comply with rules 3701-83-02 to 3701-83-14 of the Administrative Code. In addition, all:(1) Ambulatory surgi…

19.03 PDF: (A) Except as provided in section 3702.301 of the Revised Code and paragraph (B) of this rule, no person or agency of state or local government shall operate an HCF without a current valid license issued by the director under section 3702.30 of the Revised Code or oper…

19.03 PDF: (A) A person or agency of state or local government seeking a license to operate an HCF shall submit to the director an application, on a form and in a manner prescribed by the director and shall include the following:(1) A statement of ownership containing the followi…

19.03 PDF: (A) The director shall issue or renew a license to an HCF that submits an application for license in accordance with rule 3701-83-04 of the Administrative Code and that demonstrates to the director it meets the requirements of section 3702.30 of the Revised Code and th…

19.03 PDF: (A) If the director determines that an HCF is operating without a license in violation of division (E)(1) of section 3702.30 of the Revised Code, the director shall do one or more of the following:(1) Notify the HCF that it is operating without a license and issue a wr…

19.03 PDF: (A) Except as provided under paragraph (B) of this rule, civil penalties imposed under paragraph (A)(4) or paragraph (C)(4) of rule 3701-83-05.1 of the Administrative Code for a violation of section 3702.30 of the Revised Code, Chapter 3701-83 of the Administrative Cod…

19.03 PDF: (A) The director may make announced or unannounced inspections as the director considers necessary to determine compliance with section 3702.30 of the Revised Code and the applicable requirements of Chapter 3701-83 of the Administrative Code. The director may notify AS…

19.03 PDF: (A) The HCF shall develop and follow comprehensive and effective patient care policies that include and ensure:(1) Each patient is treated with consideration, respect, and full recognition of dignity and individuality, including privacy in treatment and personal care n…

19.03 PDF: (A) Each HCF shall utilize personnel that have appropriate training and qualifications for the services that they provide. Any staff member who functions in a professional capacity shall meet the standards applicable to that profession, including but not limited to pos…

19.03 PDF: (A) Each HCF shall assure all staff members provide services in accordance with:(1) Applicable current and accepted standards of practice and the clinical capabilities of the HCF; and(2) Applicable state and federal laws and regulations.(B) Each HCF shall have the anci…

19.03 PDF: (A) Each HCF shall:(1) Have a certificate of use and occupancy, from a local, certified building department or by the department of commerce as meeting applicable requirements of Chapters 3781., 3783., and 3791. of the Revised Code and any rules adopted under them or o…

19.03 PDF: (A) Each HCF shall maintain a medical record for each patient that documents, in a timely manner and in accordance with acceptable standards of practice, the patient's needs, assessments, and services rendered. Each medical record shall be legible and readily accessibl…

19.03 PDF: (A) Each HCF shall establish a quality assessment and performance improvement program designed to systematically monitor and evaluate the quality of patient care, pursue opportunities to improve patient care, and resolve identified problems.(B) Each HCF shall develop a…

19.03 PDF: (A) Each HCF shall develop and follow policies and procedures to receive, investigate, and report findings on complaints regarding the quality or appropriateness of services provided by the HCF. The documentation of complaints shall, at a minimum, include the following…

19.03 PDF: (A) The director may grant a variance or waiver from any building or safety requirement established by Chapter 3701-83 of the Administrative Code, unless the requirement is mandated by statute.(B) An HCF seeking a variance or waiver must submit a written request to the…

19.03 PDF: For the purposes of rules 3701-83-15 to 3701-83-22 of the Administrative Code, the following definitions shall apply:(A) "Ambulatory surgical facility" or "ASF" means a facility in which surgical services are provided to patients who do not require hospitalization for …

19.03 PDF: (A) As required under paragraph (E) of rule 3701-83-03 of the Administrative Code, each ASF shall have a governing body.(B) The governing body shall:(1) At least every twenty-four months review, update, and approve the surgical procedures that may be performed at the f…

19.03 PDF: (A) Each ASF shall only admit patients who do not require planned inpatient care and who shall be kept in the ASF for less than twenty-four hours. The twenty-four hour period begins at the start of the operation or procedure, or the induction of anesthesia, whichever i…

19.03 PDF: (A) Each ASF shall maintain qualified nursing and physician staff, and qualified dental staff, as appropriate for the services provided. Each ASF shall, based on the services provided and the number of patients served, maintain a sufficient number of staff and other pe…

19.03 PDF: (A) Each ASF shall provide medical services, dental services, nursing services, pharmaceutical services, and anesthesia services. Each service shall be provided in a safe, effective manner that is consistent with the needs of the patient.(B) Each ASF shall:(1) Provide …

19.03 PDF: (A) For purposes of rules 3701-83-19.1 to 3701-83-19.5 of the Administrative Code, "cardiac catheterization procedure" means a procedure used to diagnose and treat various cardiac and circulatory diseases that involves inserting a thin, pliable catheter into a major bl…

19.03 PDF: (A) An ambulatory surgical facility that provides any cardiac catheterization, either diagnostic and/or interventional procedures allowed under rule 3701-83-19.1 of the Administrative Code, will have hospital transfer agreements that are in accordance with section 3702…

19.03 PDF: (A) An ambulatory surgical facility that provides cardiac catheterization procedures allowed under rule 3701-83-19.1 of the Administrative Code will:(1) Designate a medical director who, in addition to the provisions of rule 3701-83-04 of the Administrative Code and an…

19.03 PDF: (A) Each ASF providing cardiac catheterization procedures will report on the system prescribed by the director the ASF's volumes and outcomes.(B) Each ASF that provides interventional services will obtain enrollment and maintain participation in a data registry to moni…

19.03 PDF: (A) Each ASF providing diagnostic and/or interventional cardiac catheterization procedures will:(1) Establish and maintain safety guidelines, and practices and policies in accordance with applicable United States nuclear regulatory commission regulations, applicable pr…

19.03 PDF: (A) Each ASF shall have one or more operating rooms or procedure rooms, each of which is designed and equipped so that the types of surgery conducted can be performed in a manner that protects the health and well-being of all individuals in the area. The recovery area …

19.03 PDF: Each medical record required by paragraph (A) of rule 3701-83-11 of the Administrative Code shall contain at least the following information as applicable for the surgery to be performed:(A) Admission data:(1) Name, address, date of birth, gender, and race or ethnicity…

19.03 PDF: As part of the quality assessment and performance improvement program required under paragraph (A) of rule 3701-83-12 of the Administrative Code, each ASF shall collect and maintain the following data on an annual basis and shall report such data to the director upon r…

19.03 PDF: For purposes of rules 3701-83-23 to 3701-83-24 of the Administrative Code the following definitions shall apply:(A) "Chronic maintenance dialysis" means the regular provision of dialysis for an end stage renal disease patient with any level of patient involvement.(B) "…

19.03 PDF: (A) Each dialysis center shall:(1) Develop and follow policies and procedures for the provision of care consistent with national standards of care or guidelines;(2) Develop and follow protocols for the prevention of disease and infection transmission utilizing standard…

19.03 PDF: (A) Each dialysis center shall maintain the following:(1) An established system of records sufficient for the director to ascertain that all individuals employed by the dialysis center who function in a professional capacity meet the standards applicable to that profes…

19.03 PDF: Each patient medical record required by paragraph (A) of rule 3701-83-11 of the Administrative Code shall contain at least the following information:(A) Patient information including:(1) Name, address, date of birth, gender, and race or ethnicity;(2) History and physic…

19.03 PDF: (A) In addition to the requirements established in rules 3701-83-09 and 3701-83-23.1 of the Administrative Code, each dialysis center shall develop and follow written policies and procedures for preventing and controlling infections. The policies and procedures shall i…

19.03 PDF: (A) Each freestanding dialysis center governing body shall conduct an ongoing, comprehensive, integrated self-assessment of the quality and appropriateness of care provided by the facility, including:(1) Adequacy of dialysis;(2) Vascular access;(3) Medical injuries and…

19.03 PDF: For purposes of rules 3701-83-25 to 3701-83-32 of the Administrative Code the following definitions apply:(A) "Freestanding inpatient rehabilitation facility" or "inpatient rehabilitation facility" means a facility operated for the exclusive purpose of providing specia…

19.03 PDF: (A) Each inpatient rehabilitation facility shall provide services that meet the needs of its patients in accordance with the patient's individual plan of care. The facility shall provide the patient or the patient's representative with:(1) Information regarding the pol…

19.03 PDF: (A) Each inpatient rehabilitation facility shall develop written criteria for admission of patients to the facility that includes a description of the programs and services available at the facility.(B) Each inpatient rehabilitation facility shall not admit a patient t…

19.03 PDF: (A) Each inpatient rehabilitation facility shall perform a written comprehensive inpatient rehabilitation evaluation for each patient admitted to the facility. The comprehensive inpatient rehabilitation evaluation shall be developed by the interdisciplinary team and in…

19.03 PDF: (A) Each inpatient rehabilitation facility shall provide or arrange for the services of personnel in sufficient number and with appropriate qualifications to meet the rehabilitation and medical needs of the patients being served in the facility. Personnel shall be sche…

19.03 PDF: (A) Each inpatient rehabilitation facility shall have patient bedrooms that, at a minimum, meet the following requirements:(1) Sufficient open floor space to allow each patient or personnel to easily maneuver a wheelchair and to allow for the transfer of each patient f…

19.03 PDF: (A) Each inpatient rehabilitation facility shall have equipment and supplies of the type and quantity sufficient to meet the needs of individual patients and to provide services in accordance with rule 3701-83-26 of the Administrative Code.(B) Each inpatient rehabilita…

19.03 PDF: As part of the quality assessment and performance improvement program required under rule 3701-83-12 of the Administrative Code, each inpatient rehabilitation facility shall collect and maintain the following data on an annual basis and shall report such data to the di…

19.03 PDF: As used in rules 3701-83-33 to 3701-83-42 of the Administrative Code:(A) "Certified nurse-midwife" or "CNM" means an individual with a certificate to practice nurse-midwifery issued under Chapter 4723. of the Revised Code.(B) "Director of patient services" means the in…

19.03 PDF: (A) Freestanding birthing centers are licensed to provide care during pregnancy, birth, and the immediate postpartum period to the low-risk expectant mother and her newborn. Each center shall admit and retain only low-risk expectant mothers anticipating a normal full-t…

19.03 PDF: (A) The governing body of each freestanding birthing center shall include at least one member who is a consumer and is not a health care provider.(B) The governing body shall:(1) Meet regularly to execute responsibilities for the operation of the center and shall maint…

19.03 PDF: (A) Each freestanding birthing center shall provide services that meet the needs of the center's patients and are in accordance with the patient's plan of care. The center shall provide the patient or the patient's representative:(1) Information regarding the policies,…

19.03 PDF: (A) Each freestanding birthing center shall establish policies and procedures for the assessment of expectant mothers to determine:(1) If the expectant mother meets the low-risk requirements for admission to the center; and(2) If a normal, full term, spontaneous vagina…

19.03 PDF: (A) Each freestanding birthing center shall have an administrator.(B) Each center shall have a director of patient services who shall be a physician or a CNM who has contracted with a collaborating physician.(C) Each center shall establish a personnel file for each sta…

19.03 PDF: (A) Each freestanding birthing center shall provide sufficient space for the number of patients and patient families and staff members to assure privacy for patients and families including:(1) A waiting room;(2) An examination room;(3) A staff area, conference area, or…