Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM
Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS
Section 11-72-79 - Operating requirements for alternative destinations

(1) Comply with the provisions of this subchapter and all other applicable laws and all department of health policies, procedures, and protocols;

(2) Comply with the requirements of section 11-72-72 and the requirements specified by the department of health in the application under which the alternative designation was designated;

(3) Decline a patient from emergency medical services personnel only when the alternative destination has made a medical determination that the alternative destination cannot treat the patient safely and appropriately; provided that the alternative destination shall document the specific reasons why a patient was declined for treatment;

(4) Comply with all requirements imposed by federal, State, and private health insurers;

(5) Maintain malpractice insurance and commercial general liability insurance in accordance with coverage limits established by the department of health;

(6) Collect and submit patient data to the department of health in accordance with forms and instructions prescribed by the department of health, which may include the use of department of health-approved software;

(7) Maintain adequate records and documentation to demonstrate the alternative destination's compliance with this subchapter;

(8) Within five working days, notify the department of health in writing of any inability to meet any of the requirements of this subchapter that is expected to last for more than five consecutive days or any change to the operations that may affect the alternative destination's performance under this subchapter;

(9) Notwithstanding paragraph (8), immediately notify the department of health if the alternative destination is not able to accept patients from emergency medical services personnel, the reason therefor, and the estimated length of time these circumstances will continue; and upon remedying these circumstances, immediately notify the department of health the alternative destination is able to accept patients;

(10) Notify the department of health in writing no later than ninety days prior to voluntarily surrendering its designation;

(11) Upon reasonable notice, provide the department of health access to inspect its facility, interview personnel, or review, inspect, evaluate, and audit records and documents related to the provision of care as an alternative destination to verify compliance with this subchapter; and

(12) Comply with any other operating requirements established by the department of health to ensure safe and appropriate care.