Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 75 - Licensing of Rural Health Clinics
Subchapter A - General Provisions
Section I-7523 - Procedural Standards
Universal Citation: LA Admin Code I-7523
Current through Register Vol. 50, No. 9, September 20, 2024
A. The following processes are required for RHCs in Louisiana:
1. Access to Care. Rural health clinics
shall:
a. be in compliance with
R.S.
40:2007 if the RHC is located within another
health care provider;
b. be located
away from metropolitan areas;
c.
provide services to all citizens of the community across all life
cycles;
d. provide service delivery
to accommodate the majority of residents of the community; and
e. provide professional coverage as required
by §7517 and
§7519 C
2. Patient Assessment. Documentation of an
assessment shall include:
a. comprehensive
scope of information with updates as indicated by changes in the patient's
status;
b. physical examination and
medical history, that identifies the patient's condition and care needs, and an
estimate of his/her continuing care needs;
c. indicators that identify the need for
further assessment/treatment such as the signs/symptoms of substance abuse,
which requires a substance abuse assessment be included as part of the mental
status evaluation; and
d. pertinent
and comprehensive information relative to the reason for the
encounter.
3. Care
Planning. The plan of care shall be based upon the needs documented in the
assessment and may be generic if original assessment and physical examination
indicates the patient is generally healthy. The plan of care shall be modified
to reflect any changes in the patient's condition.
4. Continuity of Care. The clinic staff
shall:
a. provide orderly and efficient
transition between levels of care without duplication or disruption of
services;
b. provide
post-hospitalization care based on the hospital's discharge assessment,
possibly a Uniform Needs Assessment Instrument (UNAI), but includes at least a
description of the patient's functional status, nursing and/or other care
requirements, and the availability of family/care givers;
c. update comprehensive care plan as
indicated and provide clinic services as indicated in the plan of
care;
d. coordinate care and
treatment interventions by all relevant disciplines;
e. evaluate progress and adjust actual care
as needed to achieve progress.
5. Infection Control. A facility shall
maintain and implement written and dated effective infection control policies
and procedures that protect the patients and staff from infections and
communicable diseases.
6.
Information Management. A facility shall maintain a record keeping system to
communicate and measure clinic performance to assure that patient needs are
documented and met. This system shall include accurate documentation of a
patient visit for quality assessment and performance improvement purposes. The
facility shall ensure the integrity, effectiveness, confidentiality, and
security of the facility's data system.
7. Clinical Protocols. Written clinical
protocols shall be established between mid-level practitioner(s) and the
physician and the treatment(s) of choice shall be easy to identify.
8. The facility must have a grievance process
and must indicate who the patient can contact to express a grievance. Records
of all grievances, steps taken to investigate, and results of interventions
must be available to surveyors upon request.
AUTHORITY NOTE: Promulgated in accordance with R.S. 46:153 and R.S. 40:2197.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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