Current through Register Vol. 50, No. 9, September 20, 2024
A. If the hospital provides outpatient
services, the services must meet the needs of the patients in accordance with
acceptable standards of practice.
B. Outpatient services shall be appropriately
organized, integrated with and provided in accordance with the standards
applicable to the same service provided by the hospital on an inpatient basis.
1. Outpatient services shall be provided only
under conditions stated in Subparagraphs a, b, or Clauses b.i.-ii below.
a. Outpatient services may be provided by a
hospital if that hospital provides inpatient services for the same area of
service. For example, a hospital may provide psychiatric outpatient services if
that hospital provides psychiatric services on an inpatient basis.
b. Outpatient services may be provided by a
hospital that does not provide inpatient services for the same area of service
only if that hospital has a written policy and procedure to ensure a patient's
placement and admission into an inpatient program to receive inpatient services
for that area of service. The policy and procedure must ensure that the
hospital is responsible for coordination of admission into an inpatient
facility and must include, but not be limited to, the following:
i. the hospital personnel and/or staff
responsible for coordination of placement and admission into an inpatient
facility; and
ii. the procedure for
securing inpatient services for that patient.
2. For all outpatient services, there shall
be established methods of communication as well as established procedures to
assure integration with inpatient services that provide continuity of
care.
3. When patients are
admitted, pertinent information from the outpatient record shall be provided to
the inpatient facility so that it may be included in the inpatient
record.
C. Any room
designated for procedures or treatment involving conscious sedation shall have
policies and procedures established by the medical staff to insure quality of
care and safety of patients. Such guidelines shall include at a minimum:
1. pre-procedure preparation;
2. patient monitoring;
3. discharge criteria; and
4. staff competency requirements.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2100-2115.
