Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.04 - Residential Treatment Centers for Emotionally Disturbed Children and Adolescents
Section 10.07.04.02 - Definitions
Universal Citation: MD Code Reg 10.07.04.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Accredited residential treatment center"
means a residential treatment center that is accredited by the Joint
Commission.
(2) "Adverse event"
means an unexpected occurrence that:
(a) Is
related to a resident's medical or behavioral treatment; and
(b) Is not related to the natural course of
the resident's illness or underlying disease condition.
(3) "Center" means a residential treatment
center.
(4) "Change in condition"
means a significant change in a resident's physical, mental, or psychological
status including:
(a) Life-threatening
conditions;
(b) Clinical
complications, including significant somatic symptoms that require the
assessment or treatment by qualified medical personnel;
(c) The need to discontinue a medication or
treatment because of:
(i) An adverse
consequence; or
(ii) The need to
begin a new form of treatment;
(d) Evaluation at or admission to a
hospital;
(e) Injuries that require
the assessment of or treatment by qualified medical personnel;
(f) The use of restraint or seclusion;
and
(g) Suicide attempts.
(5) "Department" means the
Department of Health and Mental Hygiene.
(6) "Fire authorities" means the official fire safety
agency including the State Fire Marshal and local fire departments or fire
marshals as appropriate.
(7)
"Governing body" means the organizational structure that is responsible for all
center operations, including:
(a)
Establishing policy;
(b)
Maintaining quality care; and
(c)
Providing management and planning for the center.
(8) "Joint Commission" means the voluntary
national healthcare accreditation service recognized for:
(a) Medicare certification purposes by Public
Law 89-97; and
(b) Maryland State
licensure purposes by Health-General Article, §19-2302, Annotated Code of
Maryland.
(9)
"Licensee" means the individual, partnership, association, or corporation to
which a license is issued.
(10)
"Person" means an individual, receiver, trustee, guardian, personal
representative, fiduciary, or representative of any kind and any partnership,
firm, association, corporation, or other entity.
(11) "Resident" means any child or adolescent
domiciled in a center for the purpose of receiving the services offered by a
residential treatment center.
(12)
"Residential treatment center" means a psychiatric institution that provides
campus-based intensive and extensive evaluation and treatment of children and
adolescents with severe and chronic emotional disturbances who require a
self-contained therapeutic, educational, and recreational program in a
residential setting.
(13)
"Secretary" means the Secretary of Health and Mental Hygiene.
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