New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 800 - RESIDENTIAL CARE AND HEALTH FACILITY RULES
Part He-P 802 - RULES FOR HOSPITALS
Section He-P 802.41 - Megavoltage Radiation Therapy Services

Universal Citation: NH Admin Rules He-P 802.41

Current through Register No. 40, October 3, 2024

(a) If megavoltage radiation therapy services have not been provided by the hospital previously, no licensee shall offer megavoltage radiation therapy services without a special health care service license.

(b) In accordance with RSA 151:2-e, all licensees shall comply with this section if they provide megavoltage radiation therapy services, regardless of whether the licensee holds a special health care license.

(c) The licensee shall appoint a chief of radiation oncology who shall be certified in radiation oncology and responsible for:

(1) Overseeing the services provided to ensure safe and quality care;

(2) Ensuring personnel are qualified to perform megavoltage radiation therapy services in accordance with He-P 4000; and

(3) Establishing procedures necessary to ensure the safe and proper use of all therapeutic radiation machines and therapeutic uses of radioactive material in accordance with He-P 4000, including that technologists be trained commensurate to their duties in the operation and use of x-ray or radiation therapy equipment.

(d) A radiation oncologist shall supervise the therapeutic uses of radiation, including the use of radiation therapy machines, in accordance with He-P 4000.

(e) A licensee providing treatment on megavoltage radiation therapy equipment shall ensure the provision of a comprehensive coordinated care plan which may include:

(1) Clinical oncology services, including chemotherapy and surgical treatment of tumors and follow-up capabilities;

(2) Services of a tumor registry;

(3) Services of a simulation capability and dose computation equipment;

(4) Services of a pathology laboratory;

(5) Services of a physics laboratory;

(6) Computerized tomography and/or magnetic resonance imaging capability;

(7) Social work and counseling;

(8) Brachytherapy or a referral arrangement for provision of the service;

(9) Nutrition and dietary consultation; and

(10) In-house capabilities encompassing the full range of radiation therapy modalities, including megavoltage equipment and superficial treatment equipment and systemic therapy or referral arrangements for the provision of these services.

(f) All licensees performing megavoltage radiation services shall be accredited by a recognized accrediting agency for the provision of megavoltage radiation therapy services.

(g) If the licensee is newly providing megavoltage radiation therapy services, the licensee shall have 3 years, from the date of receiving a special health care license, to obtain accreditation required in (f) above.

(h) Staffing for megavoltage radiation therapy services shall be in accordance with the accrediting agency's accepted staffing requirements.

(i) No licensee shall provide megavoltage radiation therapy services unless the program will treat a minimum of 200 patients on an annual basis by the end of the third year of operation. This may be demonstrated by the number of claims the licensee files in any 12-month period for cognitive planning process codes.

(j) Any licensee holding a special health care service license to provide megavoltage radiation therapy services not on hospital premises shall adopt protocols for the transportation of patients for the provision of necessary support and emergency services, which shall include a written agreement for the acceptance and transfer of patients needing such emergency care, with the nearest acute care hospital or any acute care hospital within 30 minutes travel time.

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