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 806 - NON-EMERGENCY WALK-IN CARE CENTERS
Section He-P 806.03 - Definitions

(a) "Abuse" means any one of the following:

(b) "Addition" means an increase in the building area, aggregate floor area, building height, or number of stories of a structure.

(c) "Administer" means an act whereby one or more doses of a medication are instilled into the body, applied to the body of, or otherwise given to a person for immediate consumption or use by an individual authorized by law, including RSA 318-B and RSA 326-B.

(d) "Administrator" means the licensee or individual appointed by the licensee to be responsible for all aspects of the daily operation of the licensed premises

(e) "Affiliated or related parties" means companies or individuals that serve as operators, landlords, management companies or advisors, real estate or consulting companies, members of limited liability companies, administrative services companies, lenders and companies providing financial guarantees, captive or affiliated insurance companies.

(f) "Agent" means an adult to whom authority to make health care decisions is delegated under an activated durable power of attorney for health care executed in accordance with RSA 137-J or a surrogate decision-maker in accordance with RSA 137-J:35.

(g) "Applicant" means an individual, agency, partnership, corporation, government entity, association, or other legal entity seeking a license to operate a NEWCC pursuant to RSA 151:2.

(h) "Area of non-compliance" means any action, failure to act, or other set of circumstances that cause a licensee to be out of compliance with RSA 151, He-P 806, or other federal or state requirements.

(i) "Assessment" means an evaluation of the patient to determine the care and services that are needed.

(j) "Change of ownership" means a change in the controlling interest of an established NEWCC to an individual or successor business entity.

(k) "Commissioner" means the commissioner of the department of health and human services or his or her designee.

(l) "Critical incident stress management (CISM) " means an adaptive, short-term psychological helping-process that focuses solely on an immediate and identifiable problem. Its purpose is to enable people to return to their daily routine more quickly and with less likelihood of experiencing post-traumatic stress disorder.

(m) "Days" means calendar days unless otherwise specified in the rule.

(o) "Demonstrated competency" means the ability of the employee to demonstrate to an evaluator that he or she is able to complete the required task in a way that reflects the minimum standard including, but not limited to, a certificate of completion of course material or a post test to the training provided.

(n) "Department" means the New Hampshire department of health and human services.

(o) "Direct care" means hands-on care and services provided to a patient including but not limited to medical, nursing, psychological, or rehabilitative treatments.

(p) "Discharge instructions" means instructions developed as a result of the assessment process in the provision of services.

(q) "Directed plan of correction" means a plan developed and written by the department that specifies the necessary actions required of the licensee to correct areas of non-compliance.

(r) "Emergency plan" means a document outlining the responsibilities of personnel in an emergency.

(s) "Enforcement action" means the imposition of an administrative fine, the denial of an application for a license, or the revocation of a license in response to non-compliance with RSA 151 or He-P 806.

(t) "Equipment or fixtures" means any plumbing, heating, electrical, ventilating, air-conditioning, refrigerating, and fire protection equipment, and any elevators, dumbwaiters, escalators, boilers, pressure vessels, or other mechanical facilities or installations related to building services.

(u) "Exploitation" means the illegal use of a patient's person or property for another person's profit or advantage, or the breach of a fiduciary relationship through the use of a person or person's property for any purpose not in the proper and lawful execution of a trust, including, but not limited to, situations where a person obtains money, property, or services from a patient through the use of undue influence, harassment, duress, deception, or fraud.

(v) "Facility" means "facility" as defined in RSA 151:19, II.

(w) "Guardian" means a person appointed in accordance with RSA 463, RSA 464-A, or the laws of another state, to make informed decisions relative to the patient's health care and other personal needs.

(x) "Health screening services" means assessment or testing performed for the purpose of assessing a patient's risk of having a disease condition and where the patient with an elevated risk is not diagnosed or treated but encouraged to contact a licensed provider for diagnosis and treatment as needed. This term does not include any on-site services provided by a licensed NEWCC.

(y) "Incident Command System (ICS) " means a standardized on-scene emergency management system specifically designed to provide for the adoption of an integrated organizational structure that reflects the complexity and demands of single or multiple incidents, without being hindered by jurisdictional boundaries. ICS is the combination of facilities, equipment, personnel, procedures, and communications operating within a common organizational structure, designed to aid in the management of resources during incidents.

(z) "Infectious waste" means those items specified by Env- Sw 904.

(aa) "In-service" means an educational program, which is designed to increase the knowledge, skills, and overall effectiveness of personnel.

(ab) "Informed consent" means the decision by a person or his/her guardian, agent, or surrogate decision-maker to agree to a proposed course of treatment, after the person has received full disclosure of the facts, including information about risks and benefits of the treatment and available alternatives, needed to make the decision intelligently.

(ac) "Inspection" means the process followed by the department to determine an applicant or a licensee's compliance with RSA 151 and He-P 806 or to respond to allegations pursuant to RSA 151:6, of non-compliance with RSA 151, and He-P 806.

(ad) "License" means the document issued to an applicant at the start of operation as a NEWCC which authorizes operation of a NEWCC in accordance with RSA 151 and He-P 806, and includes the name of the licensee, the name of the business, the physical address, the licensing classification, the effective date and license number.

(ae) "License certificate" means the document issued by the department to an applicant or licensee that, in addition to the information contained on a license, includes the name of the administrator and the type(s) of services authorized that the NEWCC is licensed for.

(af) "Licensed practitioner" means a:

(ag) "Licensed premises" means a physical location where care and services pursuant to He-P 806 are provided, including:

(ah) "Licensee" means any person or legal entity to which a license has been issued pursuant to RSA 151.

(ai) "Licensing classification" means the specific category of services authorized by a license.

(aj) "Life safety code" means the National Fire Protection Association (NFPA) 101, as adopted by the commissioner of the department of safety in Saf-C 6000 under RSA 153, and as amended pursuant to RSA 153:5, I, by the state fire marshal with the board of fire control.

(ak) "Medical director" means a licensed practitioner in New Hampshire in accordance with RSA 329 or 326-B, who is responsible for overseeing the quality of medical care and services at the NEWCC.

(al) "Medical staff" means those physicians and other licensed practitioners permitted by law and NEWCC policies to provide patient care services independently within the scope of his or her practice act.

(am) "Medication" means a substance available with or without a prescription, which is used as a curative or remedial substance.

(an) "Mobile NEWCC vehicle " means a vehicle capable of traveling under its own power or being towed from site to site and fully equipped to meet all the requirements specific in section He-P 806.21.

(ao) "Modification" means the reconfiguration of any space; the addition, relocation, or elimination of any door or window, the addition or elimination of load-bearing elements, the reconfiguration or extension of any system, or the installation of any additional equipment. The term does not include repair or replacement of interior finishes.

(ap) "Neglect" means an act or omission, that results or could result in the deprivation of essential services or supports necessary to maintain the mental, emotional or physical health and safety of a patient.

(aq) "Non-emergency walk-in care center (NEWCC) " means a medical facility where a patient can receive medical care which is not of an emergency life-threatening nature, without making an appointment and without the intention of developing an ongoing care relationship with the licensed practitioner. This term includes such facilities that are self-described as urgent care centers, retail health clinics, and convenient care clinics. A NEWCC can be a stand-alone entity, an entity located within a retail store or pharmacy or a mobile vehicle, which can be owned and operated by the retail store or pharmacy, or be owned and operated by a third party.

(ar) "Notice to correct" means a report issued pursuant to RSA 151:6-a, II, following a life safety code inspection when a facility is found to be out of compliance with applicable life safety rules or codes.

(as) "Orders" means a document, produced verbally, electronically or in writing, by a licensed practitioner for medications, treatments, recommendations, and referrals, and signed by the licensed practitioner using terms such as authorized by, authenticated by, approved by, reviewed by, or any other term that denotes approval by the licensed practitioner

(at) "Over-the-counter medications" means non-prescription medications.

(au) "Patient" means any person registered to or in any way receiving care, services or both from a NEWCC licensed in accordance with RSA 151 and He-P 806.

(av) "Patient record" means a separate file maintained for each person receiving care and services by the licensee, which includes all documentation required by RSA 151 and He-P 806 and all documentation as required by other applicable federal and state requirements.

(aw) "Patient rights" means the privileges and responsibilities possessed by each patient provided by RSA 151:21.

(ax) "Personal representative" means a person designated in accordance with RSA 151:19, V, to assist the patient for a specific, limited purpose or for the general purpose of assisting the patient in the exercise of any rights.

(ay) "Personnel" means an individual who is employed by the facility, a volunteer, or an independent contractor who provides direct care to a patient.

(az) "Plan of correction (POC) " means a plan developed and written by the licensee, which specifies the actions that will be taken to correct non-compliance with applicable rules or codes identified at the time of a clinical or life safety code inspection conducted pursuant to RSA 151:6-a or during the course of a complaint investigation conducted pursuant to RSA 151:6.

(ba) "Point of care testing (POCT) " means laboratory testing performed using either manual methods or hand held instruments at or near the site of patient care.

(bb) "Point of care devices" means testing involving a system of devices, typically including:

(bc) "Procedure" means a licensee's written, standardized method of performing duties and providing services.

(bd) "Professional staff" means staff who are licensed, registered, or certified by the state to provide health care services.

(be) "Qualified personnel" means personnel that have been trained to adequately perform the tasks which they perform, including but not limited to nursing staff, clinical staff, housekeeping staff trained in infection control, and kitchen staff trained in food safety protocols.

(bf) "Reconstruction" means the reconfiguration of a space that affects an exit or a corridor shared by more than one occupant space, or the reconfiguration of a space such that the rehabilitation work area is not permitted to be occupied because existing means of egress and fire protection systems, or their equivalent, are not in place or continuously maintained.

(bg) "Register" means the point in time when a patient has been accepted by a licensee for the provision of services.

(bh) "Rehabilitation" means any of the following undertaken in an existing building or mobile vehicle, as defined in this section:

(bi) "Renovation" means the replacement in kind, strengthening, or upgrading of building elements, materials, equipment or fixtures that do not result in a reconfiguration of the building spaces within.

(bj) "Repair" means the patching, restoration, or painting of materials, elements, equipment or fixtures for the purpose of maintaining such materials, elements, equipment, or fixtures in good or sound condition.

(bk) "Reportable incident" means an occurrence of any of the following while the patient is either in the NEWCC or in the care of NEWCC personnel:

(bl) "Security provisions" means locked when not in use.

(bm) "Stabilize" means to provide medical care to allow the patient or patient to be moved or transferred to another facility.

(bn) "Volunteer" means an unpaid person who assists with the provision of personal care services, food services, or activities, and who does not provide direct care or assist with direct care. This term does not include visitors or those persons who provide religious services or entertainment.