New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter V - Medical Facilities
Subchapter A - Medical Facilities-minimum Standards
Article 2 - Hospitals
Part 407 - Primary Care Hospitals-minimum Standards
Section 407.3 - Scope of service
Universal Citation: 10 NY Comp Codes Rules and Regs ยง 407.3
Current through Register Vol. 46, No. 39, September 25, 2024
(a) PCHs and CAHs shall provide initial diagnostic services, a limited range of therapeutic services, resuscitation and stabilization services, and shall have the ability to arrange transport to other more appropriate facilities for patients in need of services not offered at the PCH/CAH.
(b) A PCH/CAH shall provide a minimum set of core services to meet patient needs, including:
(1) primary care: inpatient and ambulatory
services;
(2) inpatient
non-surgical clinical services;
(3)
emergency services sufficient to handle a range of urgent and limited emergent
care needs;
(4) laboratory
services;
(5) imaging services;
and
(6) pharmacy
services.
(c) PCHs and CAHs may provide, subject to the approval of the commissioner, one or more of the optional services listed in section 407.14 of this Part.
(d) PCHs and CAHs shall:
(1) participate in the development and
implementation of an emergency medical services plan that is suitable to meet
the needs of the rural area in which the hospital is located. If the PCH or CAH
is a member of a rural health network, such plan shall be a component of the
network plan. The emergency medical services plan shall be developed in
conjunction with the existing local EMS system and service delivery providers.
In the event that the PCH or CAH is a member of a rural health network, the
plan shall reflect the agreement of all appropriate providers in the
network;
(2) install and maintain a
radio operated or dedicated phone line (call box) outside the PCH/CAH to
provide continuous contact with medical control and appropriate providers of
advice and/or emergency transport for patients that may arrive after
hours;
(3) develop written policies
and protocols for medical control. Such protocols shall be developed in
conjunction with appropriate area or network providers, entities providing
medical control services, be consistent with area and regional EMS protocols
and be approved by the area Regional Emergency Medical Advisory Committee
(REMAC);
(4) educate the community
about the role of the hospital in meeting community health and health related
needs including, but not limited to:
(i) the
types of services provided at the hospital and, if applicable, within the
network;
(ii) the hours of
operation, which shall be posted publicly in the rural area served by the
hospital and made available to the designated medical control facility for the
area in which the hospital operates; and
(iii) changes in hours of operation, which
shall be publicly posted and implemented only after a reasonable notification
period to insure the rural area has had ample warning of the changes;
and
(5) support and
participate in any communication system that may be available for the area
served by the PCH/CAH and the general hospital(s) with which it has a formal
affiliation pursuant to section
407.1 of this Part. Such
communication system may include but shall not be limited to electronic sharing
of patient data, telemetry, and medical records as well as cellular and other
radio transmission devices for providing immediate communication links with
medical control, back-up services and transport systems;
(6) CAHs shall have the following additional
agreements:
(i) patient referral and transfer
with its supporting hospital(s);
(ii) the provision of emergency and
non-emergency transportation between the CAH and its supporting hospital(s)
pursuant to the provisions of section
407.12 of this Part; and
(iii) credentialing and quality assurance
activities with the CAH's support hospital(s) pursuant to the provisions of
section 407.6 of this Part.
(e) PCHs and CAHs shall comply with construction standards contained in Article 2, Subchapter C (Medical Facility Construction) of this Title.
Disclaimer: These regulations may not be the most recent version. New York 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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