R432-105. Specialty Hospital - Orthopedic  


R432-105-1. Legal Authority
Latest version.

This rule is adopted pursuant to Title 26, Chapter 21.


R432-105-2. Purpose
Latest version.

The purpose of this rule is to promote the public health and welfare through the establishment and enforcement of licensure standards. This rule sets standards for the operation and maintenance of an orthopedic specialty hospital.


R432-105-3. Time for Compliance
Latest version.

All Orthopedic Specialty hospitals shall be licensed and in full compliance with R432-105.


R432-105-4. Definitions
Latest version.

(1) Refer to Common Definitions in R432-1-3.

(2) Special definitions.

(a) "Orthopedic Specialty Hospital" means a specialty hospital that provides evaluation, diagnosis, and treatment of individuals with a primary diagnosis of musculoskeletal disorders and injuries as defined in the Orthopaedic ICD-9-CM.

(b) "Donor center" means a facility that procures, prepares, processes, stores and transports blood and blood components.

(c) "Transfusion service" means a facility that may prepare blood components, but also stores, determines compatibility, transfuses blood and blood components and monitors transfused patients for any ill effect.

(d) "Blood bank" means a facility that combines the functions of a donor center and transfusion service within the same facility.

(3) See definition of "specialty hospital", R432-101-4(2).


R432-105-5. Licensure
Latest version.

License required. Refer to R432-2.


R432-105-6. General Construction Rules
Latest version.

Refer to R432-11. Orthopedic Specialty Hospital Construction Rule.


R432-105-7. Organization and Staff
Latest version.

The following services and policies shall comply with R432-100:

(1) Administrator, R432-100-6.

(2) Medical and Professional Staff, R432-100-7.

(3) Nursing Care Services, R432-100-12.

(4) Personnel Management Service, R432-100-8.

(5) Infection Control, R432-100-10.

(6) Quality Improvement Plan, R432-100-9.

(7) Patient Rights, R432-100-11.

(8) Governing Body, R432-100-5.


R432-105-8. Admission Policy
Latest version.

An orthopedic specialty hospital is limited to serving patients that meet the following criteria:

(1) Each patient shall have a primary admitting diagnosis that requires evaluation, diagnosis and treatment of a musculoskeletal disorder or injury, as defined in the Orthopaedic ICD-9-CM, the International Classification of Diseases, 9th Edition, Clinical Modification, Expanded, published by the American Academy of Orthopaedic Surgeons which is adopted and incorporated by reference and;

(2) There is a reasonable expectation that the patient's needs can be met by the services provided by the orthopedic specialty hospital.


R432-105-9. Clinical Services
Latest version.

The following services shall comply with R432-100:

(1) Surgical Services, R432-100-14.

(2) Critical Care Unit, R432-100-13.

(3) Outpatient Services, R432-100-28.

(4) Pediatric Services, R432-100-18.


R432-105-10. Emergency Services
Latest version.

(1) Each specialty hospital shall have the ability to provide emergency first aid treatment to patients, staff, visitors, and to persons who may be unaware of or unable to immediately reach services in other facilities.

(2) Provisions shall include a treatment room, storage for supplies and equipment, provisions for reception and control of patients, convenient patient toilet room, and communication access to a poison control center.

(3) Additional Emergency Services.

Any additional or expanded emergency services offered shall comply with the provisions of the appropriate sections of R432-100-16.


R432-105-11. Complementary Services
Latest version.

The following services shall comply with R432-100:

(1) Anesthesia Services, R432-100-15.

(2) Blood Services, R432-100-23.

(3) Laboratory and Pathology, R432-100-22.

(4) Pharmacy, R432-100-24.

(5) Radiology, R432-100-21.

(6) Respiratory Care, R432-100-19.

(7) Social Services, R432-100-25.


R432-105-12. Ancillary Services
Latest version.

The following services shall comply with R432-100:

(1) Central Supply, R432-100-34.

(2) Dietary, R432-100-31.

(3) Laundry, R432-100-35.

(4) Medical Records, R432-100-33.

(5) Emergency and Disaster Plans, R432-100-38.

(6) Maintenance Services, R432-100-37.

(7) Housekeeping Services, R432-100-36.


R432-105-13. Penalties
Latest version.

Any person who violates any provision of this rule may be subject to the penalties enumerated in 26-21-11 and R432-3-6 and be punished for violation of a class A misdemeanor as provided in 26-21-16.