<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.05.04.01" title_num="10" subtitle_num="05" chapter_num="04" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>"Center administrator" means an individual appointed by the governing body who is responsible for the center's daily operation and the duties set forth in Regulation .04 of this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Certified nursing assistant—dialysis technician (CNA-DT)” means an individual certified by the Maryland Board of Nursing as a certified nursing assistant—dialysis technician (CNA-DT).</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Chief executive officer” means an individual who meets the requirements set forth in 42 CFR §405.2102, as amended, which is incorporated by reference.</text>
    </paragraph>
    <paragraph num="(3-1)">
      <text>“In-center daytime hemodialysis” means a hemodialysis treatment that:</text>
      <paragraph num="(a)">
        <text>Usually lasts 3 to 5 hours;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is performed on a routine basis, usually three times a week, to treat a chronic condition; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is provided in a kidney dialysis center during daytime hours.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3-2)">
      <text>“In-center nocturnal hemodialysis” means a hemodialysis treatment that:</text>
      <paragraph num="(a)">
        <text>Lasts 6 to 9 hours;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is performed on a routine basis, usually three times a week, to treat a chronic condition; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is provided in a kidney dialysis center.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3-3)">
      <text>“Interdisciplinary team (IDT)” means a multidisciplinary team:</text>
      <paragraph num="(a)">
        <text>Consisting of, at a minimum:</text>
        <paragraph num="(i)">
          <text>The patient or the patient’s designee, if the patient chooses;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A registered nurse;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A physician;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>A nurse practitioner or physician assistant treating the patient for ESRD;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>A social worker; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>A dietitian; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Whose professional members have dialysis experience.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Kidney Dialysis Center.</text>
      <paragraph num="(a)">
        <text>“Kidney dialysis center” means a facility that provides hemodialysis or chronic peritoneal dialysis.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Kidney dialysis center” does not include a center or service owned or operated by a hospital and regulated under Health-General Article, Title 19, Subtitle 2, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Patient comprehensive assessment” means an individualized comprehensive assessment that reflects the patient’s psychological, social, medical, dietary, and rehabilitation needs and identifies the care required to meet those needs as well as individualized modifications in the approaches required to meet the patient’s goals.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Patient plan of care” means a written plan that includes all of the care, services, and treatment interventions the interdisciplinary team decides to implement to meet the specific needs of the patient.</text>
    </paragraph>
  </paragraph>
</regulation>