# COMAR Title 10 — Maryland Department of Health

## Subtitle 05 — Freestanding Ambulatory Care Facilities

### Chapter 05 — Freestanding Ambulatory Surgical Facilities

#### Regulation .09 Hospitalization.

*COMAR 10.05.05.09*

A. The freestanding ambulatory surgical facility shall have an effective procedure for the transfer of patients to a hospital when care beyond the capabilities of the facility is required.

B. Procedures for emergency transfer to a hospital shall include, at a minimum:

  (1) Having a written transfer agreement with a local Medicare participating hospital or requiring all physicians, dentists, or podiatrists performing surgery in the freestanding ambulatory surgical facility to have admitting privileges at such a hospital;

  (2) Having a mechanism for notifying the hospital of a pending emergency case;

  (3) Having a mechanism for arranging appropriate transportation to the hospital; and

  (4) The manner in which a facility sends a copy of the patient's medical record to the hospital.