<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.05.05.09" title_num="10" subtitle_num="05" chapter_num="05" heading="Hospitalization.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Procedures for emergency transfer to a hospital shall include, at a minimum:</text>
    <paragraph num="(1)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Having a mechanism for notifying the hospital of a pending emergency case;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Having a mechanism for arranging appropriate transportation to the hospital; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The manner in which a facility sends a copy of the patient's medical record to the hospital.</text>
    </paragraph>
  </paragraph>
</regulation>