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<regulation prefix="Regulation" num=".01" citation="COMAR 10.07.08.01" title_num="10" subtitle_num="07" chapter_num="08" 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>“Accredited hospital” means a hospital accredited by the Joint Commission on Accreditation of Healthcare Organizations.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“ACEP” means the American College of Emergency Physicians.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Affiliated hospital” means a hospital that operates and provides ancillary and support services to the freestanding medical facility.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Certified medical radiation technologist” means an individual who is certified by the Board of Physicians to practice medical radiation technology in this State.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Credentialing process” means the process by which a hospital:</text>
      <paragraph num="(a)">
        <text>Verifies qualifications of a physician;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Delineates clinical privileges of a physician; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Monitors performance of a physician.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity including severe pain, psychiatric disturbances, and symptoms of substance abuse such that the absence of immediate medical attention could result in:</text>
      <paragraph num="(a)">
        <text>Placing the health of the individual in serious jeopardy;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Placing the health of a pregnant woman or unborn child in serious jeopardy;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Serious impairment to any bodily function;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Serious dysfunction of any bodily organ or part; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>With respect to a pregnant woman who is having contractions:</text>
        <paragraph num="(i)">
          <text>Inadequate time to effect a safe transfer to another hospital before delivery; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The transfer posing a threat to the health or safety of the woman or the unborn child.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>“Freestanding medical facility” means a facility:</text>
      <paragraph num="(a)">
        <text>In which medical and health services are provided;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>That is physically separated from a hospital or hospital grounds; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>That is an administrative part of a hospital or related institution.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Hospital” means an institution that:</text>
      <paragraph num="(a)">
        <text>Has a group of at least five physicians who are organized as a medical staff for the institution;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintains facilities to provide, under the supervision of the medical staff, diagnostic and treatment services for two or more unrelated individuals; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Admits or retains the individuals for overnight care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Joint Commission on Accreditation of Healthcare Organizations” means the voluntary national healthcare accreditation service recognized for Medicare certification purposes by Public Law 89-97.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“License” means a document issued by the Secretary to operate a freestanding emergency medical facility in this State.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Licensed independent practitioner” means any individual permitted by law and by the facility to provide care and services without direction or supervision within the scope of the individual's license and consistent with individually granted clinical privileges.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Physician” means an individual who is licensed by the Board of Physicians to practice medicine in this State.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Registered nurse” means an individual who is licensed by the Board of Nursing to practice registered nursing in this State.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Related institution” means a facility as defined under Health-General Article, §19-301(o), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Secretary” means the Secretary of Health.</text>
    </paragraph>
  </paragraph>
</regulation>