Regulation .12 Conditions of Hospital Participation.
Regulation .12 Conditions of Hospital Participation.LinkCopy Citation
A hospital shall:
A.
Comply with all relevant State and federal requirements related to the provision of health services and the receipt of funds;
B.
Be licensed by the Department pursuant to the Hospital and Related Institutions subtitle, Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland, as a hospital, and be licensed, as may be required, by other applicable State and local laws;
C.
Be accredited by the Joint Commission for Accreditation of Hospitals; and
D.
Provide the following services:
(1)
A physician specialist who is qualified in the area of need for which a recipient is hospitalized, and who shall supervise and be involved in:
(a)
The ongoing care of a child; and
(b)
Directing the development of the CMP and other appropriate care plans;
(2)
Pediatric physician supervision on a full-time or part-time basis to assist with:
(a)
Diagnostic evaluations;
(b)
Care planning and treatment; and
(c)
Coordination with others involved in the development of the CMP;
(3)
Nursing services provided by a qualified nurse who has academic preparation and work experience in the care of children, including the specialty area of the condition to be treated;
(4)
Surgical services, which shall have, as a minimum:
(a)
Anesthesiologists trained and experienced in the management of pediatric patients; and
(b)
An appropriate recovery area which is staffed by personnel qualified in pediatrics and equipped with appropriate types and sizes of supplies and equipment;
(5)
Available consultation in other specialty areas for the cases being treated;
(6)
Other specialized support services, which shall include, but not be limited to, the following as appropriate:
(a)
Audiology;
(b)
Nutrition;
(c)
Occupational therapy;
(d)
Physical therapy;
(e)
Psychiatry;
(f)
Psychology;
(g)
Social work services; and
(h)
Speech-language pathology;
(7)
An ongoing inpatient educational program for school-age children, which is approved by the State Department of Education, when long-term hospitalization is required;
(8)
Discharge planning procedures designed to maximize a child's recovery and rehabilitation, which shall include the following:
(a)
Predischarge planning activities to include all appropriate staff and representatives of other agencies involved or indicated;
(b)
Parental counseling regarding a child's medical and social needs after the child's release; and
(c)
Medical care planning resulting from input of the professionals concerned with a child's treatment;
(9)
A discharge summary, which shall include as a minimum, the following:
(a)
Medications, primary and secondary diagnoses, hospital course, procedures performed, and complications;
(b)
Special equipment and other home care needs; and
(c)
Follow-up plans including special transportation needs, if applicable;
(10)
A separate area for a child, with provisions made for a parent or guardian to stay 24 hours, and nonrestrictive visiting hours for a parent or guardian;
(11)
Suitable recreational facilities for children;
(12)
Facilities to isolate children with communicable diseases or other conditions requiring isolation or separation;
(13)
Access to appropriate clinical laboratory facilities providing specialized diagnostic and treatment equipment, including radiological and nuclear medicine equipment; and
(14)
Outpatient facilities to provide follow-up care.