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<regulation prefix="Regulation" num=".12" citation="COMAR 10.11.03.12" title_num="10" subtitle_num="11" chapter_num="03" heading="Conditions of Hospital Participation.">
  <text>A hospital shall:</text>
  <paragraph num="A.">
    <text>Comply with all relevant State and federal requirements related to the provision of health services and the receipt of funds;</text>
  </paragraph>
  <paragraph num="B.">
    <text>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;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Be accredited by the Joint Commission for Accreditation of Hospitals; and</text>
  </paragraph>
  <paragraph num="D.">
    <text>Provide the following services:</text>
    <paragraph num="(1)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>The ongoing care of a child; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Directing the development of the CMP and other appropriate care plans;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Pediatric physician supervision on a full-time or part-time basis to assist with:</text>
      <paragraph num="(a)">
        <text>Diagnostic evaluations;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Care planning and treatment; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Coordination with others involved in the development of the CMP;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Surgical services, which shall have, as a minimum:</text>
      <paragraph num="(a)">
        <text>Anesthesiologists trained and experienced in the management of pediatric patients; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An appropriate recovery area which is staffed by personnel qualified in pediatrics and equipped with appropriate types and sizes of supplies and equipment;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Available consultation in other specialty areas for the cases being treated;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Other specialized support services, which shall include, but not be limited to, the following as appropriate:</text>
      <paragraph num="(a)">
        <text>Audiology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Nutrition;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Occupational therapy;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Physical therapy;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Psychiatry;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Psychology;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Social work services; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Speech-language pathology;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>An ongoing inpatient educational program for school-age children, which is approved by the State Department of Education, when long-term hospitalization is required;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Discharge planning procedures designed to maximize a child's recovery and rehabilitation, which shall include the following:</text>
      <paragraph num="(a)">
        <text>Predischarge planning activities to include all appropriate staff and representatives of other agencies involved or indicated;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Parental counseling regarding a child's medical and social needs after the child's release; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Medical care planning resulting from input of the professionals concerned with a child's treatment;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>A discharge summary, which shall include as a minimum, the following:</text>
      <paragraph num="(a)">
        <text>Medications, primary and secondary diagnoses, hospital course, procedures performed, and complications;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Special equipment and other home care needs; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Follow-up plans including special transportation needs, if applicable;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Suitable recreational facilities for children;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Facilities to isolate children with communicable diseases or other conditions requiring isolation or separation;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Access to appropriate clinical laboratory facilities providing specialized diagnostic and treatment equipment, including radiological and nuclear medicine equipment; and</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Outpatient facilities to provide follow-up care.</text>
    </paragraph>
  </paragraph>
</regulation>