Ala. Admin. Code r. 420-2-3-.02
Current through Register Vol. 43, No. 1, October 31, 2024
Section 420-2-3-.02 - Health Care Center Designations For Stroke(1) Types of Designation. (a) Regular Designation. A regular designation may be issued by the Board after it has determined that an applicant hospital has met all requirements to be designated as a stroke center at the level applied for and is otherwise in substantial compliance with these rules.(b) Provisional Designation. At its discretion, the Board may issue a provisional designation to an applicant hospital that has met all requirements to be designated as a stroke center at the level applied for, except for minor deviations from those requirements that do not impact patient care or the operation of a stroke region.1. The provisional designation may be used for an initial designation or for an interim change in designation status to a lower level due to a stroke center's temporary loss of a component necessary to maintain a higher designation level.2. A stroke center must submit a written corrective action plan and interim operation plan for the provisional designation period including a timeline for corrective action to the Department within 30 days of receiving a provisional designation.3. A provisional designation shall not extend beyond 15 months.4. A stroke center may submit a written request to the Department that a provisional designation be removed once all components of its corrective plan have been achieved. Following its receipt of such a request, the Department will conduct a focused survey of the stroke center. A regular designation shall be granted in the event it is confirmed that all components of the corrective plan have been achieved.(2) Levels of Designation. There shall be four levels of stroke center designation. The criteria of each level are set out in Appendix A.(3) Designation Certificates. (a) A designation certificate will be issued after an applicant hospital has successfully completed the application and inspection process. The designation certificate issued by the Department shall set forth the name, location, level of designation, and the expiration date.(b) Separate Designations. A separate designation certificate shall be required for each separately licensed hospital when more than one hospital is operated under the same management or owner.(4) Memorandum of Understanding. (a) A memorandum of understanding (MOU) must be executed after the hospital has successfully completed the application and inspection process. The MOU shall be prepared by the Department. It shall set forth the name and location of the stroke center and the type and level of designation.(b) Separate MOUs. A separate MOU shall be required for each separately licensed hospital when more than one hospital is operated under the same management or owner.(5) Basis for Denial. The Board shall deny a hospital application of stroke center designation for the following: (a) If the application remains incomplete after an opportunity for correction has been made.(b) If the applicant hospital has failed to meet the stroke center designation criteria as determined during an inspection.(6) Suspension, Modification, or Revocation of a Designation. (a) A stroke center's designation may be suspended, modified, or revoked by the Board for an inability or refusal to comply with these rules or the executed MOU.(b) The Board's denial, suspension, modification, or revocation of a stroke center designation shall be governed by the Alabama Administrative Procedure Act, § 41-22-1, et seq., Ala. Admin. Code.(c) Contested case hearings shall be provided in accordance with the Alabama Administrative Procedure Act, §4122-1, et seq., and the Board's Contested Case Hearing Rules, Chapter 420-1-3, Ala. Admin. Code.(d) Informal settlement conferences may be conducted as provided by the Board's Contested Case Hearing Rules, Chapter 420-1-3, Ala. Admin. Code.Ala. Admin. Code r. 420-2-3-.02
Adopted by Alabama Administrative Monthly Volume XXXV, Issue No. 11, August 31, 2017, eff. 9/30/2017.Adopted by Alabama Administrative Monthly Volume XL, Issue No. 04, January 31, 2022, eff. 3/17/2022.Authors: William Crawford, M.D.; Jamie Gray
Statutory Authority:Code of Ala. 1975, § 22-11D-1, et seq.