Ariz. Admin. Code § 9-25-203

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-25-203 - ALS Base Hospital General Requirements (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), and 36-2204(5), (6), and (7))

A. A person shall not operate as an ALS base hospital without certification from the Department.

B. The Department shall certify an ALS base hospital if the applicant:

1. Is:

a. Licensed as a general hospital under 9 A.A.C. 10, Article 2; or

b. A facility operated as a hospital in this state by the United States federal government or by a sovereign tribal nation;

2. Maintains at least one current written agreement described in A.R.S. § 36-2201(4);

3. Has not been decertified as an ALS base hospital by the Department within five years before submitting the application;

4. Submits an application that is complete and compliant with the requirements in this Article; and

5. Has not knowingly provided false information on or with an application required by this Article.

C. The Department may certify as an ALS base hospital a special hospital, which is licensed under 9 A.A.C. 10, Article 2 and provides surgical services and emergency services only to children, if the applicant:

1. Meets the requirements in subsection (B)(2) through (5);

2. Provides administrative medical direction or on-line medical direction only for patients who are children; and

3. Ensures that:

a. Administrative medical direction is provided by a physician who meets the requirements in R9-25-201(A)(1); and

b. On-line medical direction is provided by a physician who meets one of the following:

i. Meets the requirements in R9-25-202(B)(1),

ii. Has board certification in pediatric emergency medicine from either the American Board of Pediatrics or the American Board of Emergency Medicine, or

iii. Is board eligible in pediatric emergency medicine.

D. An ALS base hospital certificate is valid only for the name and address listed by the Department on the certificate.

E. At least every 36 months after certification, the Department shall assess an ALS base hospital to determine ongoing compliance with the requirements of this Article.

F. The Department may inspect an ALS base hospital according to A.R.S. § 41-1009:

1. As part of the substantive review time-frame required in A.R.S. §§ 41-1072 through 41-1079; or

2. As necessary to determine compliance with the requirements of this Article.

G. If the Department determines that an ALS base hospital is not in compliance with the requirements in this Article, the Department may:

1. Take an enforcement action as described in R9-25-207; or

2. Require that an ALS base hospital submit to the Department, within 15 days after written notice from the Department, a corrective action plan to address issues of compliance that do not directly affect the health or safety of a patient that:

a. Describes how each identified instance of non-compliance will be corrected and reoccurrence prevented, and

b. Includes a date for correcting each instance of non-compliance that is appropriate to the actions necessary to correct the instance of non-compliance.

Ariz. Admin. Code § R9-25-203

Adopted effective October 15, 1996 (Supp. 96-4). Section repealed; new Section made by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 25 A.A.R. 953, effective 7/1/2019.