6 Colo. Code Regs. § 1011-1 Chapter 04, pt. 2

Current through Register Vol. 47, No. 20, October 25, 2024

Part 2 - [Effective 10/15/2024] DEFINITIONS

2.1 "Auxiliary personnel" means any certified or licensed professional working under the supervision of a registered nurse or other individual authorized by law to do so.

2.2 "Campus" means the physical areas immediately adjacent to the hospital's main building(s), other areas and structures that are not strictly contiguous to the main building(s) but are located within 250 yards of the main building(s), and any other areas determined by the Department, on an individual case basis, to be part of the hospital's campus.

2.3 "Care plan" means a plan of care, treatment, and services designed to meet the needs of the patient.

2.4 "Clinical staff nurse" means a practical nurse or registered professional nurse licensed pursuant to Article 255 of Title 12 who provides direct care to patients.

2.5 "Critical care unit" means a designated area of the hospital providing specialized facilities and services to care for patients who require continuing, acute observation and concentrated, highly proficient care.

2.6 "Denial of care" means any refusal by a hospital to provide a health-care service, or to provide a referral for a health-care service, for nonmedical reasons. It includes the following practices, whether based on formal or informal policies or practices that are not based on generally accepted standards of care:

(A) Selective refusal to provide a health-care service to some, but not all, patients based on a characteristic described in Section 24-34-601(2)(a), C.R.S.,

(B) Objections to a health-care service,

(C) Or for other nonmedical reasons; and

(D) A significant restriction on the availability of health-care services.

2.7 "Department" means the Department of Public Health and Environment.

2.8 "Dietary services equipment" means an article used in the operation of dietary services, such as, but not limited to a freezer, grinder, hood, ice maker, oven, mixer, range, slicer, or ware-washing machine. "Dietary services equipment" does not include items used for handling or storing large quantities of packaged foods received from a supplier in a cased or over-wrapped lot, such as forklifts, hand trucks, dollies, pallets, racks and skids.

2.9 "Emergency Medical Services provider" means an individual who holds a valid emergency medical service provider certificate or license issued by the Department and includes Emergency Medical Technician, Advanced Emergency Medical Technician, Emergency Medical Technician Intermediate, and Paramedic. An Emergency Medical Services Provider is referred to in this chapter 4 as an EMS provider.

2.10 "Food-contact surfaces" means those surfaces of equipment and utensils with which food normally comes in contact, and those surfaces from which food may drain, drip, or splash back onto surfaces in contact with food. This excludes ventilation hoods.

2.11 "General hospital" means a health facility that, under an organized medical staff, offers and provides inpatient services, emergency medical and emergency surgical care, continuous nursing services, and necessary ancillary services, to individuals for the diagnosis or treatment of injury, illness, pregnancy, or disability, twenty-four (24) hours per day, seven (7) days per week.

(A) A general hospital may offer and provide, but is not limited to, outpatient, preventive, therapeutic, surgical, diagnostic, rehabilitative, or any other supportive services for periods of less than twenty-four (24) hours per day.

(B) Services provided by a general hospital may be provided directly or by contractual agreement. Direct inpatient services shall be provided on the licensed premises of the general hospital.

(C) A general hospital may provide services on its campus and on off-campus locations.

(D) Non-direct care services (such as billing functions) necessary for the successful operation of the hospital that are not on the hospital campus may be incorporated under the license.

2.12 "Governing body" means the board of trustees, directors, or other body in whom the ultimate authority and responsibility for the conduct of the hospital is vested.

2.13 "Licensed Hospital unit" means a physical portion of a licensed or certified general hospital, psychiatric hospital, or rehabilitation hospital which is leased or otherwise occupied pursuant to a contractual agreement by a person other than the licensee of the host facility for the purpose of providing outpatient or inpatient services.

2.14 "Inpatient care unit" means a designated area of the hospital that provides a bedroom or a grouping of bedrooms with respective supporting facilities and services to meet the care and clinical management needs of inpatients; and that is thereby planned, organized, operated, and maintained to function as a separate and distinct unit.

2.15 "Intensive care unit" means a designated area of the hospital that provides specialized treatment to patients who are acutely unwell and require critical medical care and increased supervision and/or monitoring.

2.16 "Investigational drug" means a new drug or biological drug that is used in a clinical investigation. The term also includes a biological product that is used in vitro for diagnostic purposes. The terms "investigational drug" and "investigational new drug" are deemed to be synonymous.

2.17 "Licensed independent practitioner" means an individual permitted by law and the hospital to independently diagnose, initiate, alter, or terminate health care treatment within the scope of their license.

2.18 "Medical Staff" means the organized body that is responsible for the quality of medical care provided to patients by the hospital. The medical staff must be composed of doctors of medicine or osteopathy. The medical staff may also include other categories of physicians and nonphysician practitioners who are determined to be eligible for appointment by the governing body.

2.19 "Nonmedical reasons" means nonclinical criteria, rules, or policies, whether written or unwritten, that restrict health-care professionals at a covered entity from providing types of care that a health-care professional is authorized under law to provide and that the covered entity is licensed to provide.

2.20 "Nurse aide" means a person certified pursuant to Article 255 of Title 12 to practice as a nurse aide who provides direct care to patients or who works in an auxiliary capacity under the supervision of a registered nurse.

2.21 "Off-Campus Location" means a facility that meets all of the following criteria:

(A) Whose operations are directly or indirectly owned or controlled by, in whole or in part, or affiliated with a hospital, regardless of whether the operations are under the same governing body as the hospital;

(B) That is located more than two hundred fifty (250) yards from the hospital's main campus;

(C) That provides services that are organizationally and functionally integrated with the hospital;

(D) That is an outpatient facility providing preventative, diagnostic, treatment, or emergency services; and

(E) That is not otherwise subject to regulation under 6 CCR 1011-1.

2.22 "Pharmacist" means a person licensed by the Colorado State Board of Pharmacy as a pharmacist.

2.23 "Recreational therapy" is the use of treatment, education, and recreation to help psychiatric patients develop and use leisure in ways that enhance their health, functional abilities, independence, and quality of life.

2.24 "Specialty hospital" means a hospital that:

(A) Limits admission according to age, type of disease, or medical condition;

(B) Does not maintain a dedicated emergency department; and

(C) Is not otherwise eligible for licensure under 6 CCR 1011-1.

2.25 Staffed-Bed Capacity" Means the total number of all staffed acute care inpatient beds as defined by the department at 6 CCR 1009-5, Regulation 2 - preparations by general or critical access hospitals for an emergency epidemic.

2.26 "Surgical recovery room" means designated room(s) designed, equipped, staffed, and operated to provide close, individual surveillance of patients recovering from acute effects of anesthesia, surgery, and diagnostic procedures.

2.27 "Telehealth" means a mode of delivery of health care services through HIPAA-compliant telecommunications systems, including information, electronic, and communication technologies, remote monitoring technologies, and store-and-forward transfers, to facilitate the assessment, diagnosis, consultation, treatment, education, care management, or self-management of a person's health care.

2.28 "Utensil" means any implement used in the storage, preparation, transportation, or service of food.

6 CCR 1011-1 Chapter 04, pt. 2

47 CR 18, September 25, 2024, effective 10/15/2024