6 Colo. Code Regs. § 1011-1 Chapter 13, pt. 2

Current through Register Vol. 47, No. 22, November 25, 2024

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

2.1 "Ancillary staff" means all other clinical staff not elsewhere defined who are involved in the care of the patient.

2.2 "Anesthesia services" means procedural sedation or regional anesthesia used during the course of providing treatment.

2.3 "Department" means the Colorado Department of Public Health and Environment.

2.4 "Denial of care" means any refusal by an FSED 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.

2.5 "Emergency medical condition" means a medical condition that manifests itself by acute symptoms of sufficient severity, including severe pain, that a prudent layperson with an average knowledge of health and medicine could reasonably expect, in the absence of immediate medical attention, to result in: serious jeopardy to the health of the individual or, with respect to a pregnant woman, the health of the woman or her unborn child; or serious impairment to bodily functions; or serious dysfunction of any bodily organ or part.

2.6 "Emergency services" means the treatment of patients arriving by any means who have behavioral health or medical conditions, traumatic injury, or acute illness that if not treated immediately could result in loss of life, loss of limb, or permanent disability.

2.7 "EMS 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.

2.8 "Freestanding emergency department," referred to herein as FSED, means:

(A) A health facility that offers emergency care and that may offer primary and urgent care services and that is either:

(1) Owned or operated by, or affiliated with, a hospital or hospital system and located more than two hundred fifty yards from the main campus of the hospital; or

(2) Independent from and not operated by or affiliated with a hospital or hospital system and not attached to or situated within two hundred fifty yards of, or contained within, a hospital.

(B) The term freestanding emergency department does not include a health facility that was licensed by the Department pursuant to Section 25-1.5-103 C.R.S. as a community clinic prior to July 1, 2010, if the facility is serving a rural community or a ski area, as defined in 6 CCR 1011-1, Chapter 9 - Community Clinics.

2.9 "Governing body" means the board of trustees, directors, or other governing entity in whom the ultimate authority and responsibility for the conduct of the FSED is vested.

2.10 "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.

2.11 "Patient" means any person receiving services from the FSED.

2.12 "Primary care services" means outpatient health care services that include: comprehensive assessment at first contact; evaluation and treatment of health care concerns; referrals to specialists as appropriate; and planned continuing routine care including coordination with specialists. Primary care services include preventive health services, including, but not limited to: health education, behavioral health, well child services, and immunizations.

2.13 "Provider" in this Chapter 13, means a medical doctor, doctor of osteopathy, advanced practice nurse, or physician assistant.

6 CCR 1011-1 Chapter 13, pt. 2

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