In this Article, unless otherwise specified:
1. "Accredited" means the same as in A.R.S.
§
36-422.
2. "ALTCS" means the Arizona Long-term Care
System established under A.R.S. §
36-2932.
3. "Asset" means the same as "asset" in
generally accepted accounting principles.
4. "Assisted living facility-based
hospice" means a hospice that operates as a part of an assisted living
facility.
5.
4. "Audit" means the
same as "audit" in generally accepted accounting principles.
6.
5.
"Bereavement services" means activities provided by or on behalf of a hospice
to the family or friends of an individual that are intended to comfort the
family or friends before and after the individual's death.
7.
6.
"Building improvement" means an addition to or reconstruction, removal, or
replacement of any portion or component of an existing building that affects
licensed capacity, increases the useful life of an available bed, or enhances
resident safety.
8.
7. "Caseload" means the number of assigned patients
for which an individual working for a hospice is to provide hospice
services.
9.
8. "Certified nursing assistant" means the same as
"nursing assistant" in A.R.S. §
32-1601.
10.
9.
"Chaplain" means an individual trained to offer support, prayer, and spiritual
guidance to a patient and the patient's family.
11.
10. "Continuous care"
means hospice services provided in a patient's residence to a patient who
requires nursing services to be available 24 hours a day.
12.
11.
"Contracted worker" means an individual who:
a. Performs:
i. Hospital services in a hospital,
ii. Nursing services or health-related
services in a nursing care institution,
iii. Hospice services for a hospice,
or
iv. Labor as a medical record
coder or transcriptionist for a hospital; and
b. Is paid by a person with whom the
hospital, nursing care institution, or hospice has a written agreement to
provide hospital services, nursing services, health-related services, hospice
services, or medical record coder or transcriptionist labor.
13.
12. "Covered services" means hospice services that are
provided to an individual by a hospice and are paid for by a payer
source.
14.
13. "Daily census" means a count of the number of
patients to whom hospice services were provided during a 24-hour
period.
15.
14. "Direct care" means services provided to a
resident that require hands-on contact with the resident.
16.
15.
"Direction" means the same as in A.R.S. §
36-401.
17.
16. "Employee" means
an individual other than a contracted worker who works for a health care
institution for compensation and provides or assists in the provision of a
service to patients or residents.
18.
17. "Employee-related
expenses" means costs incurred by an employer to pay for the employer's portion
of Social Security taxes, Medicare taxes, and other costs such as health
insurance.
19.
18. "Equity" means the same as "equity" in generally
accepted accounting principles.
20.
19. "Expense" means
the same as "expense" in generally accepted accounting principles.
21.
20.
"Free-standing" means that a health care institution does not operate as part
of another health care institution.
22.
21. "FTE" means
full-time equivalent position, which is a job for which a health care
institution expects to pay an individual for 2,080 hours per year.
23.
22.
"Generally accepted accounting principles" means the set of financial reporting
standards administered by the Financial Accounting Standards Board, the
Governmental Accounting Standards Board, or other specialized bodies dealing
with accounting and auditing matters.
24.
23. "Health
professional" means the same as in A.R.S. §
32-3201.
25. "Home health agency-based
hospice" means a hospice that operates as part of a home health
agency.
26.
24. "Hospice
administrator" means the chief administrative officer for a hospice.
27.
25.
"Hospice chief financial officer" means an individual who is responsible for
the financial records of a hospice.
28.
26. "Hospice inpatient
facility" means the same as in A.A.C.
R9-10-101.
29.
27.
"Hospice services" means the activities described in A.A.C.
R9-10-612.
30.
28.
"Hospice service agency" means the same as in A.R.S. §
36-401.
31. "Hospital-based hospice" means
a hospice that operates as a part of a hospital.
32.
29.
"Income" means the same as "income" in generally accepted accounting
principles.
33.
30. "Inpatient services" means sleeping accommodations
and assistance, such as personal care and food preparation, provided to a
patient at one of the following health care institutions:
a. A hospice inpatient facility licensed
under 9 A.A.C.
10, Article 6;
c. A nursing care institution licensed under
9 A.A.C.
10, Article 4.
34. "Inpatient surgery" means
surgery that requires a patient to receive inpatient services in a
hospital.
35.
31. "Level of care"
means a designation that indicates the scope of medical services, nursing
services, and health-related services that are provided to a patient or
resident.
36.
32. "Liability" means the same as "liability" in
generally accepted accounting principles.
37.
33. "Licensed nurse"
means a registered nurse practitioner, registered nurse, or practical
nurse.
38.
34. "Licensee" means the same as in
R9-10-101.
39.
35.
"Median length of stay" means the midpoint in the number of patient care days
for all patients who were discharged from a hospice during a specific period of
time.
40.
36. "Medicaid" means a federal health insurance
program, administered by states, for individuals who meet specific income
criteria established, in Arizona, by AHCCCS.
41.
37. "Medical record
coder" means an individual who assigns codes to a patient's diagnoses and
procedures for billing purposes.
42.
38. "Medical record
transcriptionist" means an individual who copies and edits dictation from
medical practitioners into medical records.
43.
39. "Medical records"
mean the same as in A.R.S. §
12-2291.
44.
40.
"Medicare cost report" means the annual financial and statistical documents
submitted to the United States Department of Health and Human Services as
required by Title XVIII of the Social Security Act.
45.
41.
"Medicare-certified" means that a health care institution is authorized by the
United States Department of Health and Human Services to bill Medicare for
services provided to patients or residents who are eligible to receive
Medicare.
46.
42. "Midnight census" means a count of the number of
patients or residents in a health care institution at 12:00 a.m.
47.
43.
"Net assets" means the same as "net assets" in generally accepted accounting
principles.
48.
44. "Non-covered ancillary services" means activities,
such as rehabilitation services, laboratory tests, or x-rays, provided to an
individual in a health care institution that are paid for by:
a. A payer source other than ALTCS,
or
b. ALTCS to an entity that is
not a health care institution.
49.
45. "Nursery patient" means a newborn who was born in
a hospital and not admitted to a type of bed that is counted toward the
hospital's licensed capacity.
50. "Nursing care
institution-based hospice" means a hospice that operates as a part of a nursing
care institution.
51.
46. "Nursing
personnel" means the individuals authorized by a health care institution to
provide nursing services to a patient or resident.
52.
47. "Occupancy rate"
means the midnight census divided by the number of available beds, expressed as
a percent.
53.
48. "Operating expense" means the same as "operating
expense" in generally accepted accounting principles.
54.
49.
"Outpatient hospice services" means hospice services provided at a location
outside a hospice inpatient facility.
55. "Outpatient surgery" means
surgery that does not require a patient to receive inpatient services in a
hospital.
56.
50. "Owner" means the
same as in A.A.C.
R9-10-101.
57.
51.
"Patient care day" means a calendar day during which a hospice provides hospice
services to a patient.
58.
52. "Patient day"
means a period during which a patient received inpatient services with:
a. The time between the midnight census on
two successive calendar days counting as one period, and
b. The day of discharge being counted only
when the patient is admitted and discharged on the same
day.
59.
53. "Person" means the same as in A.R.S. §
41-1001.
60.
54.
"Practical nurse" means an individual licensed under A.R.S. Title 32, Chapter
15, Article 2, to practice practical nursing, as defined in A.R.S. §
32-1601.
61.
55.
"Registered nurse" means an individual licensed under A.R.S. Title 32, Chapter
15, Article 2, to practice professional nursing, as defined in A.R.S. §
32-1601.
62.
56.
"Rehabilitation services" means the same as in A.A.C.
R9-10-101.
63.
57.
"Resident day" means a period during which a resident received nursing services
or health-related services provided by a nursing care institution with:
a. The time between the midnight census on
two successive calendar days counting as one period, and
b. The day of discharge being counted only
when the resident is admitted and discharged on the same day.
64.
58. "Respite care services" means the same as in
A.R.S. §
36-401.
65.
59. "Revenue" means
the same as "revenue" in generally accepted accounting principles.
66.
60.
"Routine home care" means hospice services provided in a patient's residence to
a patient who does not require nursing services to be available 24 hours a
day.
67.
61. "Rural" means the same as in A.R.S. §
36-2171.
68.
62.
"Self-pay" means that charges for hospice services are billed to an
individual.
69.
63. "Social worker" means an individual licensed
according to A.R.S. §§
32-3291,
32-3292, or
32-3293.
70.
64.
"Statement of cash flows" means the same as "statement of cash flows" in
generally accepted accounting principles.
71.
65. "Surgery" means
the excision of a part of a patient's body or the incision into a patient's
body for the correction of a deformity or defect; repair of an injury; or
diagnosis, amelioration, or cure of disease.
72.
66. "Turnover rate"
means:
a. For a hospital, a percent
calculated by dividing the number of individuals employed by the hospital who
resign or retire from or are dismissed by the hospital during a reporting
period by the average number of individuals employed during the reporting
period; or
b. For a nursing care
institution, a percent calculated by dividing the number of employees who
resign or retire from or are dismissed by a nursing care institution during a
reporting period by the average number of employees during the reporting
period.
73.
67. "Uniform accounting report" means a document that
meets the requirements of A.R.S. §
36-125.04 and contains the
information required in
R9-11-203 for hospitals,
R9-11-204 for nursing care
institutions, and
R9-11-205 for hospices.
74.
68.
"Unscheduled medical services" means the same as in A.R.S. §
36-401.
75.
69. "Urban" means an
area not defined as "rural."
76.
70. "Urgent care unit"
means a facility under a hospital's license that is:
a. Located within one-half mile of the
hospital, and
b. Designated by the
hospital for the provision of unscheduled medical services for medical
conditions that are of a less critical nature than emergency medical
conditions.
77.
71. "Vacancy rate"
means a percent calculated by dividing the number of unfilled FTEs at the end
of a hospital's reporting period by the sum of the unfilled FTEs and filled
FTEs at the end of the hospital's reporting period.
78.
72. "Volunteer" means
the same as in A.A.C.
R9-10-101.
