A.
To be eligible to obtain designation for a health
care institution, an owner shall:
1.
If applying for designation as a Level I trauma
center:
a.
Comply with one of the following:
i. Hold a current and valid
regular license for the health care institution to operate as a hospital,
issued by the Department under 9 A.A.C. 10, Article 2; or
ii. Be an administrative unit of
the U.S. government or a sovereign tribal nation operating the health care
institution as a hospital under federal or tribal law; and
b.
Comply with one of the following:
i. Hold current verification for
the health care institution as a Level I trauma facility; or
ii. Have current documentation
issued by ACS stating that the health care institution meets the state
standards for a Level I trauma center;
2.
If applying for designation as a Level II trauma
center:
a.
Comply with one of the following:
i. Hold a current and valid
regular license for the health care institution to operate as a hospital,
issued by the Department under 9 A.A.C. 10, Article 2; or
ii. Be an administrative unit of
the U.S. government or a sovereign tribal nation operating the health care
institution as a hospital under federal or tribal law; and
b.
Comply with one of the following:
i. Hold current verification for
the health care institution as a Level II trauma facility; or
ii. Have current documentation
issued by ACS stating that the health care institution meets the state
standards for a Level
II
trauma center;
3.
If applying for designation as a Level III trauma
center:
a.
Comply with one of the following:
i. Hold a current and valid
regular license for the health care institution to operate as a hospital,
issued by the Department under 9 A.A.C. 10, Article 2; or
ii. Be an administrative unit of
the U.S. government or a sovereign tribal nation operating the health care
institution as a hospital under federal or tribal law; and
b.
Comply with one of the following:
i. Hold current verification for
the health care institution as a Level III trauma facility; or
ii. Have current documentation
issued by ACS stating that the health care institution meets the state
standards for a Level
III
trauma center; and
4.
If applying for designation as a Level IV trauma
center:
a.
Comply with one of the following:
i. Hold a current and valid
regular license for the health care institution to operate, issued by the
Department under 9
A.A.C. 10;
or
ii. Be an administrative unit of
the U.S. government or a sovereign tribal nation operating the health care
institution
under federal or tribal law;
and
b.
Comply with one of the following:
i. Hold current verification for
the health care institution as a Level IV trauma facility; or
ii. Demonstrate, during an on-site
survey of the health care institution conducted by the Department as described
in
R9-25-1310, that the health care institution meets the state standards for a Level IV
trauma center.
B.
To be eligible to retain designation for a health
care institution, an owner shall:
1.
Maintain a current and valid regular license for the
health care institution to operate, if applicable; and
2.
Comply with the trauma center responsibilities in
R9-25-1313 .
A. A health care institution is eligible for
designation as a Level I trauma center, Level I Pediatric trauma center, Level
II trauma center, Level II Pediatric trauma center, or Level III trauma center
if the health care institution:
1. Is either:
a. Licensed by the Department under 9 A.A.C.
10 to operate as a hospital; or
b.
Operating as a hospital under federal or tribal law as an administrative unit
of the U.S. government or a sovereign tribal nation; and
2. For designation as a:
a. Level I trauma center:
i. Holds verification, issued within the six
months before the date of designation, as a Level I trauma facility;
ii. Has documentation issued by a national
verification organization, within the six months before the date of
designation, stating that the health care institution meets the standards
specified in
R9-25-1308 and Table 13.1 for a Level I trauma center; or
iii. Meets the requirements in subsection
(C);
b. Level I
Pediatric trauma center:
i. Holds
verification, issued within the six months before the date of designation, as a
Level I Pediatric trauma facility;
ii. Has documentation issued by a national
verification organization, within the six months before the date of
designation, stating that the health care institution meets the standards
specified in
R9-25-1308 and Table 13.1 for a Level I Pediatric trauma center; or
iii. Meets the requirements in subsection
(C);
c. Level II trauma
center:
i. Holds verification, issued within
the six months before the date of designation, as a Level II trauma facility;
or
ii. Has documentation issued by a
national verification organization, within the six months before the date of
designation, stating that the health care institution meets the standards
specified in
R9-25-1308 and Table 13.1 for a Level II trauma center; or
iii. Meets the requirements in subsection
(C);
d. Level II
Pediatric trauma center:
i. Holds
verification, issued within the six months before the date of designation, as a
Level II Pediatric trauma facility;
ii. Has documentation issued by a national
verification organization, within the six months before the date of
designation, stating that the health care institution meets the standards
specified in
R9-25-1308 and Table 13.1 for a Level II Pediatric trauma center; or
iii. Meets the requirements in subsection
(C); or
e. Level III
trauma center:
i. Holds verification, issued
within the six months before the date of designation, as a Level III trauma
facility; or
ii. Has documentation
issued by a national verification organization or the Department, within the
six months before the date of designation, stating that the health care
institution meets the standards specified in
R9-25-1308 and Table 13.1 for a Level III trauma center.
B. A health care institution is
eligible for designation as a Level IV trauma center if the health care
institution:
1. Is either:
a. Licensed by the Department under 9 A.A.C.
10 to operate as:
i. A hospital; or
ii. An outpatient treatment center authorized
to provide emergency room services, as defined in A.A.C.
R9-10-1001, according
to A.A.C.
R9-10-1019;
or
b. Operating as a
hospital or an outpatient treatment center providing emergency services under
federal or tribal law as an administrative unit of the U.S. government or a
sovereign tribal nation; and
2. Either:
a. Holds verification, issued within the six
months before the date of designation, as a Level IV trauma facility;
or
b. Has documentation issued by a
national verification organization or the Department, within the six months
before the date of designation, stating that the health care institution meets
the standards specified in
R9-25-1308 and Table 13.1 for a Level IV trauma center.
C. A health care institution is eligible for
designation as a Level I trauma center, Level I Pediatric trauma center, Level
II trauma center, or Level II Pediatric trauma center based on assessment by
the Department that the health care institution meets the standards specified
in
R9-25-1308 and Table 13.1 for the Level of trauma center for which designation is
requested if the health care institution:
1.
Applies for verification from a national verification organization;
2. Informs the Department, at least 30
calendar days before, of the dates the national verification organization will
be on the premises of the health care institution to assess the health care
institution for compliance with the national verification organization's
standards for verification;
3.
Invites the Department to review the facility and documentation of capabilities
of the health care institution during the national verification organization's
assessment in subsection (C)(2);
4.
Is not issued verification from the national verification organization at the
Level of designation sought;
5.
Does not receive the documentation required in subsection (A)(2)(a)(ii),
(b)(ii), (c)(ii), or (d)(ii), as applicable; and
6. Receives the documentation specified in
R9-25-1306(G) and, if applicable, submits to the Department a written plan in
R9-25-1306(H), acceptable to the Department, to correct instances of
non-compliance.
D. A
health care institution is eligible to retain designation as a specific Level
of trauma center if the health care institution complies with the applicable
requirements in this Article for the specific Level of trauma center.
