Ariz. Admin. Code § R9-25-1304 - Changes Affecting Designation Status (A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), and 36-2225(A)(4))
A.
An owner of a trauma center shall:
1. Notify
the Department, in writing or in a Department-provided format, no later than 60
calendar days after the date of a change in the health care institution's:
a. Name,
b. Trauma program manager, or
c. If applicable, trauma medical director;
and
2. Provide the
effective date of the change and, as applicable, the:
a. Current and new name of the health care
institution, or
b. Name of the new
trauma program manager or trauma medical director.
B. An owner of a trauma
center shall notify the Department in writing within three business days after:
1. The trauma center's health care
institution license expires or is suspended or revoked;
2. The trauma center's health care
institution license is changed to a provisional license under A.R.S. §
36-425;
3. The trauma center no longer holds
verification; or
4. A change, which
is expected to last for more than seven consecutive calendar days, in the
trauma center's ability to meet:
a. The
applicable standards specified in
R9-25-1308 and Table 13.1;
or
b. If designation is based on
verification, the national verification organization's standards for
verification.
C. At least 90 calendar days before a trauma
center ceases to provide a trauma service, the owner of the trauma center shall
notify the Department, in writing or in a Department-provided format, of the
owner's intention to cease providing the trauma service and to relinquish
designation, including the effective date.
D. The Department shall, upon receiving a
notice described in:
1. Subsection (A), issue
an amended designation that incorporates the name change but retains the
expiration date of the current designation;
2. Subsection (B)(1), send the owner a
written notice stating that the health care institution no longer meets the
definition of a trauma center and that the Department intends to dedesignate
the health care institution, according to
R9-25-1307(J)(2);
3. Subsection (B)(2), evaluate the
restrictions on the provisional license to determine if the trauma service was
affected and may send the owner a written notice of the Department's intention
to:
a. Dedesignate the health care
institution, according to R9-25-1307(J) through (M);
b. Require a modification of the health care
institution's designation within 15 calendar days after the date of the notice,
according to
R9-25-1305; or
c. Require a corrective action plan to
address issues of compliance with the applicable standards specified in
R9-25-1308 and Table 13.1,
according to R9-25-1306(E);
4. Subsection (B)(3), send the owner written
notice that the owner is required, within 15 calendar days after the date of
the notice, to submit to the Department:
a. An
application for designation at a specific Level of trauma center, according to
R9-25-1303, based on meeting the
applicable standards specified in
R9-25-1308 and Table 13.1;
or
b. Written notification of the
owner's intention to relinquish designation;
5. Subsection (B)(4), send the owner written
notice that the owner is required, within 15 calendar days after the date of
the notice, to submit to the Department:
a. An
application for modification of the health care institution's designation,
according to
R9-25-1305;
b. A corrective action plan to address issues
of compliance with the applicable standards specified in
R9-25-1308 and Table 13.1,
according to
R9-25-1306(E);
or
c. Written notification of the
owner's intention to relinquish designation; or
6. Subsection (C), (D)(4)(b), or (D)(5)(c),
send the owner written confirmation of the voluntary relinquishment of
designation.
E. An owner
of a trauma center, who obtains verification for the trauma center during a
term of designation that was based on the trauma center meeting the applicable
standards specified in
R9-25-1308 and Table 13.1, may
obtain a new initial designation based on verification, with a designation term
based on the dates of the verification, by submitting an application according
to R9-25-1303.
Notes
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