Fla. Admin. Code Ann. R. 59A-3.252 - Classification of Hospitals
(1) The Agency will
license five classes of facilities.
(a) Class
I or general hospitals which includes:
1.
General acute care hospitals with an average length of stay of 25 days or less
for all beds;
2. Long term care
hospitals, which meet the provisions of subsection
59A-3.065(24),
F.A.C.; and,
3. Rural hospitals
designated under Chapter 395, Part III, F.S.
(b) Class II specialty hospitals offering the
range of medical services offered by general hospitals, but restricted to a
defined age or gender group of the population which includes:
1. Specialty hospitals for children;
and,
2. Specialty hospitals for
women.
(c) Class III
specialty hospitals offering a restricted range of services appropriate to the
diagnosis, care, and treatment of patients with specific categories of medical
or psychiatric illnesses or disorders which include:
1. Specialty medical hospitals;
2. Specialty rehabilitation
hospitals;
3. Specialty psychiatric
hospitals, which may include beds licensed to offer Intensive Residential
Treatment programs; and,
4.
Specialty substance abuse hospitals, which may include beds licensed to offer
Intensive Residential Treatment programs.
(d) Class IV specialty hospitals restricted
to offering Intensive Residential Treatment Facility Services for Children and
Adolescents, pursuant to Section
395.002(15),
F.S., and subsection 59A-3.065(22),
F.A.C.
(e) Class V specialty
hospitals restricted to offering Rural Emergency Hospital services as defined
in Section 395.607, F.S. and described in
42 USC Chapter 7, Subchapter XVIII, Part E, (kkk).
(2) In addition to other requirements
specified in these rules, all licensed hospitals shall have at least the
following:
(a) Inpatient beds, except Class V
hospitals may only have skilled nursing unit inpatient beds;
(b) A governing authority legally responsible
for the conduct of the hospital;
(c) A chief executive officer or other
similarly titled official to whom the governing authority delegates the
full-time authority for the operation of the hospital in accordance with the
established policy of the governing authority;
(d) An organized medical staff to which the
governing authority delegates responsibility for maintaining proper standards
for medical and other health care;
(e) A current and complete medical record for
each patient receiving health care services from the hospital;
(f) A policy requiring that all patients be
admitted or receive health care services on the authority of and under the care
of a member of the organized medical staff;
(g) Facilities and professional staff
available to provide food to patients to meet their nutritional
needs;
(h) A procedure for
providing care in emergency cases;
(i) A method and policy for infection
control; and,
(j) An on-going
organized program to enhance the quality of patient care and review the
appropriateness of utilization of services.
(3) In addition to the requirements of
subsection (2) and other requirements of these rules, Class I, and Class II
hospitals shall have at least the following:
(a) One licensed registered nurse on duty at
all times on each floor or similarly titled part of the hospital for rendering
patient care services;
(b) A
pharmacy supervised by a licensed pharmacist either in the facility or by
contract sufficient to meet patient needs;
(c) Diagnostic imaging services either in the
facility or by contract sufficient to meet patient needs;
(d) Clinical laboratory services either in
the facility or by contract sufficient to meet patient needs;
(e) Operating room services; and,
(f) Anesthesia service.
(4) In addition to the requirements of
subsection (2) and other requirements of these rules, all Class II, Class III,
Class IV, and Class V hospitals shall provide the treatment services,
equipment, supplies and staff appropriate to the particular category of
patients treated at the facility.
(5) All Class III hospitals, in addition to
meeting the requirements of subsection (2) and other requirements of these
rules, must provide:
(a) For at least one
qualified staff person at all times on each floor or similarly titled part of
the hospital for rendering patient care services;
(b) A pharmacy supervised by a licensed
pharmacist either in the facility or by contract sufficient to meet patient
needs;
(c) Diagnostic imaging
services either in the facility or by contract sufficient to meet patient
needs;
(d) Clinical laboratory
services, either in the facility or by contract sufficient to meet patient
needs; and,
Notes
Rulemaking Authority 395.1055 FS. Law Implemented 395.1055 FS.
New 9-4-95, Formerly 59A-3.202, Amended 10-16-14.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) The Agency will license four classes of facilities .
(a) Class I or general hospitals which includes:
1. General acute care hospitals with an average length of stay of 25 days or less for all beds;
2. Long term care hospitals, which meet the provisions of subsection 59A-3.065(24), F.A.C.; and,
3. Rural hospitals designated under section 395, part III, F.S.
(b) Class II specialty hospitals offering the range of medical services offered by general hospitals, but restricted to a defined age or gender group of the population which includes:
1. Specialty hospitals for children; and,
2. Specialty hospitals for women.
(c) Class III specialty hospitals offering a restricted range of services appropriate to the diagnosis, care, and treatment of patients with specific categories of medical or psychiatric illnesses or disorders which include:
1. Specialty medical hospitals;
2. Specialty rehabilitation hospitals;
3. Specialty psychiatric hospitals, which may include beds licensed to offer Intensive Residential Treatment programs; and,
4. Specialty substance abuse hospitals, which may include beds licensed to offer Intensive Residential Treatment programs.
(d) Class IV specialty hospitals restricted to offering Intensive Residential Treatment Facility Services for Children and Adolescents, pursuant to section 395.002(15), F.S. and subsection 59A-3.065(22), F.A.C.
(2) In addition to other requirements specified in these rules, all licensed hospitals shall have at least the following:
(a) Inpatient beds ;
(b) A governing authority legally responsible for the conduct of the hospital;
(c) A chief executive officer or other similarly titled official to whom the governing authority delegates the full-time authority for the operation of the hospital in accordance with the established policy of the governing authority;
(d) An organized medical staff to which the governing authority delegates responsibility for maintaining proper standards for medical and other health care;
(e) A current and complete medical record for each patient admitted to the hospital;
(f) A policy requiring that all patients be admitted on the authority of and under the care of a member of the organized medical staff ;
(g) Facilities and professional staff available to provide food to patients to meet their nutritional needs;
(h) A procedure for providing care in emergency cases;
(i) A method and policy for infection control; and,
(j) An on-going organized program to enhance the quality of patient care and review the appropriateness of utilization of services.
(3) In addition to the requirements of subsection (2) and other requirements of these rules, Class I, and Class II hospitals shall have at least the following:
(a) One licensed registered nurse on duty at all times on each floor or similarly titled part of the hospital for rendering patient care services;
(b) A pharmacy supervised by a licensed pharmacist either in the facility or by contract sufficient to meet patient needs;
(c) Diagnostic imaging services either in the facility or by contract sufficient to meet patient needs;
(d) Clinical laboratory services either in the facility or by contract sufficient to meet patient needs;
(e) Operating room services; and,
(f) Anesthesia service.
(4) In addition to the requirements of subsection (2) and other requirements of these rules, all Class II, Class III and Class IV hospitals shall provide the treatment services, equipment, supplies and staff appropriate to the particular category of patients treated at the facility.
(5) All Class III hospitals, in addition to meeting the requirements of subsection (2) and other requirements of these rules, must provide:
(a) For at least one qualified staff person at all times on each floor or similarly titled part of the hospital for rendering patient care services;
(b) A pharmacy supervised by a licensed pharmacist either in the facility or by contract sufficient to meet patient needs;
(c) Diagnostic imaging services either in the facility or by contract sufficient to meet patient needs;
(d) Clinical laboratory services, either in the facility or by contract sufficient to meet patient needs; and,