Haw. Code R. § 17-1737-117 - General provisions
(a) Beds shall be
specifically certified for subacute care and costs for providing subacute
services shall be shown separately on the facility's cost report. Each
participating facility shall be required to establish a subacute unit (SACU) as
follows:
(1) Freestanding SNF - A minimum of
six to a maximum of sixty beds; or
(2) Acute care hospital - A minimum of six to
a maximum of sixty beds or more with the department's approval.
(b) The facility shall accept and
retain only those subacute patients for whom it can provide adequate
care.
(c) The facility shall
maintain complete and accurate patient information, in sufficient detail to
provide for continuity of care, for patients transferred to a subacute
unit.
(d) The freestanding SNF
shall maintain written agreements with one or more acute care hospitals to
ensure that the acute services are accessible in emergency situations and to
facilitate the transfer of patients.
(e) The subacute unit shall have provisions
for twenty-four hour emergency services including but not limited to
laboratory, radiology, respiratory therapy, and pharmacy services, and if
necessary, ventilator support by qualified respiratory technicians.
(f) The subacute unit shall make arrangements
for emergency medical care as needed and shall consult with the attending
physician or designee when available. Pulmonologist consultant shall be
available twenty-four hours a day for telephone consultations and visits or
both whenever a facility has ventilator patients. The telephone numbers of
those physician(s) shall be posted in a conspicuous area in the subacute
unit.
(g) Freestanding subacute
units shall be licensed specifically as freestanding subacute units in the
State of Hawaii by the department of health.
(h) The facilities caring for group III and
group IV pediatric patients shall provide all mandated developmental and
educational services.
(i) The
department through its medical consultants will determine the medical necessity
of the subacute level of care for patients who do not have a medically
justified need for the acute level of care, do not qualify for the skilled
nursing facility (SNF) level of care, or the intermediate care facility (ICF)
level of care, and who meet the criteria of the subacute level of care and
cannot be discharged from the acute care facility.
Notes
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No prior version found.