As used in this chapter:
(A) "Accreditation award letter" means the
written survey findings concerning the provider of a health care service,
prepared by an entity that the director has determined as having standards and
a process for assessing compliance for a particular HCS which equals or exceeds
the applicable requirements of Chapter 3701-84 of the Administrative Code, that
documents compliance with the entity's standards.
(B) "Administrator" means the person
responsible for the overall daily management of the health care
service.
(C) "Anesthesiologist"
means a physician who has completed a residency training program in
anesthesiology accredited by the American council of graduate medical education
or the American osteopathic association.
(D) "Bone
Blood and marrow transplantation service"
also known as "hematopoietic stem cell transplantation"
or "(HSCT)" means the replacement or supplementation of a patient's bone
marrow with autologous or allogeneic hematopoietic stem cells when the
patient's own bone marrow has been ablated or partially ablated by disease or
therapy for the purpose of achieving long-term management of certain
hematologic, immunologic, oncologic or genetic conditions, or enzymatic
deficiency disease. A bone marrow transplantation service includes a service in
stem cell harvesting and reinfusion.
(E) "Autologous/syngeneic bone marrow
transplantation" means autologous, peripheral blood stem cell or syngeneic
transplants.
(F) "Low-risk allogeneic bone marrow
transplantation" means fully matched allogeneic sibling donor transplants
without any of the high risk features listed under paragraph (G) of this
rule.
(G)(F) "High-risk
allogeneic bone marrow transplantation"
is determined
according to the combination of: hematopoietic cell transplant comorbidity
index (HCT-CI), performance status of recipient, and disease-risk index (DRI)
as defined by established criteria.
means
unrelated or haploidentical transplants, or matched sibling donor transplants
with any of the following features:
(1) A primary diagnosis of
myelodysplasia;
(2) Bone marrow transplant in
relapse;
(3) Chronic myelogenous leukemia in
anything other than in chronic phase;
(4) Primary refractory patients;
or
(5) Patients with eastern
cooperative oncology group performance status at time of transplant of greater
than or equal to two.
(H)(G) "Chiropractor"
means a person licensed under Chapter 4734. of the Revised Code to practice
chiropractic care.
(I)(H) "Department" or
"director" means the director of health or any official or employee of the
department designated by the director of health.
(J)(I) "Health care
service" or "HCS" means any of the following:
(1) A heart, lung, liver, kidney, pancreas,
small bowel, or islet cell transplantation service or all combinations of solid
organ transplant services, collectively referred to as a solid organ transplant
service;
(2) A
blood and bone marrow transplant service, including stem cell harvesting and
reinfusion;
(3)
A
An adult
cardiac catheterization service;
(4) An adult
open heart surgery service;
(5) A
pediatric intensive care service;
(6) A linear accelerator, cobalt radiation,
or gamma knife service;
(7) A
pediatric cardiac catheterization service;
(8) A pediatric cardiovascular surgery
service.
(K)(J) "Hospital" means an
institution
required to be registered under section
3701.07 of the Revised Code.
or facility that
provides inpatient medical or surgical services for a continuous period longer
than twenty-four hours. "Hospital" includes a children's hospital. Hospital
does not include:
(1)
A hospital operated by the federal
government;
(2)
An ambulatory surgical facility or other health care
facility licensed as described in section
3702.30 of the Revised
Code;
(3)
A nursing home or residential care facility licensed
under Chapter 3721. of the Revised Code;
(4)
A hospital or
inpatient unit licensed under section
5119.33 of the Revised
Code;
(5)
A residential facility as defined in section
5119.34 of the Revised
Code;
(6)
A residential facility as defined in section
5123.19 of the Revised
Code;
(7)
A community addiction services provider as defined in
section 5119.01 of the Revised
Code;
(8)
A facility providing services under a contract with the
department of developmental disabilities under section
5123.18 of the Revised
Code;
(9)
A facility operated by a hospice care program licensed
under section 3712.04 of the Revised Code and
that is used exclusively for the care of hospice patients;
(10)
A facility
operated by a pediatric respite care program licensed under section
3712.041 of the Revised Code and
that is used exclusively for the care of pediatric respite care
patients;
(11)
The site where a health care practice is operated,
regardless of whether the practice is organized as an individual or group
practice;
(12)
A clinic providing ambulatory patient services where
patients are not regularly admitted as inpatients;
(13)
An institution
for the sick that is operated exclusively for patients who use spiritual means
for healing and for whom the acceptance of medical care is inconsistent with
their religious beliefs, accredited by a national accrediting organization,
exempt from federal income taxation under section
501 of the Internal Revenue Code of 1986,
26 U.S.C.
1, and providing twenty-four-hour nursing
care pursuant to the exemption from the licensing requirements of Chapter 4723.
of the Revised Code described in division (E) of section
4723.32 of the Revised
Code.
(L)(K) "Licensed practical
nurse" or "LPN" means a person licensed under Chapter 4723. of the Revised Code
to practice nursing as a licensed practical nurse.
(M)(L) "Medical director"
means the physician who is responsible for managing and directing the provision
of medical services at the
for a health care service.
(N)(M)
"Nurse" means either a licensed practical nurse or a registered
nurse.
(O)(N) "Occupational
therapist" means a person licensed to practice occupational therapy pursuant to
section 4755.07 of the Revised
Code.
(P)(O) "Patient" means any
individual who receives health care services.
(Q)(P) "Patient
representative" means either a person acting on behalf of a patient with the
consent of the patient or the patient's legal guardian.
(R)(Q)
"Pediatric intensive care unit" or "PICU" or "pediatric intensive care service"
means a separate and distinct unit in a hospital where pediatric patients,
suffering from critical illness, receive care. "PICU" does not include a
neonatal intensive care unit.
(S)(R) "Pharmacist" means
a person registered under Chapter 4729. of the Revised Code to practice
pharmacy.
(T)(S) "Physical
therapist" means a person licensed to practice physical therapy pursuant to
section 4755.44 of the Revised
Code.
(U)(T) "Physician" means a
person who is licensed under Chapter 4731. of the Revised Code to practice
medicine and surgery, or osteopathic medicine and surgery.
(V)(U)
"Psychologist" means a person licensed to practice psychology pursuant to
Chapter 4732. of the Revised Code.
(W)(V) "Registered
dietitian" means a person registered pursuant to Chapter 4759. of the Revised
Code to practice dietetics.
(X)(W) "Registered nurse"
or "RN" means a person who is licensed under section
4723.09 of the Revised Code to
practice as a licensed registered nurse.
(Y)(X)
"Certified registered nurse anesthetist" or "CRNA" means an RN who meets the
qualifications specified in section
4723.41 of the Revised Code and
is credentialed and privileged by the provider of a health care service to
administer anesthetics to patients within his or her scope of
practice.
(Z)(Y) "Social worker"
means a person licensed to practice social work pursuant to Chapter 4757. of
the Revised Code.
(AA)(Z) "Solid organ
transplant service" means the transplantation of heart, lung, liver, kidney,
pancreas, small bowel, islet cells, excluding autologous islet cell
transplantation, and any and all combinations of such transplanted
organs.
(BB)(AA) "Staff member" or
"staff" means the administrator and individuals providing direct care to
patients on a full-time, part-time, temporary, contract, or voluntary basis.
Staff member or staff does not include volunteers who are family members of a
patient.
(CC)(BB) "Linear
accelerator service" means the structural unit of a health care facility which
provides radiation therapy or stereotactic radiosurgery using a linear
accelerator.
(DD)(CC) "Cobalt service"
means the structural unit of a health care facility which provides radiation
therapy using a cobalt teletherapy machine.
(EE) "Gamma knife service" means the
structural unit of a health care facility which provides stereotactic
radiosurgery or stereotactic radiotherapy using a gamma knife.
(FF)(DD) "Stereotactic
radiosurgery service" means the structural unit of a health care organization
which provides stereotactic radiosurgery.
(GG)(EE) "Linear
accelerator" means a medical linear accelerator which provides a collimated
beam of electrons or electronically produced x-rays used for radiation therapy
treatment.
(HH)(FF) "Cobalt
teletherapy machine" means a machine that provides a collimated beam of gamma
rays from a sealed cobalt-60 source for the purposes of radiation therapy
treatment.
(II)(GG) "Gamma knife"
means a dedicated device for stereotactic radiosurgery which employs multiple
cobalt-60 sealed radiation sources aimed at a single isocenter. The gamma knife
may also be used to perform stereotactic radiotherapy.
(JJ)(HH)
"Stereotactic radiosurgery" means the closed-skull destruction of a precisely
defined intracranial or extracranial target by
beam(s) of ionizing radiation in which the total dose is administered during a
single treatment session.
(KK)(II) "Stereotactic
radiotherapy" means the closed-skull destruction of a precisely defined
intracranial target by beam(s) of ionizing radiation in which the total dose of
radiation is administered as fractions during multiple treatment
sessions.
(LL)(JJ) "Dose" means
energy imparted per unit mass of absorber at a specific site under certain
conditions.
(MM)(KK) "Radiation
therapy service" means the structural unit of a health care organization which
provides radiation therapy.
(NN)(LL) "Ionizing
radiation" means gamma rays and x-rays, alpha and beta particles, high-speed
electrons, neutrons, protons, and other atomic or nuclear particles or
rays.
(OO)(MM) "Radiation
oncologist" means a physician who:
(1) Has
satisfactorily completed a radiation oncology residency in an accreditation
council for graduate medical education or American osteopathic association
approved program; or
(2) Is
certified in radiology by the American board of radiology or the American
osteopathic board of radiology and who has had a practice limited to radiation
oncology for the ten year period prior to May 1, 1996; or
(3) Is certified in radiation oncology or
therapeutic radiology by the American board of radiology, the American
osteopathic board of radiology, or the royal college of physicians and surgeons
of Canada.
(PP)(NN) "Radiation
therapy" means the use of ionizing radiation, including external beam radiation
therapy (teletherapy), or intraoperative radiation therapy and radioactive
materials for therapeutic administration as authorized on a radioactive
materials license issued by the director pursuant to Chapter 3701:1-58 of the
Administrative Code in the treatment of human illness.
(QQ)(OO)
"Simulation" means the mock-up of a patient treatment
with
and may
include equipment, staff, radiographic documentation of the treatment
portals or other methods of reproduction of techniques
and treatments.
(RR)(PP) "Cardiac
catheterization" means all anatomic or physiological
studies, including electrophysiology procedures, of interventions, both
diagnostic and therapeutic, in which the heart or coronary arteries are entered
via a systemic vein or artery using a catheter that is manipulated under
fluoroscopic visualization. This definition does not include studies of cardiac
function performed using flow directed catheters that are positioned without
the use of fluoroscopy
a procedure used to
diagnose and treat various cardiac and circulatory diseases that involves
inserting a thin, pliable catheter into a major blood vessel and manipulating
the tip of the catheter through veins or arteries to the heart.
(SS)(QQ)
"Cardiac catheterization service" means the staff, equipment, physical space,
and support services required to perform cardiac catheterization and
percutaneous coronary interventions.
(TT)(RR) "Percutaneous
coronary interventions" (PCI") commonly known as
coronary angioplasty or simply angioplasty, is a non-surgical procedure used to
treat the stenotic (narrowed) coronary arteries of the heart found in coronary
heart disease
means the broader group of
percutaneous techniques capable of relieving coronary narrowing. Such PCI
techniques include rotational atherectomy, directional atherectomy, extraction
atherectomy, laser angioplasty, implantation of intracoronary stents and other
devices for treating coronary atherosclerosis, including percutaneous
transluminal coronary angioplasty.
(UU)(SS) "Percutaneous
transluminal coronary angioplasty" ("PTCA") means the inflation of a
balloon-tipped catheter at the site of a coronary artery stenosis to attempt to
enlarge the diameter of the lumen.
(VV)(TT) "Adult open heart
surgery service" or "pediatric cardiovascular surgery service" means the
combination of staff, equipment, physical space and support services which are
used to perform open-heart surgery and other non-invasive cardiovascular
surgeries.
(WW)(UU) "Pediatric
patient" means any patient less than twenty-two
eighteen
years of age, unless otherwise specified in this chapter.
This definition does not prohibit children's hospitals
from providing care to patients up to their twenty-second birthday and older as
may be clinically appropriate during the patient's transition from a pediatric
to an adult provider, or if the patient's congenital or chronic disease of
childhood is best managed by pediatric providers.
(XX)(VV)
"Provider of a health care service" means a person or governmental entity who
assumes legal liability for purposes of compliance with this chapter.
(YY)(WW)
For purposes of this chapter, "follow-up inspection" means an inspection, which
may include on-site and off-site activities, conducted by the department to
determine whether the HCS has corrected a violation or violations cited on a
previous inspection and to verify whether the HCS is in compliance with the
applicable criteria, standards, and requirements established by section
3702.16 of the Revised Code and
Chapter 3701-84 of the Administrative Code.
(XX)
"Pediatric
intensivist" means a physician who is board eligible or board certified in
pediatric critical care medicine after training in an ACGME-accredited program
and participates in training to meet ongoing education and certification
requirements for pediatric critical care medicine.
(YY)
"Electrophysiology study" means a test performed to assess
the heart's electrical system or activity and is used to diagnose abnormal
heartbeats or arrhythmias. For the purpose of this chapter, the term also
includes the implantation of permanent pacemakers and ICD devices and other
electrophysiology procedures within the scope of procedures authorized at each
level of a cardiac catheterization service.
(ZZ)
"Psychosocial
health" means the combined influence of psychological factors and the
surrounding social environment on an individual's physical, emotional, and/or
mental wellness.
