Ariz. Admin. Code § 9-10-2102

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-10-2102 - Administration

A. A governing authority shall:

1. Consist of one or more individuals responsible for the organization, operation, and administration of a recovery care center;

2. Establish in writing:

a. A recovery care center's scope of services, and

b. Qualifications for an administrator;

3. Designate an administrator, in writing, who has the qualifications established in subsection (A)(2)(b);

4. Grant, deny, suspend, or revoke the clinical privileges of a medical staff member according to medical staff bylaws;

5. Adopt a quality management program according to R9-10-2103;

6. Review and evaluate the effectiveness of the quality management program at least once every 12 months;

7. Designate, in writing, an acting administrator who has the qualifications established in subsection (A)(2)(b) if the administrator is:

a. Expected not to be present on a recovery care center's premises for more than 30 calendar days, or

b. Not present on a recovery care center's premises for more than 30 calendar days; and

8. Except as provided in subsection (A)(7), notify the Department according to A.R.S. § 36-425(I) when there is a change in the administrator and identify the name and qualifications of the new administrator.

B. An administrator:

1. Is directly accountable to the governing authority of a recovery care center for the daily operation of the recovery care center and all services provided by or at the recovery care center;

2. Has the authority and responsibility to manage a recovery care center; and

3. Except as provided in subsection (A)(7), designates, in writing, an individual who is present on the recovery care center's premises and accountable for the recovery care center when the administrator is not present on the recovery care center premises.

C. An administrator shall ensure that:

1. Policies and procedures are established, documented, and implemented to protect the health and safety of a patient that:

a. Cover job descriptions, duties, and qualifications including required skills, knowledge, education, and experience for personnel members, employees, volunteers, and students;

b. Cover orientation and in-service education for personnel members, employees, volunteers, and students;

c. Include how a personnel member may submit a complaint relating to patient care;

d. Cover the requirements in A.R.S. Title 36, Chapter 4, Article 11;

e. Cover cardiopulmonary resuscitation training required in R9-10-2105(G) including:

i. The method and content of cardiopulmonary resuscitation training,

ii. The qualifications for an individual to provide cardiopulmonary resuscitation training,

iii. The time-frame for renewal of cardiopulmonary resuscitation training, and

iv. The documentation that verifies an individual has received cardiopulmonary resuscitation training;

f. Cover first aid training;

g. Include a method to identify a patient to ensure the patient receives services as ordered;

h. Cover patient rights including assisting a patient who does not speak English or who has a disability to become aware of patient rights;

i. Cover specific steps for:

i. A patient to file a complaint, and

ii. The recovery care center to respond to a patient's complaint;

j. Cover health care directives;

k. Cover medical records, including electronic medical records;

l. Cover a quality management program, including incident reports and supporting documentation;

m. Cover contracted services;

n. Cover tissue and organ procurement and transplant; and

o. Cover when an individual may visit a patient in a recovery care center;

2. Policies and procedures for recovery care services are established, documented, and implemented to protect the health and safety of a patient that:

a. Cover patient screening, admission, transfer, discharge planning, and discharge;

b. Cover the provision of recovery care services;

c. Include when general consent and informed consent are required;

d. Cover prescribing a controlled substance to minimize substance abuse by a patient;

e. Cover dispensing, administering, and disposing of medications;

f. Cover how personnel members will respond to a patient's sudden, intense, or out-of-control behavior to prevent harm to the patient or another individual;

g. Cover infection control; and

h. Cover environmental services that affect patient care;

3. Policies and procedures are reviewed at least once every three years and updated as needed;

4. Policies and procedures are available to personnel members, employees, volunteers, and students; and

5. Unless otherwise stated:

a. Documentation required by this Article is provided to the Department within two hours after a Department request; and

b. When documentation or information is required by this Chapter to be submitted on behalf of a recovery care center, the documentation or information is provided to the unit in the Department that is responsible for licensing and monitoring the recovery care center.

Ariz. Admin. Code § R9-10-2102

Renumbered from R9-10-502 by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019