Ariz. Admin. Code § 9-25-1302

Current through Register Vol. 30, No. 40, October 4, 2024

Section R9-25-1302 - Eligibility for Designation (A.R.S.Sections 36-2202(A)(4), 36-2209(A)(2), and 36-2225(A)(4))

A. A health care institution is eligible for designation as a Level I trauma center, Level I Pediatric trauma center, Level II trauma center, Level II Pediatric trauma center, or Level III trauma center if the health care institution:

1. Is either:

a. Licensed by the Department under 9 A.A.C. 10 to operate as a hospital; or

b. Operating as a hospital under federal or tribal law as an administrative unit of the U.S. government or a sovereign tribal nation; and

2. For designation as a:

a. Level I trauma center:

i. Holds verification, issued within the six months before the date of designation, as a Level I trauma facility;

ii. Has documentation issued by a national verification organization, within the six months before the date of designation, stating that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for a Level I trauma center; or

iii. Meets the requirements in subsection (C);

b. Level I Pediatric trauma center:

i. Holds verification, issued within the six months before the date of designation, as a Level I Pediatric trauma facility;

ii. Has documentation issued by a national verification organization, within the six months before the date of designation, stating that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for a Level I Pediatric trauma center; or

iii. Meets the requirements in subsection (C);

c. Level II trauma center:

i. Holds verification, issued within the six months before the date of designation, as a Level II trauma facility; or

ii. Has documentation issued by a national verification organization, within the six months before the date of designation, stating that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for a Level II trauma center; or

iii. Meets the requirements in subsection (C);

d. Level II Pediatric trauma center:

i. Holds verification, issued within the six months before the date of designation, as a Level II Pediatric trauma facility;

ii. Has documentation issued by a national verification organization, within the six months before the date of designation, stating that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for a Level II Pediatric trauma center; or

iii. Meets the requirements in subsection (C); or

e. Level III trauma center:

i. Holds verification, issued within the six months before the date of designation, as a Level III trauma facility; or

ii. Has documentation issued by a national verification organization or the Department, within the six months before the date of designation, stating that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for a Level III trauma center.

B. A health care institution is eligible for designation as a Level IV trauma center if the health care institution:

1. Is either:

a. Licensed by the Department under 9 A.A.C. 10 to operate as:

i. A hospital; or

ii. An outpatient treatment center authorized to provide emergency room services, as defined in A.A.C. R9-10-1001, according to A.A.C. R9-10-1019; or

b. Operating as a hospital or an outpatient treatment center providing emergency services under federal or tribal law as an administrative unit of the U.S. government or a sovereign tribal nation; and

2. Either:

a. Holds verification, issued within the six months before the date of designation, as a Level IV trauma facility; or

b. Has documentation issued by a national verification organization or the Department, within the six months before the date of designation, stating that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for a Level IV trauma center.

C. A health care institution is eligible for designation as a Level I trauma center, Level I Pediatric trauma center, Level II trauma center, or Level II Pediatric trauma center based on assessment by the Department that the health care institution meets the standards specified in R9-25-1308 and Table 13.1 for the Level of trauma center for which designation is requested if the health care institution:

1. Applies for verification from a national verification organization;

2. Informs the Department, at least 30 calendar days before, of the dates the national verification organization will be on the premises of the health care institution to assess the health care institution for compliance with the national verification organization's standards for verification;

3. Invites the Department to review the facility and documentation of capabilities of the health care institution during the national verification organization's assessment in subsection (C)(2);

4. Is not issued verification from the national verification organization at the Level of designation sought;

5. Does not receive the documentation required in subsection (A)(2)(a)(ii), (b)(ii), (c)(ii), or (d)(ii), as applicable; and

6. Receives the documentation specified in R9-25-1306(G) and, if applicable, submits to the Department a written plan in R9-25-1306(H), acceptable to the Department, to correct instances of non-compliance.

D. A health care institution is eligible to retain designation as a specific Level of trauma center if the health care institution complies with the applicable requirements in this Article for the specific Level of trauma center.

Ariz. Admin. Code § R9-25-1302

New Section made by final rulemaking 11 A.A.R. 4363, effective October 6, 2005 (Supp. 05-4). Amended by final rulemaking at 23 A.A.R. 2656, effective 1/1/2018.