048-14 Wyo. Code R. § 14-6
Current through April 27, 2019
(a) Governing Body. The medical assistance facility shall have a governing body which has the legal authority and responsibility to operate the medical assistance facility.
The governing body shall:
- (i) Appoint an administrator who is responsible for managing the facility.
- (ii) Obtain a fidelity bond for client protection arising from the want of honesty, integrity or fidelity of an employee. The bond shall consist of no less than $2500 and shall be augmented in relation to the number of employees.
- (iii) Provide verification of a central registry information check on all employees hired at the time of or after the filing of these rules. The individual agencies or corporations are responsible to initiate and follow this process to completion.
Central registry information can be obtained by contacting The Department of Family Services at307-777-5366. (This number is subject to change.)
- (iv) Adopt, revise, and approve personnel policies; including:
- (A) Frequency of evaluations;
- (B) Insuring confidentiality of a central registry information checks.
- (v) Prepare an organizational chart that reflects the administrative control and lines of authority for the delegation of responsibility from management down to the client care level.
- (vi) The governing body shall ensure that all services provided are consistent with accepted standards of practice.
- (vii) The governing body shall be accountable for the quality of care provided to the patient.
- (viii) There shall be policies and procedures for services offered, which shall be reviewed annually by the governing body. Policies required but not limited to:
- (A) Every patient shall be under the care of a physician or under the care of a mid-level practitioner supervised by a physician;
- (B) Whenever a patient is admitted to the facility by a mid-level practitioner, the facilitys sponsoring physician shall be notified of that fact, by phone or otherwise, within 24 hours, and a written notation of the consultation and of the physicians approval or disapproval shall be maintained in the patients record;
- (C) A physician, a mid-level practitioner or a registered nurse shall be on duty and be physically available in the facility.
- (D) No patient is cared for in the facility for more than 60 hours.
- (ix) ab Personnel Records.
- (A) ab There shall be one person designated responsible for maintaining the confidentiality.
- (x) Employee Health. The medical assistance facility shall:
- (A) Develop policies and procedures for employee health including a policy identifying communicable diseases that could put the client population at risk.
- (xi) Advanced Directives.
- (A) The medical assistance facility shall adopt policies which assure that they provide information on advanced directives to clients. If the clients advanced directives are known they shall be followed by the medical assistance facility.
- (xii) Services:
- (A) Furnished services, including the contracted services, shall comply with all applicable licensure standards; and
- (B) Medical and nursing staff shall be licensed, certified, or registered according to Wyoming law and rules.
- (C) Staff member shall provide health services only within the scope of his or her license, certification or registration.
048-14 Wyo. Code R. § 14-6