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216B.160 Requirement for a care delivery model based on patient needs for licensed health care facilities and services.

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Page 1 of 1 216B.160 Requirement for a care delivery model based on patient needs for licensed health care facilities and services. All health care facilities and services licensed under this chapter shall include in their <br>policies and procedures a care delivery model based on patient needs which includes, but <br>is not limited to: <br>(1) Defined roles and responsibilities of licensed and unlicensed health care personnel; <br>(2) A policy that establishes the credentialing, oversight, appointment, and reappointment of the registered nurse first assistant and for granting, renewing, and <br>revising of the registered nurse first assistant's clinical privileges; (3) A policy that establishes the credentialing, oversight, appointment, and reappointment of the physician assistant and for granting, renewing, and revising of <br>the physician assistant's clinical privileges; (4) A policy that establishes the credentialing, oversight, appointment, and reappointment of the certified surgical assistant and for granting, renewing, and <br>revising of the certified surgical assistant's clinical privileges; (5) A staffing plan that specifies staffing levels of licensed and unlicensed personnel required to safely and consistently meet the performance and clinical outcomes-<br>based standards as outlined in the facility's or service's quality improvement plan; (6) A staffing model that is developed and implemented in an interdisciplinary and collaborative manner; (7) A policy and method that incorporates at least four (4) components in an ongoing assessment done by the registered nurse of the severity of the patient's disease, <br>patient condition, level of impairment or disability, and the specific unit patient <br>census to meet the needs of the individual patient in a timely manner; and (8) A staffing model that supports the delivery of patient care services with an appropriate mix of licensed health care personnel that will allow them to practice <br>according to their legal scope of practice, and for nurses, the professional standards <br>of practice referenced in KRS Chapter 314, and facility and service policies. If a nursing facility, intermediate care facility, or skilled care facility meets the most <br>current state or federal regulations which address safe and consistent staffing levels of <br>licensed and unlicensed personnel, those shall suffice for compliance with the standards <br>in this section. This section shall not be interpreted as requiring any health care facility to <br>develop a policy or a procedure for a service not offered by the facility. Effective: June 21, 2001 <br>History: Amended 2001 Ky. Acts ch. 36, sec. 2, effective June 21, 2001. -- Amended 2000 Ky. Acts ch. 96, sec. 2, effective July 14, 2000; and ch. 538, sec. 2, effective <br>July 14, 2000. -- Created 1998 Ky. Acts ch. 384, sec. 2, effective July 15, 1998.