Section 7.12.450. Determination of a frontier extended stay clinic.

	(a)  The department will consider a rural health clinic, including a community health center and a federally qualified health center, to be a frontier extended stay clinic subject to the applicable requirements of this chapter if the department finds that the clinic is a permanent entity that is  
		(1) located  
			(A) at least 75 miles by public highway from the nearest hospital; or  
			(B) in an area where the nearest hospital is inaccessible by public highway; and  
		(2) capable of providing care and extended stay services for individuals who  
			(A) are seriously ill, critically ill, or seriously injured and who cannot be transferred to a general acute care hospital, rural primary care hospital, or critical access hospital because of adverse weather conditions, unavailability of a transport vehicle, or another similar unavoidable circumstance;  
			(B) are seriously ill, critically ill, or seriously injured and require transfer to a general acute care hospital, rural primary care hospital, or critical access hospital but exercise the right, against the medical advice of the attending practitioner, not to be transferred, and elect to receive extended stay services appropriate to manage the individual's illness or injuries to the extent possible within the clinic's capability; or  
			(C) are not in obvious need of medical transport, but require an extended stay for monitoring and observation.  
	(b)  For purposes of this section, the annual average length of stay for individuals requiring extended stay may not exceed 48 hours.  

Authorities

47.32.010;47.32.030

Notes

Reference

7 AAC 12.453
7 AAC 12.457
7 AAC 12.490
7 AAC 12.600
7 AAC 12.611

Authority

AS 47.32.010 AS 47.32.030

History

Eff. 12/3/2006, Register 180