Section 7.12.453. Scope of service.

	(a)  In addition to complying with the requirements of 7 AAC 12.600(a) and (h), a frontier extended stay clinic must comply with 7 AAC 12.450 - 7 AAC 12.490.  
	(b)  A frontier extended stay clinic must provide medical, radiological, laboratory, extended stay, and emergency services. The clinic must have the staff and resources necessary to provide the care and services offered.  
	(c)  The clinic may provide care and services for  
		(1) an extended stay described in 7 AAC 12.450(a)(2)(A) for a patient awaiting requested medical transport to a general acute care hospital, rural primary care hospital, or critical access hospital; or  
		(2) a patient who elects to receive extended stay services as described in 7 AAC 12.450(a)(2)(B).  
	(d)  The clinic may provide care and services for an extended stay for monitoring and observation described in 7 AAC 12.450(a)(2)(C) if  
		(1) there is a reasonable expectation that the patient will show significant improvement within 24 hours and that care will be completed within 48 hours;  
		(2) the clinic can manage common complications associated with the patient's medical condition and presenting problems;  
		(3) appropriate medical consultation is available to the clinic on site or by telephone; and  
		(4) a contingency plan is in place for appropriate medical transport to a general acute care hospital, rural primary care hospital, or critical access hospital if necessary.  
	(e)  The clinic must have an agreement with a general acute care hospital, a rural primary care hospital, or a critical access hospital for transfer of patients described in 7 AAC 12.450(a)(2)(A) and (d) of this section who require medical or emergency care beyond the scope of the clinic's ability or license. If the agreement is not in writing, the clinic must provide evidence satisfactory to the department that patients referred by the clinic are being accepted and treated by the hospital.  

Authorities

47.32.010;47.32.030

Notes

Reference

7 AAC 12.465
7 AAC 12.470

Authority

AS 47.32.010 AS 47.32.030

History

Eff. 12/3/2006, Register 180