AZ Flex Resources

General Resources

2013 Flex Coordinator Manual: The Flex Coordinator Manual is a manual for those intimately involved with the Flex Program. We hope this document is useful both as a resource for current Flex Program staff and as an orientation manual for new staff.
Surveyor Training Resources http://surveyortraining.cms.hhs.gov/
ICD-10 Implementation Guide for Small Hospitals
Effect of Swing Bed Use on Medicare Average DailyCost and Reimbursement in Critical Access Hospitals
2013 Critical Access and Small Rural Hospital Arizona Legislative Agenda
Inter Facility Tool Kit for the Pediatric Patient - To improve the transfer process for pediatric patients.
Enrollment information using Health-e-Arizona Plus Webinar links
New Technology for Public Assistance in Arizona & Integration with Federally Facilitated Marketplace/sites/default/files/Rural%20Health%20Webinar%20-%20The%20Health%20Insurance%20Marketplace%208%207%202013.pdf
/sites/default/files/NewTechnologyForPublicAssistanceInAZ.pdf%28%40_W%24%3BW.pdf
Recording of Webinar https://mezcoph.webex.com/mezcoph/lsr.php?AT=pb&SP=EC&rID=7270062&rKey=b0ade7bc8e96c8f6
Health Resources and Services Administration
Health Information Technology and Quality Webinar
“Free Continuing Education Resources for Safety Net Health Professionals from the Agency for Healthcare Research and Quality”
Friday, July 12, 2013, 2 PM ET
Register here: https://cc.readytalk.com/r/52862r4pd59x&eom

ADHS Licensure Pediatric Admission Rules

R9-10-224. Pediatric Services
	A. An administrator of a hospital that provides pediatric services or organized pediatric services according to the requirements in this Section shall ensure that:
	1. Consistent with the health and safety of a pediatric patient, arrangements are made for a parent or a guardian of the pediatric patient to stay overnight;
	2. Policies and procedures are established, documented, and implemented for:
	a. Infection control for shared toys, books, stuffed animals, and other items in a community playroom; and
	b. Visitation of a pediatric patient, including age limits if applicable;
	3. The hospital only admits a pediatric inpatient if the hospital has the staff, equipment, and supplies available to meet the needs of the pediatric patient based on the pediatric patient’s medical condition and the hospital’s scope of services; and
	4. If the hospital provides pediatric intensive care services, the pediatric intensive care services comply with intensive care services requirements in R9-10-221.
	B. An administrator of a hospital that provides pediatric organized services shall ensure that pediatric services are provided in a designated area under the direction of a medical staff member.
	C. An administrator shall ensure that in a multi-organized service unit or a patient care unit that is providing medical and nursing services to an adult patient and a pediatric patient according to this Section:
	1. A pediatric patient is not placed in a patient room with an adult patient, and
	2. A medication for a pediatric patient that is stored in the patient care unit is stored separately from a medication for an adult patient.
	D. Except as provided in subsections (F) and (G), an administrator of a hospital that does not provide pediatric organized services may admit a pediatric inpatient only in an emergency.
	E. A hospital may use a bed in a pediatric organized services patient care unit for an adult patient if an administrator establishes, documents, and implements policies and procedures that:
	1. Delineate the specific conditions under which an adult patient is placed in a bed in the pediatric organized services unit, and
	2. Except as provided in subsection (H) and (I), ensure that an adult patient is:
	a. Not placed in a pediatric organized services patient care unit if a pediatric patient is admitted to and present in the pediatric organized services patient care unit, and
	b. Transferred out of the pediatric organized services patient care unit to an appropriate level of care when a pediatric patient is admitted to the pediatric organized services patient care unit.
	F. Subsection (G) only applies to a general hospital or rural general hospital that:
	1. Does not provide pediatric organized services;
	2. Has designated in the general hospital or rural general hospital’s scope of services, inpatient services that are available to a pediatric patient;
	3. Has a licensed capacity of less than 100; and
	4. Is located in a county with a population of less than 500,000.
	G. An administrator of a general hospital or rural general hospital that meets the criteria in subsection (F) shall ensure that:
	1. There are pediatric-appropriate equipment and supplies available based on the hospital services designated for pediatric patients in the general hospital or rural general hospital’s scope of services; and
	2. Personnel members that are or may be assigned to provide hospital services to a pediatric patient have the appropriate skills and knowledge for providing hospital services to a pediatric patient based on the general hospital or rural general hospital’s scope of services.
	H. Subsection (I) only applies to a general hospital or a rural general hospital that:
	1. Provides organized pediatric services in a patient care unit;
	2. Has designated in the general hospital or rural general hospital’s scope of services, inpatient services that are available to an adult patient in an organized pediatric services patient care unit;
	3. Has a licensed capacity of less than 100; and
	4. Is located in a county with a population of less than 500,000.
	I. An administrator of a general hospital or rural general hospital that meets the criteria in subsection (H) shall comply with the requirements in subsection (E)(1).

Rural Health Clinics

Profile of Rural Health Clinics: Medicare Payments & Common Diagnoses
Review of 2009 Medicare Outpatient Claims Data
Andrea D. Radford, DrPH, Denise A. Kirk, MS, Hilda A. Howard, BA
FINDINGS BRIEF #107, December 2012
Are Rural Health Clinics Part Of The Rural Safety Net?
Maine Rural Health Research Center
Research & Policy Brief September 2010
http://muskie.usm.maine.edu/Publications/rural/pb/RHC-Safety-Net.pdf
2013 Critical Access and Small Rural Hospital Arizona Legislative Agenda