| (60) Telemedicine--A health care service that is initiated
by a physician or provided by a licensed health professional acting
under appropriate physician delegation and supervision that is provided
for purposes of client assessment by a health professional, diagnosis
or consultation by a physician, or treatment, or for the transfer
of medical data, and that requires the use of advanced telecommunications
technology, other than telephone or facsimile technology, including:
(A) compressed digital interactive video, audio, or
data transmission;
(B) clinical data transmission using computer imaging
by way of still-image capture and store and forward; and
(C) other technology that facilitates access to health
care services or medical specialty expertise.
(61) Transfer--The movement (including the discharge)
of an individual outside an LSRH's facilities at the direction of
any person employed by (or affiliated or associated, directly or indirectly,
with) the LSRH, but does not include such a movement of an individual
who has been declared dead, or leaves the facility without the permission
of any such person.
(62) Universal precautions--Procedures for disinfection
and sterilization of reusable medical devices and the appropriate
use of infection control, including hand washing, the use of protective
barriers, and the use and disposal of needles and other sharp instruments
as those procedures are defined by the Centers for Disease Control
and Prevention (CDC) of the United States Department of Health and
Human Services. This term includes standard precautions as defined
by the CDC that are designed to reduce the risk of transmission of
blood borne and other pathogens in hospitals.
(63) Violation--Failure to comply with the licensing
statute, a rule or standard, special license provision, or an order
issued by the HHSC executive commissioner (executive commissioner)
or the executive commissioner's designee, adopted or enforced under
the licensing statute. Each day a violation continues or occurs is
a separate violation for purposes of imposing a penalty.
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