| (a) The limited services rural hospital (LSRH) shall
adopt, implement, train, and enforce written policies to ensure all
provided services are consistent with accepted professional standards
and practice and compliance in accordance with applicable federal
and state law.
(b) The LSRH must develop policies with the advice
of members of the LSRH's professional health care staff, including:
(1) one or more physicians; and
(2) one or more of the following if they are on staff
under the provisions of Code of Federal Regulations Title 42 (42 CFR) §485.528(b)(1):
(A) physician assistants; or
(B) advanced practice registered nurses.
(c) The policies must include:
(1) a description of the services the LSRH provides,
including those provided through agreement or arrangement;
(2) policies and procedures for emergency medical services;
(3) guidelines for the medical management of health
problems, including:
(A) conditions requiring medical consultation or patient
referral;
(B) maintenance of health care records; and
(C) procedures for the periodic review and evaluation
of LSRH services; and
(4) policies and procedures that address the post-acute
care needs of patients receiving services in the LSRH.
(d) The group of professional personnel described in
subsection (b) of this section must review and update the policies
as necessary, but at least biennially.
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