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Notice of Proposed Rulemaking for OAR chapter 333, division 500
The Oregon Health Authority (OHA), Public Health Division, Health Care Regulation and Quality Improvement section is proposing to permanently adopt and amend administrative rules in chapter 333, division 500 relating to hospitals. There are two changes being proposed relating to satellite locations owned and operated by a hospital.
 
"Hospital Satellite Providing Emergency Psychiatric Services”
In February 2015, the OHA filed temporary administrative rules with a minor change to existing rules allowing a hospital satellite to offer psychiatric services that includes both inpatient psychiatric services and emergency psychiatric services in order to allow a hospital or health system more flexibility in providing psychiatric emergency services in a more efficient and patient centered way, and possibly reduce the number of psychiatric patients waiting for care in an emergency department. The purpose of these proposed rules is to clarify the OHA’s intent that these services would need to comply with federal Emergency Medical Treatment and Labor Act (EMTALA) regulations, all hospital licensing administrative rules, and that emergency psychiatric services must be offered in an emergency department. The proposed rule also clarifies that a hospital proposing to offer such services must provide evidence that the facility is not subject to Certificate of Need requirements in ORS 442.315.
 
 
"Hospital Satellite Emergency Departments"
In March 2015, the OHA filed temporary administrative rules in response to the needs of communities in rural Oregon where hospital based emergency services can be sought more quickly than traveling upwards of 30 minutes to seek care. The OHA is proposing revising the definition of satellite that will permit a hospital to have an off campus emergency department within 35 miles of the parent hospital, under the hospital’s license if it meets specified criteria and data reporting. A parent hospital will be required to provide evidence that it can meet specified criteria for patient safety, must provide emergency medical services in accordance with requirements for hospital-based emergency departments, and may not be located in an area where such services would undermine existing hospitals systems.
 
 
The Public Health Division is currently accepting comments on both sets of proposed rules. A public hearing will be held in Portland, Oregon at 800 NE Oregon St, Room 1D, on July 21, 2015 at 2:30 p.m.  Written comments may also be submitted before 5:00 p.m. on July 22, 2015 to the Public Health Division Rules Coordinator at the following address:
OHA, Public Health Division
Brittany Sande, Administrative Rules Coordinator
800 NE Oregon Street, Suite 930
Portland, Oregon 97232
E-mail comments to: brittany.a.sande@state.or.us
 
 

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Notice of Temporary Rulemaking for OAR chapter 333, division 500

"Hospital Satellite Emergency Departments"

The Oregon Health Authority, Public Health Division is temporarily adopting and amending administrative rules in chapter 333, division 500 pertaining to emergency medical services satellites.  These temporary rules would permit a hospital to offer emergency medical services in an off-campus hospital location, within 35 miles of the parent hospital, under the hospital’s license, as long as certain criteria is met.  

Under current rule it is not permissible for a hospital to provide emergency medical services in an off-campus hospital facility.  This temporary rule would permit a hospital to offer emergency medical services in an off-campus hospital location, within 35 miles of the parent hospital, under the hospital’s license. The parent hospital would be required to demonstrate it can meet specified criteria for patient safety, provide emergency medical services in accordance with the requirements for hospital-based emergency departments, and may not be located in an area where such services would undermine existing hospital systems. These new off-campus hospital emergency departments will be required to coordinate with 9-1-1 services and EMS providers to ensure that optimal care is provided to patients. Any off-campus hospital emergency departments would be required to collect and report data on patient care to better understand and optimize this care model in the future.

This rulemaking is effective March 24, 2015 – September 19, 2015.
It is the Authority’s intention to begin the process to make these rules permanent.​

Rulemaking Documents

For more details, please see the Statement of Need and Justification and full text of the temporary rules. In the temporary text, underlined text has been added and strikethrough text has been deleted.

Certificate and Order for Filing (pdf)
Statement of Need and Justification (pdf)
Full temporary text of proposed rules (pdf)​

If you have any questions or would prefer a hardcopy be sent, please contact staff at 971-673-1222 or PublicHealth.Policy@state.or.us.


Notice of Temporary Rulemaking for OAR chapter 333, division 500

"Hospital Satellite Providing Emergency Psychiatric Services"

The Oregon Health Authority (Authority), Public Health Division, Health Care Regulation and Quality Improvement program is temporarily amending administrative rules in chapter 333, division 500 relating to hospitals that provide emergency psychiatric services and inpatient psychiatric services in a satellite location.

This rulemaking is effective February 20, 2015 through August 18, 2015.
It is the Authority's intent to begin the process to make these temporary rules permanent. Additional details in the Statement of Need and Justification and rule text can be found in OAR chapter 333, division 500 (pdf) - temporary rulemaking (pdf).​​​​​​