2015 Kentucky Revised Statutes
CHAPTER 216 - HEALTH FACILITIES AND SERVICES
216.910 Powers and duties of network.

Download as PDF 216.910 Powers and duties of network. (1) (2) (3) (4) (5) (6) (7) (8) (9) Any licensed network shall be permitted to establish one (1) extension site per fulltime physician on the staff of the network. Extension sites shall not be required to have a separate license but shall conform to administrative regulations promulgated by the Cabinet for Health and Family Services and shall be inspected on a regular basis. Each network shall establish protocols for the treatment of the twenty (20) most common patient problems. At a minimum, the protocols shall identify for each problem a working definition, patient symptoms, diagnostic techniques, acceptable values for laboratory findings, conditions under which a physician shall be consulted, and treatment methods. These protocols shall be approved by the board. The protocols shall be listed in a handbook provided to each midlevel health-care practitioner and shall be available to patients upon request. Each network shall have a system of patient and family medical records which employs the problem-oriented medical record format. A network shall employ a primary-care physician who has admitting privileges at a local hospital. The network shall hire ancillary personnel as necessary to provide the basic services of the network. The network may hire midlevel health-care practitioners to assist the physician but there shall be one (1) physician on staff for each midlevel health-care practitioner. A physician shall see each patient for whom services are provided by a midlevel health-care practitioner not less than twice a year. A medical chart auditor shall review the medical record entries for each patient encounter on the day of the encounter and will refer to the physician immediately any deviation from protocol. Each network shall develop a quality assurance program which shall be approved by the board. At a minimum, the quality assurance program shall address: (a) Program goals and objectives; (b) Program organization, including identification of responsible parties, the nature of their responsibilities, and the persons to whom they report; and (c) Identification of the patient care process. Each network shall establish a process by which it regularly evaluates the healthcare needs of its community and the services it provides in response to those needs. Each network shall provide the following educational opportunities: (a) Ninety (90) minutes each week of continuing education to its health-care providers on topics relating to patient care needs; and (b) One and one-half (1.5) days leave and fifty percent (50%) of expenses up to three hundred dollars ($300) per year to its midlevel health-care practitioners for approved continuing education outside of the network. Each network shall either provide directly for twenty-four (24) hour, seven (7) day per week access to care for its patients or have formal written agreements with local providers to insure twenty-four (24) hour, seven (7) day per week access to care for its patients. (10) No network may charge or collect more money for the services of any midlevel health-care practitioner than is allowable under Medicaid for other nonphysician practitioners. Effective: June 20, 2005 History: Amended 2005 Ky. Acts ch. 99, sec. 497, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 444, effective July 15, 1998. -- Created 1990 Ky. Acts ch. 482, sec. 3, effective July 13, 1990.