La. Admin. Code tit. 48 § I-5303

Current through Register Vol. 50, No. 11, November 20, 2024
Section I-5303 - Definitions

Active Client-a client of the CRC who is currently receiving services from the CRC.

Administrative Procedure Act-R.S. 49:950 et seq.

Administrative Review-Health Standards Section's review of documentation submitted by the center in lieu of an on-site survey.

Adult-a person that is at least 18 years of age.

Authorized Licensed Prescriber-a physician or nurse practitioner licensed in the state of Louisiana and with full prescriptive authority authorized by the CRC to prescribe treatment to clients of the specific CRC at which he/she practices.

Building and Construction Guidelines-structural and design requirements applicable to a CRC; does not include occupancy requirements.

Cessation of Business-provider is non-operational and/or has stopped offering or providing services to the community.

Change of Ownership (CHOW)-the addition, substitution, or removal, whether by sale, transfer, lease, gift or otherwise, of a licensed health care provider subject to this rule by a person, corporation, or other entity, which results in a change of ownership (CHOW) or change of controlling interest of assets or other equity interests of the licensed entity may constitute a CHOW of the licensed entity. An example of an action that constitutes a CHOW includes, but is not limited to, the leasing of the licensed entity.

CLIA-clinical laboratory improvement amendment.

Client Record-a single complete record kept by the CRC which documents all treatment provided to the client. The record may be electronic, paper, magnetic material, film or other media.

Community Mental Health Center-a Medicare certified program as defined in 42 CFR § 410.2. An entity that:

1. provides outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically mentally ill, and clients of its mental health service area who have been discharged from inpatient treatment at a mental health facility;
2. provides 24-hour-a-day emergency care services;
3. provides day treatment or other partial hospitalization services, or psychosocial rehabilitation services;
4. provides screening for patients being considered for admission to state mental health facilities to determine the appropriateness of this admission;
5. meets applicable licensing or certification requirements for CMHCs in the state in which it is located; and
6. provides at least 40 percent of its services to individuals who are not eligible for benefits under title XVIII of the Social Security Act.

Construction Documents-building plans and specifications.

Contraband-any object or property that is against the CRCs policies and procedures to possess.

Coroner's Emergency Certificate (CEC)-a certificate issued by the coroner or his/her deputy pursuant to R.S. 28:53, or current law.

Crisis Receiving Services-services related to the treatment of people in behavioral crisis, including crisis identification, intervention and stabilization.

Department-the Louisiana Department of Health (LDH).

Direct Care Staff-any member of the staff, including an employee or contractor, that provides the services delineated in the comprehensive treatment plan. Food services, maintenance and clerical staff and volunteers are not considered as direct care staff.

Disaster or Emergency-a local, community-wide, regional or statewide event that may include, but is not limited to:

1. tornados;
2. fires;
3. floods;
4. hurricanes;
5. power outages;
6. chemical spills;
7. biohazards;
8. train wrecks; or
9. declared public health crisis.

Division of Administrative Law (DAL)-the Division of Administrative Law or its successor entity.

Grievance-a formal or informal written or verbal complaint that is made to the CRC by a client or the client's family or representative regarding the client's care, abuse or neglect when the complaint is not resolved at the time of the complaint by staff present.

HSS-the Health Standards Section of the Department of Health, Office of the Secretary, Office of Management and Finance.

Human Services Field-an academic program with a curriculum content in which at least 70 percent of the required courses for the major field of study are based upon the core mental health disciplines.

Level III Crisis Receiving Center (or Center or CRC)-an agency, business, institution, society, corporation, person or persons, or any other group, licensed by the LDH to provide crisis identification, intervention and stabilization services for people in behavioral crisis. CRCs receive, examine, triage, refer, or treat people in behavioral health crisis. A CRC shall have no more than:

1. 36 chairs for crisis stabilization/observation; and
2. 24 beds for short term stay (three to seven days).
a. - b. Repealed.

NOTE: Refer to physical environment Section of this Chapter for physical space requirements.

Licensed Mental Health Professional (LMHP)-an individual who is licensed in the state of Louisiana to diagnose and treat mental illness or substance abuse, acting within the scope of all applicable state laws and their professional license. A LMHP must be one of the following individuals licensed to practice independently:

1. a physician/psychiatrist;
2. a medical psychologist;
3. a licensed psychologist;
4. a licensed clinical social worker (LCSW);
5. a licensed professional counselor (LPC);
6. a licensed marriage and family therapist (LMFT);
7. a licensed addiction counselor (LAC);
8. an advanced practice registered nurse or APRN (must be a nurse practitioner specialist in adult psychiatric and mental health or family psychiatric and mental health);
9. a certified nurse specialist in one of the following:
a. psychosocial, gerontological psychiatric mental health;
b. adult psychiatric and mental health; or
c. child-adolescent mental health.

LSBME-Louisiana State Board of Medical Examiners.

MHERE-mental health emergency room extension operating as a unit of a currently -licensed hospital.

Major Alteration-any repair or replacement of building materials and equipment which does not meet the definition of minor alteration.

Mental Health Emergency Room Extension (MHERE)-a mental health emergency room extension operating as a unit of a currently licensed hospital.

Minor-a person under the age of 18.

Minor Alteration-repair or replacement of building materials and equipment with materials and equipment of a similar type that does not diminish the level of construction below that which existed prior to the alteration. This does not include any alteration to the function or original design of the construction.

OBH-the Department of Health, Office of Behavioral Health.

OHSEP-Office of Homeland Security and Emergency Preparedness.

On Call-immediately available for telephone consultation and less than one hour from ability to be on duty.

On Duty-scheduled, present, and awake at the site to perform job duties.

OPC-order for protective custody issued pursuant to R.S. 28:53.2.

OSFM-the Louisiana Department of Public Safety and Corrections, Office of State Fire Marshal.

PEC-Repealed.

Physician-an individual who holds a medical doctorate or a doctor of osteopathy from a medical college in good standing with the LSBME and a license, permit, certification, or registration issued by the LSBME to engage in the practice of medicine in the state of Louisiana.

Physician's Emergency Certificate (PEC)-an emergency certificate executed by a physician, physician assistant, psychiatric mental health nurse practitioner, or other nurse practitioner, or psychologist pursuant to R.S. 28:53, or current law.

Qualifying Experience-experience used to qualify for any position that is counted by using one year equals 12 months of full-time work.

Seclusion Room-a room that may be secured in which one client may be placed for a short period of time due to the client's increased need for security and protection.

Shelter in Place-when a center elects to stay in place rather than evacuate when located in the projected path of an approaching storm equal to or greater than tropical storm strength.

Sleeping Area-a single constructed room or area that contains a minimum of three individual beds.

Tropical Storm Strength-a tropical cyclone in which the maximum sustained surface wind speed (using the U.S. 1 minute average standard) ranges from 34 kt (39 mph 17.5 m/s) to 63 kt (73 mph 32.5 mps).

La. Admin. Code tit. 48, § I-5303

Promulgated by the Department of Health and Hospitals, Bureau of Health Srvices Financing, LR 41:102 (January 2015), Amended by the Department of Health, Bureau of Health Services Financing, LR 47472 (4/1/2021), Amended LR 48301 (2/1/2022), Amended LR 491930 (11/1/2023).
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2180.11 et seq.