N.Y. Comp. Codes R. & Regs. tit. 9 § 7410.6

Current through Register Vol. 46, No. 45, November 2, 2024

Section 7410.6 - Clinical health services authority

(a) OCFS shall establish clinical health services authorities, and shall require that direct health care delivery in secure facilities is governed by a clinical health services authority.

(b) At a minimum, each clinical health services authority shall consist of a medical director, registered professional nurse and licensed health care professionals.

(c) OCFS shall develop written job descriptions outlining the duties and responsibilities of the medical director and all other licensed health care professionals.

(d) Each clinical health services authority responsible for more than one secure facility shall be staffed by a full time medical director.

(e) Each medical director shall be responsible for the quality, continuity and availability of all health care provided to residents within each secure facility.

(f) OCFS shall provide each clinical health services authority with licensed health care professionals sufficient to meet the health care needs of the resident population. In determining the adequacy of each health care staff, OCFS shall take into account factors including, but not limited to:

(1) the annual average size of the resident population under the care of the clinical health services authority;

(2) the level(s) of care to be delivered by the clinical health services authority, as defined by OCFS and consistent with the requirements of this Part; and

(3) impediments to or limitations upon resident access to health services associated with security imperatives and/or physical plant location or configuration.

(g) At a minimum, the following health care staffing requirements shall be met:

(1) each clinical heath services authority shall be staffed with one registered professional nurse on a 16-hour basis each day and shall provide for the continuous access, without undue delay, to such nurse by all residents for whom the clinical health services authority is responsible. Reasonably proximate clinical health services authorities may share nursing staff for purposes of compliance with this subdivision;

(2) if a secure facility operates an infirmary unit, and it is occupied by a resident, it shall be staffed on a 24-hour basis each day with a registered professional nurse, a licensed practical nurse and/or a nurses' aid in sufficient number to furnish each infirmary patient direct nursing care and related services including assessments, treatments, medications, diets, and other health services in accordance with each resident's treatment plan prepared pursuant to a physician's order; and

(3) the services of a physician shall be available on call to each secure facility every day during the hours in which no physician is present within the facility.

(h) All health care staff shall wear, at all times, identification that clearly states their name and professional title.

(i) OCFS shall maintain records of current New York State licensure or registration of all physicians, nurses and heath care staff.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 7410.6

Renumbered from subtitle AA of chapter III New York State Register April 11, 2018/Volume XL, Issue 15, eff. 4/11/2018