PURPOSE: This rule specifies the requirements for special patient care services in a hospital.

1. (1) Each specialized inpatient care service, if provided, shall be under the medical direction of a qualified physician who is a member of the medical staff and appointed by the governing body. This shall not prohibit a qualified physician from being the medical director of more than one (1) specialized inpatient care service area.
2. (2) Patient care in each specialized inpatient care service area shall be integrated with the other nursing services and supervised by a qualified registered professional nurse with relevant education, experience, and demonstrated current competency.
3. (3) Each specialized inpatient care service area shall have written policies and procedures that are reviewed and kept current per hospital policy and are readily available to staff.
4. (4) Qualifications of personnel assigned to each specialized inpatient care service area shall be delineated in writing. 19 CSR 30-20
5. (5) A multi-disciplinary committee, chaired by the director, shall develop protocols for patient care in each specialized inpatient care service area. This committee shall meet at least quarterly and minutes shall be kept and filed on a confidential basis.
6. (6) There shall be a process for the review and evaluation on a regular basis of the quality and appropriateness of care provided in each specialized inpatient care service area.

AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 and 197.154, RSMo Supp. 2013.* This rule previously filed as 19 CSR 30-20.021(4)(K). Original rule filed June 27, 2007, effective Feb. 29, 2008. Amended: Filed Dec. 31, 2013, effective Aug. 30, 2014.

*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo 2004.