1. (1) 6010 MEDICAL/SURGICAL ACUTE

   1. (i) Function. Medical/Surgical Acute Care Units provide care to patients on the basis of physicians' orders and approved nursing care plans. Additional activities include, but are not limited to, the following:

      Serving and feeding of patients; collecting sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

   2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Medical/Surgical acute patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
   3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   5. (2) 6170 PEDIATRIC ACUTE

      1. (i) Function. Pediatric Acute Care Units provide care to Pediatric patients (children less than 14 years) in Pediatric nursing units on the basis of physicians' orders and approved nursing care plans. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing the patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Pediatric patients. Included in these direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients less than 14 years admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   6. (3) 6210 PSYCHIATRIC ACUTE

      1. (i) Function. Psychiatric Acute Care Units provide care to patients admitted for diagnosis as well as treatment on the basis of physicians' orders and approved nursing care plans. The units are staffed with nursing personnel specially trained to care for the mentally ill, mentally disordered, or other mentally incompetent persons. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Psychiatric patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   7. (4) 6250 OBSTETRICS ACUTE

      1. (i) Function. The provision of care to the mother following delivery on the basis of physicians' orders and approved nursing care plans is provided in the Obstetrics Acute Care Unit. Additional activities include, but are not limited to, the following:

         Instructing of mothers in postnatal care and care of the newborn; serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids including, I.V. s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Obstetrics patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   8. (5) DEFINITIVE OBSERVATION.

      1. (i) Function. Definitive Observation is the delivery of care to patients requiring care more intensive than that provided in the acute care areas, yet not sufficiently intensive to require admission to an intensive care area. Patients admitted to this cost center are generally transferred there from an intensive care unit after their condition has improved. The unit is staffed with specially trained nursing personnel and contains monitoring and observation equipment for intensified, comprehensive observation and care. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing dressings and cleansing wounds and incisions; observing and recording emotional stability or patients; assisting in bathing patients and helping into and out of bed; observing patients for reactions to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Definitive Observation patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   9. (6) 6290 OTHER ACUTE CARE

      1. (i) Function. Other Acute Care Units provide acute care to patients on the basis of physicians' orders and approved nursing care plans. Included are those units not required to be included in other specific Acute Care cost centers such as detoxification care (chemical dependency). Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Other Acute Care patients not required to be included in other specific Acute Care cost centers. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

2. (b) Intensive care. [ 3252 ]

   1. (1) 6310 MEDICAL/SURGICAL INTENSIVE CARE

      1. (i) Function. A Medical/Surgical Intensive Care Unit provides patient care of a more intensive nature than that provided to the Medical and Surgical Acute patients. The unit is staffed with specially trained nursing personnel and contains monitoring and specialized support equipment for patients who, because of shock, trauma or threatening conditions, require intensified comprehensive observation and care. Additional activities include, but are not limited, to the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V s and blood; answering of patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing intensive daily bedside care to Medical/Surgical Intensive Care patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.
      5. (2) 6330 CORONARY CARE 6331 Myocardial Infarction 6332 Pulmonary Care 6333 Heart Transplant 6339 Other Coronary Care

      6. (i) Function. The delivery of care of a more specialized nature than that provided to the usual Medical, Surgical and Pediatric patient is provided in the Coronary Care Unit. The unit is staffed with specially trained nursing personnel and contains monitoring and specialized support or treatment equipment for patients who, because of heart seizure, open heart surgery or threatening conditions, require intensified, comprehensive observation and care. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering patients' call signals; keeping patients' rooms (personal effects) in order.

      7. (ii) Description. These cost centers contain the direct expenses incurred in providing intensive daily bedside care to Coronary Care patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      8. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to each of these units. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      9. (iv) Data source. The number of patient days shall be taken from daily census counts.

   2. (3) 6350 PEDIATRIC INTENSIVE CARE

      1. (i) Function. A Pediatric Intensive Care Unit provides care to children less than 14 years of age of a more intensive nature than the usual Pediatric Acute level. The units are staffed with specially trained personnel and contain monitoring and specialized support equipment for patients who, because of shock, trauma, or threatening conditions, require intensified, comprehensive observation and care. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing of equipment and assisting of physicians during patient examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Pediatric Intensive Care patients. Included in these direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   3. (4) 6370 NEO-NATAL INTENSIVE CARE

      1. (i) Function. A Neo-Natal Intensive Care Unit provides care to newborn infants that is of a more intensive nature than care provided in Newborn Acute Units. Care is provided on the basis of physicians' orders and approved nursing care plans. The units are staffed with specially trained nursing personnel and contain specialized support equipment for treatment of those newborn infants who require intensified, comprehensive observation and care. Additional activities include, but are not limited to, the following:

         Feeding infants; collecting sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment needed for this function; preparing equipment and assisting physicians during infant examination and treatment; changing dressings or assisting physicians in changing dressings and cleansing wounds and incisions; bathing infants; observing patients for reactions to drugs; and administering specified medication; infusing fluids, including I.V.'s and blood.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing intensive daily bedside care to Neo-Natal Intensive Care patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   4. (5) 6380 BURN CARE

      1. (i) Function. A Burn Care Unit provides care to severely burned patients that is of a more intensive nature than the usual acute nursing care provided in medical and surgical units. Burn units are staffed with specially trained nursing personnel and contain specialized support equipment for burn patients who require intensified, comprehensive observation and care. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment needed for this function; preparing equipment and assisting physicians during patient examination and treatment; changing dressings and cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping them into and out of bed; observing patients for reactions to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering patients' call signals; and keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing intensive daily bedside care to Burn Care patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   5. (6) 6390 PSYCHIATRIC INTENSIVE CARE

      1. (i) Function. Psychiatric Intensive Care Units provide care to psychiatric patients which is of a more intensive nature than the usual nursing care provided in Psychiatric Acute Units. The units are staffed with specially trained nursing personnel and contain monitoring and specialized support equipment for patients who, because of shock, trauma, or threatening conditions, require intensified, comprehensive observation and care. Additional activities include, but are not limited to, the following:

         Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood; answering patients' call signals; keeping patients' rooms (personal effects) in order.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Psychiatric Intensive Care patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

3. (7) 6410 OTHER INTENSIVE CARE I 6420 OTHER INTENSIVE CARE II 6430 OTHER INTENSIVE CARE III

   1. (i) General. Three zero level accounts have been established for this function to provide for the reporting of each discrete Other Intensive Care Unit separately. The designations I, II, and III do not represent levels of care. The function, description, standard unit of measure, and data source that follow apply equally to each zero level account.

   2. (ii) Function. Other Intensive Care Units provide patient care of a more intensive nature than that provided to the Medical and Surgical Acute patients. The unit is staffed with specially trained nursing personnel and contains monitoring and specialized support equipment for patients who require intensified comprehensive observation and care. Included are those units not required to be included in other specific intensive care cost centers. Additional activities include, but are not limited to, the following:

      Serving and feeding of patients; collecting sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment related to this function; preparing equipment and assisting physicians during patient examination and treatment; changing dressings and cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; infusing fluids including I.V.'s and blood; answering patients' call signals; keeping patients' rooms (personal effects) in order.

   3. (iii) Description. This cost center contains the direct expenses incurred in providing intensive daily bedside care to Other Intensive Care patients in those units not required to be included in other specific Intensive Care cost centers. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses and transfers.
   4. (iv) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   5. (v) Data source. The number of patient days shall be taken from daily census counts.

   6. (vi) Effective dates. The reporting of Other Intensive Care II (account 6420) and Other Intensive Care III (account 6430) is optional for reporting periods beginning in 1980. For reporting periods beginning in 1981 and thereafter, the reporting of these accounts is required.

      (c) Nursery

      [ 3253 ]

   7. (1) 6510 NEWBORN NURSERY

      1. (i) Function. Daily care for newborn infants (including “Boarder” babies) is provided in Newborn Nursery units on the basis of physicians' orders and approved nursing care plans. Additional activities include, but are not limited to, the following:

         Feeding infants; collecting sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment related to this function; preparing equipment and assisting physicians during infant examination and treatment; changing or assisting physicians in changing dressings and cleansing wounds and incisions; bathing infants; observing patients for reaction to drugs; administering specified medication; infusing fluids, including I.V.'s and blood.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Newborn Nursery patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses and transfers.
      3. (iii) Standard Unit of Measure: number of newborn patient days. Report patient days of care for all infant patients (including “boarder” babies) admitted to this unit. Include the day of admission but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one newborn patient day.
      4. (iv) Data source. The number of newborn nursery patient days shall be taken from daily census counts.

   8. (2) 6520 PREMATURE NURSERY

      1. (i) Function. Daily care for premature infants (infants born at any time through the 37th week of gestation [259 days]) is provided in these nursery units on the basis of physicians' orders and approved nursing care plans. Additional activities include, but are not limited to, the following:

         Feeding infants; collecting sputum, urine and feces samples; monitoring vital life signs; operating specialized equipment needed for this function; preparing equipment and assisting physicians during infant examination and treatment; changing dressings or assisting physicians in changing dressings and cleansing wounds and incisions; bathing infants; observing patients for reactions to drugs; administering specified medication; infusing fluids, including I.V.'s and blood.

      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to Premature Nursery Patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of premature patient days. Report patient days of care for all infant patients admitted to this unit. Include the day of admission but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one newborn patient day.

      4. (iv) Data source. The number of premature patient days shall be taken from daily census counts.

         (d) Sub-acute care.

         [ 3254 ]

4. (1) 6610 SKILLED NURSING CARE—MEDICARE OR MEDICARE/MEDICAID CERTIFIED

   1. (i) Function. This unit is certified to participate in the Medicare program or is certified to participate in both the Medicare and Medicaid programs as a skilled nursing facility that is a distinct part of a hospital or a separate cost entity in a hospital in accordance with the regulatory definitions for participation in and provision of services under these programs. Skilled Nursing Care is provided to patients on the basis of physicians' orders and approved nursing care plans and consists of care in which the patients require convalescent and/or restorative services at a level less intensive than the Medical, Surgical and Pediatric acute care requirements. This center is sometimes referred to as Extended Care. Additional activities include, but are not limited to, the following:

      Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patients' examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; answering patients' call signals; keeping patients' rooms (personal effects) in order.

   2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to patients requiring extended skilled nursing care usually lasting 30 days or more. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
   3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   4. (iv) Data source. The number of patient days shall be taken from daily census counts.
   5. (v) Effective dates. Reporting periods beginning in 1980 and thereafter.

5. (2) 6620 SKILLED NURSING CARE—MEDICAID-CERTIFIED

   1. (i) Function. This unit is certified to participate in the Medicaid program as a distinct part of a hospital or a separate cost entity in a hospital in accordance with the regulatory definitions for participation in Medicaid. It is not certified for participation in Medicare. Skilled Nursing Care is provided to patients on the basis of physicians' orders and approved nursing care plans, and consists of care in which the patients require convalescent and/or restorative services at a level less intensive than the Medical, Surgical and Pediatric acute care requirements. This center is sometimes referred to as Extended Care. Additional activities include, but are not limited to, the following:

      Serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital life signs; operating of specialized equipment related to this function; preparing equipment and assisting physicians during patients' examination and treatment; changing of dressings and cleansing of wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of bed; observing patients for reaction to drugs; administering specified medication; answering patients' call signals; keeping patients' rooms (personal effects) in order.

   2. (ii) Description. This cost center contains the direct expenses incurred in providing daily bedside care to patients requiring extended skilled nursing care usually lasting 30 days or more. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
   3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   4. (iv) Data source. The number of patient days shall be taken from daily census counts.
   5. (v) Effective date. Reporting periods beginning in 1980, and thereafter.

   6. (3) 6630 PSYCHIATRIC LONG-TERM CARE

      1. (i) Function. Medical care, nursing services, and intensive supervision of chronically mentally ill, mentally disordered, or other mentally incompetent persons is rendered in the Psychiatric Long-Term Care Unit.
      2. (ii) Description. This cost center contains the direct expenses incurred in providing daily care to Psychiatric Long-Term patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

6. (4) 6640 TUBERCULOSIS LONG-TERM CARE

   1. (i) Function. Tuberculosis Long-Term Care is provided to tuberculosis patients on the basis of physicians' orders and approved nursing care plans. The care is provided at a level less intensive than acute care requirements.
   2. (ii) Description. This cost center contains the direct expenses incurred in providing daily services to patients requiring tuberculosis long-term care. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
   3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   4. (iv) Data source. The number of patient days shall be taken from daily census counts.
   5. (v) Effective date. Reporting periods beginning in 1980 and thereafter.

7. (5) 6650 INTERMEDIATE CARE—MENTALLY RETARDED

   1. (i) Function. Intermediate Care—Mentally Retarded is the provision of supportive, rehabilitative, restorative and preventive health services in conjunction with a socially oriented program for patients with psychiatric or developmental impairment, and the maintenance and operation of 24-hour services including room, personal care, and continuous nursing service under the direction of a professional nurse.
   2. (ii) Description. This cost center contains the direct expenses incurred in providing daily services to patients requiring intermediate nursing care. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
   3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   4. (iv) Data source. The number of patient days shall be taken from daily census counts.
   5. (v) Effective date. Reporting periods beginning in 1982 and thereafter.

8. (6) 6660 INTERMEDIATE CARE—OTHER

   1. (i) Function. Intermediate Care is the provision of supportive, restorative and preventive health services in conjunction with a socially oriented program for patients, and the maintenance and operation of 24-hour services including room, personal care, and continuous nursing service under the direction of a professional nurse.
   2. (ii) Description. This cost center contains the direct expenses incurred in providing daily services to patients requiring intermediate nursing care. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
   3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   4. (iv) Data source. The number of patient days shall be taken from daily census counts.
   5. (v) Effective date. Reporting periods beginning in 1980 and thereafter.

   6. (7) 6670 RESIDENTIAL CARE

      1. (i) Function. Residential Care is the provision of safe, hygienic, sheltered living for residents not capable of fully independent living. Regular and frequent, but not continuous, medical and nursing services are provided. Also included is self-care. Self-care units provide supportive, restorative and preventive health care for ambulatory patients who are capable of caring for themselves under the supervision of a professional nurse. The unit is used by recovering patients who are making the transition to discharge or by patients who are undergoing tests and medical evaluation who require a minimal amount of nursing supervision. These patients generally eat in a central dining facility and do not require bedside nursing care.
      2. (ii) Description. This cost center contains the direct expenses incurred in providing residential care to patients. Included as direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      3. (iii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      4. (iv) Data source. The number of patient days shall be taken from daily census counts.

   7. (8) 6680 OTHER SUB-ACUTE CARE SERVICES

      1. (i) Description. This cost center contains the direct expenses incurred in maintaining sub-acute care daily hospital services units not specifically required to be included in other sub-acute care cost centers. Included in these direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
      2. (ii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
      3. (iii) Data source. The number of patient days shall be taken from daily census counts.
      4. (iv) Expiration date. The final year for reporting this cost center is cost reporting periods beginning in 1981.

9. (9) 6680 OTHER SUB—ACUTE CARE HOSPITAL SERVICES

   1. (i) Description. Other sub-acute care units provide hospital level of care that is less intensive than regular acute care but is more intensive than skilled nursing facility level of care. This unit may provide long-term hospital care to patients other than psychiatric or tuberculosis patients. Also, this unit may be certified to participate in Medicare as a “subprovider” other than a subprovider furnishing care to psychiatric or tuberculosis patients. Care in this unit is furnished on the basis of physicians' orders and approved nursing care plans.
   2. (ii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
   3. (iii) Data source. The number of patient days shall be taken from daily census counts.
   4. (iv) Effective date. Reporting periods beginning in 1982 and thereafter.

10. (10) 6690 OTHER SUB—ACUTE CARE NON-HOSPITAL SERVICES

    1. (i) Description. This cost center contains the direct expenses incurred in maintaining sub-acute care daily hospital non-hospital services units not specifically required to be included in other sub-acute care cost centers. Included in these direct expenses are: salaries and wages, employee benefits, professional fees, supplies, purchased services, other direct expenses, and transfers.
    2. (ii) Standard Unit of Measure: number of patient days. Report patient days of care for all patients admitted to this unit. Include the day of admission, but not the day of discharge or death. If both admission and discharge or death occur on the same day, the day is considered a day of admission and counts as one patient day.
    3. (iii) Data source. The number of patient days shall be taken from daily census counts.
    4. (iv) Effective date. Reporting periods beginning in 1982 and thereafter.

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(a) Acute care.

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