1. (a) Inspections by Department. All hospitals required to have a license are subject to inspection by Department staff in accordance with OAC 310:667-1-4.
2. (b) Verifying Classification Level. The Commissioner will designate survey teams to verify a hospital's emergency services are accurately classified for trauma and emergency operative services Levels II, III and IV, and all other classified emergency services. A survey team will include a physician, if the team inspects a hospital that provides trauma and emergency operative services at Level II or III. A hospital must report its level of emergency services through the Emergency Medical Services Classification Report (ODH Form 911). If it is determined a hospital does not comply with all the requirements for the Level stated on ODH Form 911, the Department will classify that service at the next lowest Level where all requirements are met.
3. (c) Verifying Level I and II Trauma and Emergency Operative Services Through ACS COT. A hospital verified as a Level I or Level II trauma center through an on-site review of their trauma services by a verification team from the American College of Surgeons Committee on Trauma (ACS COT) will be considered to have met the classification requirements for Trauma and Emergency Operative Services listed in OAC 310:667-59-9(c) or OAC 310:667-59-9(d). Such hospitals will be classified by the Department as providing definitive trauma and emergency operative services at either classification Level I or Level II as reported by the ACS based on the provisions of this Subchapter.
4. (d) Verifying Level II Trauma and Emergency Operative Services. The services provided by hospitals classified at Level II for Trauma and Emergency Operative Services may be verified by either ACS COT surveyors or other representatives considered qualified by the Commissioner.
5. (e) Verifying Level I Trauma and Emergency Operative Services. A hospital is classified at Level I for trauma and emergency operative services, if it is verified through an ACS COT on-site review that is based on the standards at OAC 310:667-59-9(d).
6. (f) Verifying Level I and II Stroke Services. The Department must grant Level I or Level II Stroke Center classification to hospitals holding current verification as a Primary Stroke Center issued through an on-site review of their emergency stroke services by a verification team from The Joint Commission. Such classification will be granted to hospitals that meet the requirements of a Level I or Level II Stroke Center as specified at OAC 310:667-59-20 (relating to the classification of emergency stroke services) and verified by the accrediting organization.

Added at 17 Ok Reg 2992, eff 7-13-00

Amended at 20 Ok Reg 1664, eff 6-12-03

Amended at 21 Ok Reg 573, eff 1-12-04 (emergency)

Amended at 21 Ok Reg 2785, eff 7-12-04

Amended at 25 Ok Reg 2785, eff 7-17-08 (emergency)

Amended at 26 Ok Reg 2054, eff 6-25-09

Amended at 36 Ok Reg 1730, eff 9-13-19

Amended at 39 Ok Reg 1392, eff 9-11-22