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Special Hospitals

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SB 1191 (SANE program) Hospital Follow Up Letter – Urgent Response Requested

Hospital Compliance with House Bill 1376 - Clarification 4/2/14

Rule

For consideration of a special hospital license, an establishment must meet the following:

  • offer services, facilities, and beds for use for more than 24 hours for two or more unrelated individuals who are regularly admitted, treated, and discharged and who require services more intensive than room, board, personal services, and general nursing care;
  • provide clinical laboratory facilities, diagnostic x-ray facilities, treatment facilities, or other definitive medical treatment;
  • provide a medical staff in regular attendance;
  • maintain records of the clinical work performed for each patient; and
  • not provide surgical services.

The Facility Licensing Group is responsible for developing rules that establish minimum standards for special hospital licensing procedures; fees; operational requirements; inspection and investigation procedures; construction; fire prevention and safety requirements; license denial, probation, suspension and revocation.

Rule

Accreditation

Applying for an Initial Special Hospital License

 Audit Tools 

Data - Hospital Licensing

Directories of Hospitals

  Fees

Injury Prevention and Control Reporting Requirements
 

Medicare Information

Patient Bill of Rights

Rule

Accreditation

Hospitals may be accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) or the American Osteopathic Association (AOA).

Rule

Applying for an Initial Special Hospital License

The application process for special hospital licensing involves:

  • Health Facility Licensing Group staff who review the application and required documents for deficiencies. Refer to the application form for fee amount, mailing address and instructions.
  • Health Facility Compliance Group staff who are responsible for conducting a pre- survey conference and surveying the facility for compliance with the provisions on Health and Safety Code, Chapter 241 and TAC Chapter 133. Refer to the application form for timelines.
  • Architectural Review Group staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Click here for more information on the architectural review process.

Rule

Audit Tools

Audit tools are provided for use by your facility in preparation for a state licensure and/or Medicare certification survey. We suggest you conduct an audit of your facility’s compliance to standards of licensure and/or certification prior to the scheduled or unannounced survey.

 

Hospital - General/Special State Audit Tool - Report/Tags 0001-0506 Word File 1.29MB
Hospital - General/Special State Audit Tool - Report/Tags 0507-1249 Word File 1.09MB
Hospital - General/Special State Audit Tool- (Patient Transfer Policy). Word File 98KB, 8 pgs.
Emergency Medical Treatment and Labor Act (EMTALA) and Related Provider Agreement Requirements (federal). Word File 77KB, 7 pgs.
Critical Access Hospital (CAH) Federal Audit Tool. Word File 470KB, 15 pgs.
Medicare Survey Audit Tool Form (Acute Care Hospitals). PDF File 849KB
 

Patient Bill of Rights
To view requirements for General and Special Hospitals click here 25 TAC §133.42

To view requirements for hospitals providing Mental Health Services click here 25 TAC §404.162

To view requirements for hospitals providing Chemical Dependency Services click here 25 TAC §448.701

Rule

Data -Hospital Licensing

 

Number of special hospitals licensed in Texas
12/5/00 12/31/01 12/31/02 12/31/03 12/31/04 12/31/05
103 102 107 115 127 120

Counting methodology - Beginning December 5, 2000, the department began counting the number of licensed hospitals by the number of hospital buildings licensed, instead of the count of license numbers issued.

 

Special hospitals licensed in Texas by year
1998 1999 2000 2001 2002 2003 2004 2005
4 1 7 2 3 8 13 15

Other hospital and health-related data for Texas – Link to DSHS Center for Health Statistics: http://www.dshs.state.tx.us/chs/default.shtm

Rule

Fees

$39 per bed for licensing application fee.
Refer to architectural forms for appropriate plan review and inspection fees.
Application fees are not refundable.

Rule

Medicare Information

Hospitals may be certified to participate in the federal Medicare Program. The Secretary of the Department of Health and Human Services (DHHS) directs state health agencies or other appropriate agencies to determine if health care entities meet federal standards. This helping function is termed "provider certification." Health Facility Compliance Group staff is responsible for certifying hospitals. For more information on the certification process, refer to Rules/Regulation link on right-hand side menu box or contact your zone office. See the City-Region-Zone List to find your appropriate zone office.

 

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Back to the Top - Health Facility Program Home -- Site Map -- Links - Contact Us
Texas Department of State Health Services, Health Facillity Licensing Program
1100 West 49th Street - Austin, Texas 78756 - (512) 834-6646

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Last updated June 09, 2014