Respiratory Therapy Orders in Hospitals
PDF Version
of DQA 11-004 (PDF, 42 KB)
| Date: |
January 28, 2011 -- DQA Memo 11-004 |
| To: |
Hospitals
HOSP 02 |
| From: |
Cremear Mims
Bureau of Health Services |
| Via: |
Otis Woods, Administrator
Division of Quality Assurance
|
Respiratory Therapy Orders in Hospitals
The purpose of this memo is to inform hospitals regulated by the Division
of Quality Assurance (DQA) about a statewide variance of DHS 124 related to
respiratory therapy orders.
Currently DHS 124.22(4) states the following:
PHYSICIAN'S ORDERS. Respiratory care services shall be provided in
accordance with the orders of a physician. Oral orders given by a
physician shall be transcribed into the medical record by the staff person
authorized to take the orders.
On August 16, 2010, the Centers for Medicare & Medicaid Services
(CMS) issued a final rule that took effect on October 1, 2010 regarding
Conditions of Participation (CoPs) for hospitals
42 CFR 482.57: Respiratory Services and who may order respiratory services.
The rule allows a qualified, licensed practitioner who is responsible for
the patient and acting within the scope of their practice to order
respiratory or rehabilitation services.
In Survey and Certification letter 11-04 issued November 26, 2010, CMS
notified state survey agencies about the change and provided the following
summary:
CMS revised the existing requirements at §482.57 to allow qualified,
licensed practitioners as well as physicians, to order respiratory care
services as long as such privileges are authorized by the medical staff
and are in accordance with both hospital policies and procedures and State
laws. As is required under the CoPs for all patient orders, the ordering
practitioner must also be an individual who is responsible for the care of
the patient. The revised rule also requires that all orders for these
services be documented in accordance with the requirements at §482.24,
Medical records.
To ensure regulatory consistency, pursuant to this memo, effective
immediately the Division of Quality Assurance is issuing a statewide
variance for DHS 124.22(4) to allow licensed practitioners, who are
authorized via their practice act and are granted privileges by the medical
staff of the hospital, to order respiratory care services.
If you have any questions regarding this variance, contact:
cc: Michelle Doro, DQA
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Last Updated: September 30, 2011
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