OAR 333-500-0025: Endorsement of Satellite Operations

(1) The Oregon Health Authority (Authority) may endorse, under a hospital’s license, a satellite or mobile satellite of a hospital. (2) In order for a satellite to be endorsed under a hospital’s license, the applicant or licensee shall pay the appropriate fee and provide evidence to the Authority that: (a) The satellite meets the requirements in OAR chapter 333, divisions 500 through 535; (b) The services at the satellite are integrated with the hospital; (c) The financial operations of the satellite are integrated with the hospital; (d) The hospital and the satellite have the same governing body; (e) The satellite is under the ownership and control of the hospital; (f) Staff at the satellite have privileges at the hospital; (g) Medical records of the satellite are integrated with the hospital into a unified system; (h) The satellite is in compliance with OAR 333-505-0045 relating to potential threat or disruptive behavior flagging systems; (i) The facility is not subject to certificate of need requirements in ORS 442.315 to 442.347; and (j) If the satellite is intended to provide emergency medical services, the satellite can comply with OAR 333-500-0027. (3) A hospital applying for an emergency medical services satellite endorsement must also submit for its emergency department, the information described in OAR 333-500-0027(1)(e), for the previous six months. (4) A satellite shall be subject to a plans review and must pass life safety code requirements. (5) In order for a mobile satellite to be endorsed under a hospital’s license, the applicant or licensee shall pay the appropriate fee and provide evidence to the Authority that: (a) The mobile satellite is operated in whole or in part by the hospital through lease, ownership or other arrangement; (b) The services at the mobile satellite are integrated with the hospital; (c) The financial operations of the mobile satellite are integrated with the hospital; (d) The mobile satellite is physically separate from the hospital and other buildings on the hospital campus by at least 20 feet; and (e) It meets the 2000 NFPA 101 Life Safety Code for mobile units. (6) A mobile satellite shall keep and provide to the Authority and the Fire Marshal upon request, a log that shows where the mobile satellite is located every day of the year, and its use. A copy of the log shall be kept in the mobile satellite at all times. (7) A hospital that has a satellite that provides inpatient services that is endorsed under its license as of October 1, 2009, may continue to have that satellite endorsed under its license. On or after October 1, 2009, a satellite must meet the definition of satellite in OAR 333-500-0010 and comply with all other rules related to satellites in order to have a satellite endorsed under a hospital license. (8) Nothing in these rules is meant to: (a) Prevent a satellite as defined in OAR 333-500-0010 from providing outpatient medical services; or (b) Permit the endorsement of satellite under a hospital license as a means to circumvent the certificate of need laws in ORS chapter 442 and OAR chapter 333, divisions 545 through 670. (9) The Authority may revoke the endorsement of a satellite at any time if it determines a hospital or its satellite: (a) Is not complying with this rule or OAR 333-500-0027, as applicable; or (b) Is unable to ensure the safety of patients at the satellite.