OAR 333-500-0032: Classification

(1) A hospital shall be classified as one of the following: (a) General Hospital; (b) Low Occupancy Acute Care Hospital; or (c) Mental or Psychiatric Hospital. (2) A hospital’s classification shall be determined by the type of services it provides, as described in OAR chapter 333, divisions 520 and 525, and the staffing requirements related to the provision of those services. (a) A hospital classified as a general hospital shall: (A) Provide at least general medical, maternity and surgical services; (B) Have an emergency department; (C) Have available on-site or through contract, dietary, laboratory, and radiology services; (D) Have an on-site pharmacy; (E) Have a pharmacist on call 24 hours a day, 7 days a week (24/7) to staff the pharmacy; and (F) Have on-site or in-house 24/7 staffing for its laboratory and radiology services. (b) A low occupancy acute care hospital shall: (A) Have 25 or fewer inpatient beds; (B) Provide at least general medical services; (C) Have an emergency department; (D) Have available on-site or through contract, dietary, laboratory, and radiology services; (E) Have an on-site pharmacy or a drug room; and (F) Have appropriately trained laboratory, radiology, and pharmacy staff on-site or on-call 24/7. (c) A mental or psychiatric hospital shall: (A) Be devoted primarily to the care of people suffering from mental illness; (B) Have available on-site or through contract, dietary, laboratory, and radiology services; (C) Have an on-site pharmacy or a drug room; (D) Have appropriately trained laboratory, radiology, and pharmacy staff on-site or on-call 24/7; and (E) Comply with the requirements in OAR 333-525-0000. (3) The classification of each hospital shall be included on the license. (4) A hospital licensed by the Oregon Health Authority (Authority) may not assume a descriptive title or hold itself out under a descriptive title other than the classification title established by the Authority and under which the hospital is licensed. This rule applies to the name on the hospital and any stationery, advertising, media, or other representations made by the hospital. A general hospital and a low occupancy acute care hospital may be described as a "hospital" without any modifications. A mental or psychiatric hospital shall use a descriptive title that describes or is reflective of the specialty services it offers. (5) A hospital may not change its license classification unless it reapplies for licensure on a form prescribed by the Authority and submits a fee as required by ORS 441.020. The Authority shall conduct an on-site survey prior to granting a hospital a new classification to determine compliance with this rule. (6) No person shall hold itself out to the public as an emergency department (ED), emergency room (ER), emergency-, emergent- or emergi-care center or use any derivative term in a posted name or advertising that would give the impression that emergency medical services as that is defined in OAR 333-500-0010 is provided by the person at a particular facility unless that facility is a hospital licensed under ORS 441.025 with an emergency department. Use of the words "urgent" or "immediate" shall not be considered derivative terms.