CHAPTER XIX  HOSPITAL UNITS
Part 1.	Statutory Authority and applicability
1.101	Statutory Authority  
(1)	Authority to establish minimum standards through regulation and to administer and enforce such regulations is provided by Sections 25-1.5-103 and 25-3-101, C.R.S. 
1.102	Applicability 
(1)	All hospital units shall meet applicable federal and state statutes and regulations, including but not limited to:
(a)	6 CCR 1011-1, Chapter II.
(b)	This Chapter XIX.
(2)	Contracted services shall meet the standards established herein.
Part 2.	Definitions
2.100
2.100	Definitions
(1)	“Hospital unit” means a physical portion of a licensed or certified general hospital, psychiatric hospital, maternity hospital, or rehabilitation hospital which is leased or otherwise occupied pursuant to a contractual agreement by a person other than the licensee of the host facility for the purpose of providing outpatient or inpatient services.
Part 3.	Department Oversight
3.101	Application Fees.  Nonrefundable fees shall be submitted to the Department as specified below.
(1)	Initial License (when such initial licensure is not a change of ownership).  A license applicant shall submit a fee with an application for licensure as follows:  base fee of $5,300 and a per bed fee of $50.  The initial licensure fee shall not exceed $10,500.  
(2)	Renewal License.  A license applicant shall submit a fee with an application for licensure as follows:  base fee of $1,600 and a per bed fee of $12.  The renewal fee shall not exceed $3,000. 
(3)	Change of Ownership.  A license applicant shall submit a fee of $2,500 with an application for licensure.
(4)	Provisional License.  The license applicant may be issued a provisional license upon submittal of a fee of $2,500.  If a provisional license is issued, the provisional license fee shall be in addition to the initial license fee.
(5)	Conditional License.  A facility that is issued a conditional license by the Department shall submit a fee ranging from 10 to 25 percent of its applicable renewal fee.  The department shall assess the fee based on the anticipated costs of monitoring compliance with the conditional license.  If the conditional license is issued concurrent with the initial or renewal license, the conditional license fee shall be in addition to the initial or renewal license fee.
Part 4.	Fire Safety and Physical Plant Standards
4.101	Plan Review and Plan Review Fees 
(1)	Initial Licensure.  Applications for an initial license, when such initial license is not a change of ownership.  This includes new facility construction and existing structures.  The requirement for plan review and the fee applies to initial license applications submitted on or after January 1, 2008.  Fee:  see table below.

Square Footage	Cost per square foot	Explanatory Note	
0-35,000	$0.37	This is the cost for the first 35,000 sq ft of any plan submitted.	
35,001-200,000	$0.03	This cost is applicable to the additional square footage over 35,000 and up to 200,000 sq ft.	
200,001+	$0.01	This cost is applicable to the additional square footage over 200,000 sq ft. 	
(2)	New Construction.  New construction including replacement facilities, structural additions of any size and prefabricated structures that are licensed under this Chapter XIX.  The requirement for plan review and the fee applies to construction for which the application for the building permit from the local authority having jurisdiction is dated on or after January 1, 2008.  However, facilities for which the application for the building permit from the local authority having jurisdiction is dated prior to January 1, 2008 may request a partial plan review.  The partial plan review is subject to a ten (10) to twenty-five (25) percent reduction of the fee, as determined by the Department, dependent on the phase of facility construction; except that the fee shall not be below the minimum fee established by this subsection.  Fee:  see table below.  Minimum fee:  $2,000.

Square Footage	Cost per square foot	Explanatory Note	
0-35,000	$0.37	This is the cost for the first 35,000 sq ft of any plan submitted.	
35,001-200,000	$0.03	This cost is applicable to the additional square footage over 35,000 and up to 200,000 sq ft. 	
200,001+	$0.01	This cost is applicable to the additional square footage over 200,000 sq ft.	
(3)	Remodeling – General.  Relocation, removal or installation of walls resulting in 50% or more of a smoke compartment being reconfigured.  Fee: See table below.  The cost per square footage listed in the table below is to be assessed for the entire smoke compartment(s) being reconfigured.   The requirement for plan review and the fee applies to construction for which the application for the building permit from the local authority having jurisdiction is dated on or after January 1, 2008.  Minimum fee:  $2,000.

Square Footage	Cost per square foot	Explanatory note	
0-35,000	$0.25	This is the cost for the first 35,000 sq ft of any plan submitted.	
35,001-200,000	$0.03	This cost is applicable to the additional square footage over 35,000 and up to 200,000 sq ft.	
200,001+	$0.01	This is the cost applicable to the additional square footage over 200,000 sq ft.	
(4)	Remodeling – Egress Components.  The relocation, removal, or addition of any egress component, including but not limited to corridors, stairwells, exit enclosures, or points of refuge.  (Widening of an egress component is not relocation.)  The requirement for plan review and the fee applies to construction for which the application for the building permit from the local authority having jurisdiction is dated on or after January 1, 2008.  Fee:  $2,000.  However, if these renovations are part of the smoke compartment reconfiguration subject to the fee listed in Section 4.101 (3), the fee in this Section 4.101 (4) shall not apply.
(5)	Remodeling – Specific Systems.  Significant modifications to the following systems:  fire sprinkler, fire alarm, medical gas, kitchen exhaust/suppression system, and essential electrical system.  The requirement for plan review and the fee applies to significant modifications where construction is initiated on or after July 1, 2008. For the purposes of this Section 4.101 (5), construction of significant modifications is deemed initiated when there is an alteration associated with the remodeling to an existing structure that results in a physical change.   Fee:  $2,000 for up to four smoke compartments, plus $500 for each additional compartment.  However, if these renovations are part of the smoke compartment reconfiguration subject to the fee listed in 4.101 (3), the fee in this Section 4.101 (5) shall not apply.  Significant modifications include: 
(a)	Fire sprinkler:  100 or more sprinklers.  Notwithstanding the other provisions in this Section 4.101 (5), the extension of a sprinkler system involving the installation of 25 to 99 sprinkler heads for an area previously unsprinklered is subject to a partial plan review consisting of the review of the remodeling plans and a fee of $500.  
(b)	Fire alarm: Any modification to the fire alarm system that involves the replacement of the main fire alarm control unit (panel).
(c)	Medical gas:  modifications that affect 50% or more of a smoke compartment.
(d)	Kitchen exhaust suppression system:  replacement of the suppression or hood exhaust/duct system.
(e)	Essential electrical system:  replacement or addition of a generator or transfer switch.
4.102	Compliance with the Life Safety Code
(1)	The facility shall be in conformance with the standards established in Chapter IV, Section 4.102 (1).  This Section 4.102 (1) incorporates by reference, the National Fire Protection Association (NFPA) 101, Life Safety Code (2000).  Such incorporation by reference, as provided for in 6 CCR 1011-1, Chapter II, excludes later amendments to or editions of referenced material.  
Part 5.	GENERAL Hospital services
5.101	If the hospital unit is providing general hospital services, the hospital unit shall comply with the following parts of Chapter IV, General Hospitals:
(1)	Reserved.
(2)	Part 2.  Definitions
(3)	Reserved.
(4)	Reserved.
(5)	Part 5.  Facility Operations.  The facility shall provide services in accordance with Subpart 5.100 - Central Medical-Surgical Supply Services, Subpart 5.200 - Housekeeping Services, Subpart 5.300 - Maintenance Services, and Subpart 5.500 - Linen and Laundry Services; however, such services may be provided through a contract with a qualified provider.  Subpart 5.400 - Waste Disposal Services shall apply only if the unit has an incinerator; and these services may be provided through a contract with a qualified provider.  
(6)	Part 6.  Governance and Leadership.  (However, where more than one unit is operated by a licensee, a single administrative officer may be delegated responsibility for all such units.)  
(7)	Part 7.  Personnel Department
(8)	Part 8.  Medical Records Department.  (Medical records services may be provided by arrangement with the host facility or a related licensed facility; and the records required under Section 8.102(6)(f) shall be as applicable to the services offered by the unit.)
(9)	Part 9.  Infection Control Services.   (However, infection control services may be provided only by arrangement with the host facility or related licensed facility.)
(10)	Part 10.  Patient Rights.  The facility shall be in compliance with 6 CCR 1011-1, Chapter II, Part 6.  
(11)	Part 11.  General Patient Care Services.  (This part applies only if inpatient care is provided by the unit.) 
(12)	Part 12.  Nursing Services
(13)	Part 13.  Pharmaceutical Services.  (However, pharmaceutical services may be provided through a contract with qualified provider.)
(14)	Part 14.  Laboratory Services.  (However, clinical pathology services may be provided through a contract with a qualified provider.)
(15)	Part 15.  Diagnostic Imaging Services.  (This part applies only if radiological services are provided by a unit; and services may be provided through a contract with a qualified provider.)
(16)	Part 16.  Dietary Services.  (Dietary services may be provided through a contract with a qualified provider.)
(17)	Part 17.  Anesthesia Services.  (This part shall apply only if anesthesia services are provided.)
(18)	Part 18.  Emergency Services.  (This part shall apply only if emergency services are provided by the unit.)
(19)	Part 19.  Outpatient Services.  (This part shall apply only if outpatient services are provided by the unit.)
(20)	Part 20.  Pregnancy, Labor and delivery.  (This part shall apply only if pregnancy, labor and delivery services are provided by the unit.)
(21)	Part 21.  Surgical and Recovery Services.  (However, surgical suite and recovery room services may be provided only by arrangement with the host facility or related licensed facility.) 
(22)	Part 22.  Critical Care Services.  (This part applies only if critical care services are provided by a unit.)
(23)	Part 23.  Respiratory Care Services.  (This part applies only if respiratory care service is provided by a unit; and services may be provided through a contract with a qualified provider.)
(24)	Part 24.  Rehabilitation Services.  (However, rehabilitation services may be provided through a contract with qualified provider.)
(25)	Part 25.  Pediatric Patient Care Services.  (This part applies only if pediatric services are provided by a unit.)
(26)	Part 26.  Psychiatric Patient Care Services.  (This part applies only if psychiatric services are provided by a unit.)
(27)	Part 27.  Nuclear Medicine Services.  (This part applies only if nuclear medicine services are provided by a unit.)
Part 6.	REHABILITATION Center services
6.101	If the hospital unit is providing Rehabilitation Center services, the hospital unit shall comply with the following parts of Chapter X, Rehabilitation Centers:
(1)	Reserved.
(2)	Part 2.  DEFINITIONS
(3)	Parts 5 through 27. 
Part 7.	MATERNITY Hospital services
7.101	If the hospital unit is providing Maternity Hospital services, the hospital unit shall comply with the following parts of Chapter XIV, Maternity Hospitals:
(1)	Reserved.
(2)	Part 2.  DEFINITIONS
(3)	Parts 5 through 27.  
Part 8.	Psychiatric Hospital services
8.101	If the hospital unit is providing Psychiatric Hospital services, the hospital unit shall comply with the following parts of Chapter XVIII, Psychiatric Hospitals, and definitions:
(1)	Part 1.  Governing BOARD
(2)	Part 2.  Administrative Officer.  (However, where more than one unit is operated by a licensee, a single administrative officer may be delegated responsibility for all such units [2.1], and a single combined audit may be performed [2.4].)
(3)	Part 3.  Medical STAFF
(4)	Part 4.  Admissions
(5)	Part 5.  Outpatient Emergency Psychiatric Services.  (This section shall apply only if outpatient emergency psychiatric services are provided by the unit.)
(6)	Part 6.  Psychiatric Patient Care Unit
(7)	Part 7.  Patient Care POLICIES
(8)	Part 8.  Physical Medicine Service.  (This section shall apply only if physical medicine services are provided by the unit.)
(9)	Part 9.  Child/Adolescent Psychiatric Patient Care Unit.  (This section shall apply only if child/adolescent psychiatric services are provided by the unit.)
(10)	Part 10.  Activity Therapy.  (However, activity therapy services may be provided through a contract with a qualified provider.)
(11)	Part 11.  Medical Records.  (However, medical records services may be provided only by arrangement with the host facility or a related licensed facility; the records required under 11.9 shall be as applicable to the services offered by the unit.)
(12)	Part 12.  Nursing Service
(13)	Part 13.  Outpatient Services.  (This section shall apply only if outpatient services are provided by a unit.)
(14)	Part 14.  Communicable Disease Control Program.  (However, communicable disease control services may be provided only by arrangement with the host facility or a related licensed facility.)
(15)	Part 15.  Dietary Services.  (However, dietary services may be provided through a contract with a qualified provider.)
(16)	Part 16.  Disaster Plan
(17)	Part 17.  Anesthesia and Gases.  (This section shall apply only if anesthesia services are provided by a unit; may be provided through a contract with a qualified provider.)
(18)	Part 18.  Central Medical Supply.  (However, central medical supply services may be provided through a contract with a qualified provider.)
(19)	Part 19.  Clinical Pathology 
(20)	Part 20.  Pharmaceutical Services.  (However, pharmaceutical services may be provided through a contract with a qualified provider.)
(21)	Part 21.  Radiological Services.  (However, radiological services may be provided through a contract with a qualified provider.)
(22)	Part 22.  Referrals
(23)	Part 23.  Personnel
(24)	Part 24.  Environmental Services.  (However, environmental services may be provided through a contract with a qualified provider.)
(25)	Part 25.  Linen and Laundry.  (However, linen and laundry services may be provided through a contract with a qualified provider.)
(26)	Part 26.  Maintenance.  (However, maintenance services may be provided through a contract with a qualified provider.)
(27)	Part 27.  Incinerator.  (However, incineration may be provided through a contract with a qualified provider.)
(28)	Part 28.  Insect, Pest and Rodent Control.  (However, insect, pest and rodent control services may be provided through a contract with a qualified provider.)
(29)	Part 29.  Waste Disposal.  (However, waste disposal services may be provided through a contract with a qualified provider.)
(30)	Part 30.  Confidentiality