(43) "Direct Services" means services provided by salaried employees of a health care facility, as opposed to services provided by contract.(44) "Direct Supervision" means the critical observation and guidance by a qualified person of another person's activities or course of action.
(45) "Discharge" means the point at which the patient's involvement with a facility is terminated and the licensee no longer maintains active responsibility for the care of the patient.
(46) "Distinct Part" means a discrete, physically definable entity located within a structure constructed and equipped according to applicable codes that:
(a) provides within the structure, the necessary unique physical facility, equipment, staff, and supplies to deliver any basic service that is offered to and needed for the diagnosis, therapy, and treatment of a patient, and to comply with licensing standards;
(b) provides or arranges for necessary administrative and non-unique, non-clinical, ancillary services including dietary, laundry, housekeeping, business office and medical records; and
(c) protects the rights of a patient including freedom from unwanted intrusion from any person outside the distinct part.
(47) "Documentation" means written supportive information, records, or references to verify information required by law or rule.
(48) "Drug History" means identifying all drugs used by a patient, including prescribed and unprescribed drugs.
(49) "Emergency" means any situation or event that threatens or poses a threat to the occupants of the health care facility. or prohibits one or more occupants from receiving services normally offered by the licensee, or requires action not normally performed by the staff.
(50) "Emotional or psychological abuse" means deliberate conduct that is directed at a person through verbal or nonverbal means and that causes the individual to suffer emotional distress or to fear bodily injury, harm, or restraint.
(51) "Environment" means the physical and emotional atmosphere including architectural design, furnishings, color, privacy, and safety, as well as other people.
(52) "Executive Director" means the Executive Director of the Utah Department of Health and Human Services.
(53) "Facility" means the licensed site where patients may reside and may receive treatment and the construction components under Title R432 apply to the site.
(54) "Freestanding" means existing independently or physically separated from another health care facility by fire walls and doors and administrated by separate staff with separate records.
(55) "Free-standing Urgent Care Center," as distinguished from a private physician's office or emergency room setting, means a health care facility that provides outpatient health care service, on an as-needed basis, without appointment to the public for diagnosis and treatment of medical conditions that do not require hospitalization or emergency intervention for a life-threatening or potentially permanently disabling condition. Diagnostic and therapeutic services provided by a free-standing urgent care center include:
(a) a medical history physical examination;
(b) assessment of health status; and
(c) treatment for a variety of medical conditions offered in a physician's office.
(56) "Governing Authority" includes governing body and means the board of trustees, owner, person, or designated by the owner with ultimate authority and responsibility, both moral and legal, for the management, control, conduct and functioning of the health care facility.
(57) "Governmental Unit" means the state, or any county, municipality, or other political subdivision of any department, division, board or other agency of any of the foregoing.
(58) "Guardian" means a person legally responsible for the care and management of a person considered by law to be incompetent to manage their own affairs.
(59) "Habilitation" means techniques and treatment that actively build and develop new or alternative styles of independent functioning and promote new behavior, resulting in greater self-sufficiency and sense of well-being.
(60) "Health Care Facility" is defined in Subsection 26B-2-201(13).
(61) "Health Services Supervisor" means a person with a professional medical license or certificate, to include a nurse, social worker, physical therapist, or psychologist, responsible for the development, supervision, and implementation of a written health care plan for each resident.
(62) "Homemaker" means a person that cares for the environment in the home through performance of duties such as housekeeping, meal planning and preparation, laundry, shopping and errands.
(63) "Hospitalization" means an inpatient stay of at least 24 hours, or an overnight stay or emergency care, except a stay at a freestanding ambulatory surgical center that meets the requirements of Rule R432-500.
(64) "ICD--CM" means the International Classification of Diseases.
(65) "ICF-IID" means intermediate care facility for individuals with intellectual disabilities.
(66) "Imminent Danger" means a situation or condition that presents a substantial likelihood of death or serious physical or mental harm to a patient or resident in the health care facility.
(67) "Inpatient Program" means treatment provided in a suitably equipped setting that provides services to a person that requires care that warrants 24-hour supervision.
(68) "Intake" means the administrative and assessment process for admission to a program.
