(d) Assigning, discontinuing or changing personnel access to the system.
(e) Assuring that access to the medications comply with state and federal laws.
(f) Assuring that the automated dispensing system is stocked accurately and in accordance with established written policies and procedures.
(5) An automated dispensing system shall comply with the following provisions:
(a) Documentation as to type of equipment, serial numbers, content, policies and procedures, and location shall be maintained on-site in the pharmacy. The documentation may include, but is not limited to, the following:
1. Name and address of the pharmacy or inpatient health care facility where the automated dispensing service is being used.
2. Manufacturer's name and model.
3. Description of how the device is used.
4. Quality assurance procedures to determine continued appropriate use of the automated device.
5. Policies and procedures for system operation, safety, security, accuracy, patient confidentiality, access and malfunction.
(b) All policies and procedures shall be maintained in the pharmacy responsible for the system and, if the system is not located within the facility where the pharmacy is located, at the location where the system is being used.
(c) An automated dispensing system shall have adequate security systems and procedures, evidenced by written policies and procedures to:
1. Prevent unauthorized access to comply with federal and state laws.
2. Maintain patient confidentiality.
(d) Records and data kept by the automated dispensing system shall meet the following requirements:
1. All events involving the contents of the automated dispensing systems must be recorded electronically.
2. Records shall be maintained by the pharmacy and be available to the board. Records shall include:
a. Identity of system accessed.
b. Identification of the individual accessing the system.
c. Type of transaction.
d. Name, strength, dosage form and quantity of the drug accessed.
e. Name of the patient for whom the drug was ordered.
f. Such additional information as the managing pharmacist may deem necessary.
(e) Access to and limits on access to the automated dispensing system shall be defined by policy and procedures and must comply with state and federal laws.
(f) The stocking of all medications in the automated dispensing system shall be accomplished by qualified personnel under no less than the general supervision of a licensed pharmacist; except that when an automated dispensing system is located within a pharmacy the supervision must be direct.
(g) A record of medications stocked into an automated dispensing system shall be maintained and shall include identification of the person stocking and checking for accuracy.
(h) All containers of medications stored in the automated dispensing system shall be packaged and labeled in accordance with federal and state law.
(i) All aspects of handling controlled substances shall meet the requirements of all state and federal law.
(j) The automated dispensing system shall provide a mechanism for securing and accounting for medications removed from and subsequently returned to the automated dispensing system, all in accordance with existing state and federal laws.
(k) The automated dispensing system shall provide a mechanism for securing and accounting for wasted medications or discarded medications in accordance with existing state and federal laws.
Fiscal Estimate
1. The anticipated fiscal effect on the fiscal liability and revenues of any local unit of government of the proposed rule is: $0.00.
2. The projected anticipated state fiscal effect during the current biennium of the proposed rule is: $0.00.
3. The projected net annualized fiscal impact on state funds of the proposed rule is: $0.00.
Initial Regulatory Flexibility Analysis
These proposed rules will be reviewed by the department through its Small Business Review Advisory Committee to determine whether there will be an economic impact on a substantial number of small businesses, as defined in s. 227.114 (1) (a), Stats.
Copies of Rule and Contact Person
Copies of this proposed rule are available without cost upon request to: Pamela Haack, Department of Regulation and Licensing, Office of Administrative Rules, 1400 East Washington Avenue, Room 171, P.O. Box 8935, Madison, Wisconsin 53708 (608) 266-0495
Notice of Hearing
Transportation
Notice is hereby given that pursuant to ss. 85.16(1), 85.20(3) and 227.11(2), Stats., interpreting s. 85.20, Stats., the Department of Transportation will hold a public hearing on Monday, February 14, 2000, at the Hill Farms State Transportation Building, Room 994, 4802 Sheboygan Avenue, Madison, WI, at 10:00 AM, to consider the emergency rule amendment of ch. Trans 4, Wis. Adm. Code, relating to requiring the use of a fully allocated cost methodology when evaluating bids solicited for transit service in a competitive process.
An interpreter for the hearing impaired will be available on request for this hearing. Please make reservations for a hearing interpreter no later than 10 days prior to the hearing.
Parking for persons with disabilities and an accessible entrance are available.
Analysis Prepared by the Wisconsin Department of Transportation
STATUTORY AUTHORITY: ss. 85.16(1), 85.20(3) and 227.11(2)
STATUTE INTERPRETED: s. 85.20
General Summary of Emergency Rule. Chapter Trans 4 establishes the Department's administrative interpretation of s. 85.20, Stats. and prescribes administrative policies and procedures for implementing the state urban public transit operating assistance program authorized under s. 85.20, Stats. 1999 Wis. Act 9, section 9150(2bm), requires the Department to adopt an emergency rule to amend ch. Trans 4 by adding a section that requires that cost proposals submitted by a publicly owned transit system in response to a request for proposals issued by a public body for the procurement of transit services to be funded under the state urban transit operating assistance program must include an analysis of fully allocated costs. The analysis must include all of the publicly owned system's costs, including operating subsidies and capital grants. This analysis shall be the basis for evaluating costs when ranking proposals.
Pursuant to 1999 Wis. Act 9, section 9150(2bm)(b), the Department is not required to provide evidence that the rule is necessary for the preservation of the public peace, health, safety or welfare, and is not required to provide a finding of emergency.
Fiscal Estimate
No fiscal effect is anticipated from the promulgation of this proposed rule.
Initial Regulatory Flexibility Analysis
This proposed rule has no significant impact on small businesses.
Copies of Emergency Rule and Contact Person
Copies of this emergency rule are available without cost upon request by writing to Richard A. Martin, Department of Transportation, Division of Transportation Investment Management, Bureau of Transit and Local Roads, 4802 Sheboygan Avenue, Room 933, P. O. Box 7913, Madison, WI 53707-7913, or by calling (608) 266-6812. Alternate formats of the proposed rule will be provided to individuals at their request. Hearing-impaired individuals may contact the Department using TDD (608) 266-3351.
Notice of Hearing
Veterans Affairs
Notice is hereby given that the Department of Veterans Affairs will hold a public hearing at the time and place indicated below to consider rules affecting ch. VA 4, relating to the primary mortgage loan program.
Hearing Information
Date & Time Location
January 21, 2000 Board Room
Friday 8th Floor
9:00 A.M. 30 West Mifflin St.
MADISON, WI
Analysis Prepared by the Dept. of Veterans Affairs
Statutory authority: ss. 45.35 (3) and 45.73 (1), Stats.
Statute interpreted: Subchapter II, Chapter 45, Stats.
The proposed rule will adopt Fannie Mae program underwriting guidelines. This will enable the Department to process loans more efficiently and minimize the differences between the underwriting of primary loans and conventional loans administered by the Department's originating lenders. Additionally, home improvement loans will be separated from the regular primary loan program to facilitate separate underwriting and application processing.
Initial Regulatory Flexibility Analysis
This rule is not expected to have an adverse impact on small businesses.
Copies of Rule and Fiscal Estimate
A copy of the proposed rules and the full fiscal estimate may be obtained by writing to:
John Rosinski
Wis. Dept. of Veterans Affairs
P.O. Box 7843
Madison, WI 53707-7843
Contact Information
John Rosinski
Telephone (608) 266-7916
Notice of Hearing
