50.32
50.32
Hospital regulation and approval act. Sections 50.32 to
50.39 shall constitute the "Hospital Regulation and Approval Act".
50.32 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.32.
50.32 Cross-reference
Cross-reference: See also ch.
DHS 124, Wis. adm. code.
50.33(1g)
(1g) "Critical access hospital" means a hospital that is designated by the department as meeting the requirements of
42 USC 1395i-4 (c) (2) (B) and is federally certified as meeting the requirements of
42 USC 1395i-4 (e).
50.33(1r)
(1r) "Governmental unit" means the state, any county, town, city, village, or other political subdivision or any combination thereof, department, division, board or other agency of any of the foregoing.
50.33(2)(a)(a) "Hospital" means any building, structure, institution or place devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment of and medical or surgical care for 3 or more nonrelated individuals hereinafter designated patients, suffering from illness, disease, injury or disability, whether physical or mental, and including pregnancy and regularly making available at least clinical laboratory services, and diagnostic X-ray services and treatment facilities for surgery, or obstetrical care, or other definitive medical treatment.
50.33(2)(b)
(b) "Hospital" may include, but not in limitation thereof by enumeration, related facilities such as outpatient facilities, nurses', interns' and residents' quarters, training facilities and central service facilities operated in connection with hospitals.
50.33(2)(c)
(c) "Hospital" includes "special hospitals" or those hospital facilities that provide a limited type of medical or surgical care, including orthopedic hospitals, children's hospitals, critical access hospitals, mental hospitals, psychiatric hospitals or maternity hospitals.
50.33 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.33;
1977 c. 83 s.
26 (4);
1979 c. 175;
1983 a. 189;
1997 a. 237.
50.34
50.34
Purpose. The purpose of
ss. 50.32 to
50.39 is to provide for the development, establishment and enforcement of rules and standards for the construction, maintenance and operation of hospitals which, in the light of advancing knowledge, will promote safe and adequate care and treatment of patients in such hospitals.
50.34 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.34.
50.35
50.35
Application and approval. Application for approval to maintain a hospital shall be made to the department on forms provided by the department. On receipt of an application, the department shall, except as provided in
s. 50.498, issue a certificate of approval if the applicant and hospital facilities meet the requirements established by the department. The department shall issue a single certificate of approval for the University of Wisconsin Hospitals and Clinics Authority that applies to all of the Authority's inpatient and outpatient hospital facilities that meet the requirements established by the department and for which the Authority requests approval. For a free-standing pediatric teaching hospital, the department shall issue a single certificate of approval that applies to all of the hospital's inpatient and outpatient hospital facilities that meet the requirements established by the department and for which the hospital requests approval. Except as provided in
s. 50.498, this approval shall be in effect until, for just cause and in the manner herein prescribed, it is suspended or revoked. The certificate of approval may be issued only for the premises and persons or governmental unit named in the application and is not transferable or assignable. The department shall withhold, suspend or revoke approval for a failure to comply with
s. 165.40 (6) (a) 1. or
2., but, except as provided in
s. 50.498, otherwise may not withhold, suspend or revoke approval unless for a substantial failure to comply with
ss. 50.32 to
50.39 or the rules and standards adopted by the department after giving a reasonable notice, a fair hearing and a reasonable opportunity to comply. Failure by a hospital to comply with
s. 50.36 (3m) shall be considered to be a substantial failure to comply under this section.
50.35 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.35;
1989 a. 37;
1997 a. 93,
237;
2009 a. 2,
28.
50.355
50.355
Reporting. Every 12 months, on a schedule determined by the department, an approved hospital shall submit an annual report in the form and containing the information that the department requires, including payment of the fee required under
s. 50.135 (2) (a). If a complete annual report is not timely filed, the department shall issue a warning to the holder of the certificate for approval. The department may revoke approval for failure to timely and completely report within 60 days after the report date established under the schedule determined by the department.
50.355 History
History: 1997 a. 27.
50.36
50.36
Rules and standards. 50.36(1)
(1) The department shall promulgate, adopt, amend and enforce such rules and standards for hospitals for the construction, maintenance and operation of the hospitals deemed necessary to provide safe and adequate care and treatment of the patients in the hospitals and to protect the health and safety of the patients and employees; and nothing contained herein shall pertain to a person licensed to practice medicine and surgery or dentistry. The building codes and construction standards of the department of safety and professional services shall apply to all hospitals and the department may adopt additional construction codes and standards for hospitals, provided they are not lower than the requirements of the department of safety and professional services. Except for the construction codes and standards of the department of safety and professional services and except as provided in
s. 50.39 (3), the department shall be the sole agency to adopt and enforce rules and standards pertaining to hospitals.
50.36(2)(a)(a) The department shall conduct plan reviews of all capital construction and remodeling projects of hospitals to ensure that the plans comply with building code requirements under
ch. 101 and with physical plant requirements under this chapter or under rules promulgated under this chapter.
50.36(2)(b)
(b) The department shall promulgate rules that establish a fee schedule for its services in conducting the plan reviews under
par. (a). The schedule established under these rules shall set fees for hospital plan reviews in amounts that are less than the sum of the amounts required on September 30, 1995, for fees under this subsection and for fees for examination of hospital plans under s.
101.19 (1) (a), 1993 stats.
50.36(3)(a)(a) Any person licensed to practice medicine and surgery under
subch. II of ch. 448 or podiatry under
subch. IV of ch. 448 shall be afforded an equal opportunity to obtain hospital staff privileges and may not be denied hospital staff privileges solely for the reason that the person is an osteopathic physician and surgeon or a podiatrist. Each individual hospital shall retain the right to determine whether the applicant's training, experience and demonstrated competence is sufficient to justify the granting of hospital staff privileges or is sufficient to justify the granting of limited hospital staff privileges.
50.36(3)(b)
(b) If, as a result of peer investigation or written notice thereof, a hospital staff member who is licensed by the medical examining board or podiatry affiliated credentialing board, for any reasons that include the quality of or ability to practice, loses his or her hospital staff privileges, has his or her hospital staff privileges reduced or resigns from the hospital staff, the hospital shall so notify the medical examining board or podiatry affiliated credentialing board, whichever is applicable, within 30 days after the loss, reduction or resignation takes effect. Temporary suspension due to incomplete records need not be reported.
50.36(3)(c)
(c) If, as a result of peer investigation or written notice thereof, a hospital staff member who is licensed by the medical examining board or podiatry affiliated credentialing board, for reasons that do not include the quality of or ability to practice, loses his or her hospital staff privileges for 30 days or more, has his or her hospital staff privileges reduced for 30 days or more or resigns from the hospital staff for 30 days or more, the hospital shall so notify the medical examining board or podiatry affiliated credentialing board, whichever is applicable, within 30 days after the loss, reduction or resignation takes effect. Temporary suspension due to incomplete records need not be reported.
50.36(3d)(a)(a) A hospital shall develop and maintain a system under which the hospital may grant emergency staff privileges to a health care provider, as defined in
s. 146.81 (1), to whom all of the following apply:
50.36(3d)(a)1.
1. The health care provider seeks to provide care at the hospital during a period of a state of emergency related to public health declared by the governor under
s. 323.10.
50.36(3d)(a)2.
2. The health care provider does not have staff privileges at the hospital at the time that the state of emergency related to public health is declared by the governor under
s. 323.10.
50.36(3d)(a)3.
3. The health care provider has staff privileges at another hospital.
50.36(3d)(b)
(b) A hospital that grants emergency staff privileges under
par. (a) has immunity from civil liability for acts or omissions by a health care provider who is granted emergency staff privileges under
par. (a).
50.36(3g)(b)
(b) A hospital that admits patients for treatment of mental illness may grant to a psychologist who is listed or eligible to be listed in the national register of health services providers in psychology or who is certified by the American board of professional psychology an opportunity to obtain hospital staff privileges to admit, treat and discharge patients. Each hospital may determine whether the applicant's training, experience and demonstrated competence are sufficient to justify the granting of hospital staff privileges or of limited hospital staff privileges.
50.36(3g)(c)
(c) If a hospital grants a psychologist hospital staff privileges or limited hospital staff privileges under
par. (b), the psychologist or the hospital shall, prior to or at the time of hospital admission of a patient, identify an appropriate physician with admitting privileges at the hospital who shall be responsible for the medical evaluation and medical management of the patient for the duration of his or her hospitalization.
50.36(3j)
(3j) If a hospital has a policy on who may accompany or visit a patient, the hospital shall extend the same right of accompaniment or visitation to a patient's domestic partner under
ch. 770 as is accorded the spouse of a patient under the policy.
50.36(3m)
(3m) The department shall require a hospital that is accredited as a hospital by a private accrediting organization to submit to the department a copy of the summary accreditation recommendation and may require the hospital to submit to the department copies of all correspondence sent or received on or after August 30, 1989, including survey results, between the hospital and the accrediting organization. Accreditation letters, reports and related correspondence submitted to the department, except those submitted by a county mental health complex under
s. 51.08, under this subsection are not subject to inspection, copying or receipt under
s. 19.35 (1) and may not be released by the department.
50.36(4)
(4) The department shall make or cause to be made such inspections and investigation, as are reasonably deemed necessary to obtain compliance with the rules and standards. It shall afford an opportunity for representatives of the hospitals to consult with members of the staff of the department concerning compliance and noncompliance with rules and standards. If the department takes enforcement action against a hospital for a violation of
ss. 50.32 to
50.39, or rules promulgated or standards adopted under
ss. 50.32 to
50.39, and the department subsequently conducts an on-site inspection of the hospital to review the hospital's action to correct the violation, the department may, unless the hospital is operated by the state, impose a $200 inspection fee on the hospital.
50.36(5)
(5) Before providing emergency services in a hospital, medical and nursing personnel shall have proficiency in the use of an automated external defibrillator, as defined in
s. 256.15 (1) (cr), achieved through instruction provided by an individual, organization, or institution of higher education that is approved under
s. 46.03 (38) to provide such instruction.
50.36(6)
(6) If the department receives a credible complaint that a pharmacy located in a hospital has violated its duty to dispense contraceptive drugs and devices under
s. 450.095 (2), the department shall refer the complaint to the department of safety and professional services.
50.36(6m)(a)(a) The secretary or his or her designee may grant a variance to a statute affecting hospitals or a rule of the department affecting hospitals if all of the following apply:
50.36(6m)(a)1.
1. The secretary or his her designee determines that disaster, as defined in
s. 323.02 (6), has occurred.
50.36(6m)(a)3.
3. The secretary or his her designee determines that the variance is necessary to protect the public health, safety, or welfare.
50.36(6m)(b)
(b) A variance granted under
par. (a) shall be for a stated term not to exceed 90 days, except that the secretary or his her designee may extend the variance upon request by the hospital if he or she determines that an extension is necessary to protect the public health, safety, or welfare.
50.36 Cross-reference
Cross-reference: See also ch.
DHS 124, Wis. adm. code.
50.36 Annotation
A hospital owes a duty to its patients to exercise reasonable care in the selection of medical staff and in granting special privileges. Johnson v. Misericordia Community Hospital,
99 Wis. 2d 708,
301 N.W.2d 156 (1981).
50.37
50.37
Notification to accrediting organization. The department shall notify a private accrediting organization that has accredited a hospital and the board of governors of the injured patients and families compensation fund under
s. 619.04 (3) if the department has done any of the following:
50.37(1)
(1) Suspended or revoked the hospital's approval under
s. 50.35.
50.37(2)
(2) Issued an order to the hospital.
50.37(4)
(4) Recommended to the federal health care financing administration that the hospital be decertified from the federal medicare program under
42 USC 1395 to
1395ccc or the federal medicaid program under
42 USC 1396 to
1396r-3 for failure to meet a condition of participation under the program.
50.37 History
History: 1989 a. 37;
2003 a. 111.
50.375
50.375
Emergency contraception for sexual assault victims. 50.375(1)(a)
(a) "Emergency contraception" means a drug, medicine, oral hormonal compound, mixture, preparation, instrument, article, or device that is approved by the federal food and drug administration and that prevents a pregnancy after sexual intercourse. "Emergency contraception" does not include a drug, medicine, oral hormonal compound, mixture, preparation, instrument, article, or device of any nature that is prescribed to terminate the pregnancy of a female.
50.375(1)(c)
(c) "Victim" means a female who alleges or for whom it is alleged that she suffered sexual assault and who, as a result of the sexual assault, presents as a patient at a hospital that provides emergency services.
50.375(2)
(2) A hospital that provides emergency services to a victim shall do all of the following:
50.375(2)(a)
(a) Provide to the victim medically and factually accurate and unbiased written and oral information about emergency contraception and its use and efficacy.
50.375(2)(b)
(b) Orally inform the victim of all of the following:
50.375(2)(b)1.
1. Her option to receive emergency contraception at the hospital.
50.375(2)(b)2.
2. Her option to report the sexual assault to a law enforcement agency.
50.375(2)(b)3.
3. Any available options for her to receive an examination to gather evidence regarding the sexual assault.
50.375(2)(c)
(c) Except as specified in
sub. (4), immediately provide to the victim upon her request emergency contraception, in accordance with instructions approved by the federal food and drug administration. If the medication is taken in more than one dosage, the hospital shall provide all subsequent dosages to the victim for later self administration.
50.375(3)
(3) A hospital that provides emergency care shall ensure that each hospital employee who provides care to a victim has available medically and factually accurate and unbiased information about emergency contraception.
50.375(4)
(4) No hospital may be required to provide emergency contraception to a victim who is pregnant, as indicated by a test for pregnancy.
50.375(5)
(5) The department shall respond to any complaint received by the department concerning noncompliance by a hospital with the requirements of
subs. (2) and
(3) and shall periodically review hospital procedures to determine whether a hospital is in compliance with the requirements.
50.375 History
History: 2007 a. 102.
50.377(1)(1) Whoever violates a requirement under
s. 50.375 (2) or
(3) may be required to forfeit not less than $2,500 nor more than $5,000 for each violation.
50.377(2)
(2) The department may directly assess forfeitures provided for under
sub. (1). If the department determines that a forfeiture should be assessed for a particular violation, the department shall send a notice of assessment to the hospital. The notice shall specify the amount of the forfeiture assessed, the violation and the statute or rule alleged to have been violated, and shall inform the hospital of the right to a hearing under
sub. (3).
50.377(3)
(3) A hospital may contest an assessment of a forfeiture by sending, within 10 days after receipt of notice under
sub. (2), a written request for a hearing under
s. 227.44 to the division of hearings and appeals created under
s. 15.103 (1). The administrator of the division may designate a hearing examiner to preside over the case and recommend a decision to the administrator under
s. 227.46. The decision of the administrator of the division shall be the final administrative decision. The division shall commence the hearing within 30 days after receipt of the request for a hearing and shall issue a final decision within 15 days after the close of the hearing. Proceedings before the division are governed by
ch. 227. In any petition for judicial review of a decision by the division, the party, other than the petitioner, who was in the proceeding before the division shall be the named respondent.
50.377(4)
(4) All forfeitures shall be paid to the department within 10 days after receipt of notice of assessment or, if the forfeiture is contested under
sub. (3), within 10 days after receipt of the final decision after exhaustion of administrative review, unless the final decision is appealed and the order is stayed by court order. The department shall remit all forfeitures paid to the secretary of administration for deposit in the school fund.
50.377(5)
(5) The attorney general may bring an action in the name of the state to collect any forfeiture imposed under this section if the forfeiture has not been paid following the exhaustion of all administrative and judicial reviews. The only issue to be contested in any such action shall be whether the forfeiture has been paid.
50.377 History
History: 2007 a. 102;
2009 a. 2 s.
70.
50.38
50.38
Hospital assessment. 50.38(1)
(1) In this section "eligible hospital" means a hospital that is not any of the following:
50.38(1)(c)
(c) A general psychiatric hospital for which the department has issued a certificate of approval under
s. 50.35 that applies only to the psychiatric hospital, and that is not a satellite of an acute care hospital.
50.38(2)(a)(a) For the privilege of doing business in this state, there is imposed on each eligible hospital that is not a critical access hospital an assessment each state fiscal year that is equal to a uniform percentage, determined under
sub. (3), of the hospital's gross patient revenues, as reported under
s. 153.46 (5) and determined by the department. The assessments shall be deposited in the hospital assessment fund.
50.38(2)(b)
(b) For the privilege of doing business in this state, there is imposed on each critical access hospital an assessment each state fiscal year that is equal to a uniform percentage, determined under
sub. (3), of the critical access hospital's gross inpatient revenues, as reported under
s. 153.46 (5) and determined by the department. The assessments shall be deposited in the critical access hospital assessment fund.
50.38(3)
(3) The department shall establish the percentage that is applicable under
sub. (2) (a) and
(b) so that the total amount of assessments collected under
sub. (2) (a) in a state fiscal year is equal to the amount in the schedule under
s. 20.005 (3) for the appropriation under
s. 20.435 (4) (xc) for that fiscal year.
