Hospitals
A hospital offers services more intensive than those required for room, board, personal
services and general nursing care. A range of health care services are offered with beds
for use beyond 24 hours by individuals requiring medical, surgical, psychiatric, testing,
diagnosis, and treatment for illness, injury, deformity, infirmity, abnormality, disease,
or pregnancy. Also available are clinical laboratory services, diagnostic X-ray services,
and treatment facilities for surgery or obstetrical care, or other definitive medical
treatment of similar extent.
Unaccredited facilities and initial licenses require certification and licensing
surveys. Under state and federal regulations, accredited hospitals are "deemed"
to meet the requirements and do not receive an annual license and certification
survey. All hospitals are subject to annual Life-Safety and annual or biennial Risk Management
surveys.
Attention: Effective October 1, 2007 the biennial license fees listed below will increase
to $31.00 per bed, minimum $1542.00. Applications for licenses with an effective date on or after
October 1, 2007 must submit the new fee.
Initial License Requirements
Facilities must meet licensing requirements set forth in state regulations by submitting a
completed application, required documentation, and satisfactory completion of a facility survey.
The license fee is $1,542.00 or $31.00 per bed, whichever is greater. The survey/inspection
fee is $400.00 or $12.00 per bed, whichever is greater.
Required documentation/forms
If new construction, addition or alterations to existing facility or replacement
of an existing facility is involved, the Application for Review is to be submitted
to the Agency for Health Care Administration, Office of Plans and Construction.
Change of Ownership License Requirements
License applications must be submitted following the steps indicated in the section below.
License applications must be submitted at least 60 days prior to the date of acquisition
of the hospital. Facilities must meet federal and state licensing requirements, and
submit a completed application with required documentation. The change of ownership
application fee is $1,542.00 or $31.00 per bed, whichever is greater.
- If a change of ownership has occurred, a copy of the closing documents or
sales document must be submitted.
Required documentation/forms
Renewal Requirements
To renew a current state license that is due to expire, you must print the licensure
application form below and submit the completed form(s) with the renewal fee prior to
the expiration date of the license. Renewal applications must be submitted every two
years, and must be received by the Agency at least 60 days in advance of expiration
of the license or a late fee will be assessed. The renewal fee is $1,542.00 or $31.00
per bed, whichever is greater. The life safety inspection fee is $40.00 or $1.50 per
bed, whichever is greater. For all non-accredited hospitals, the annual survey/inspection
fee is $400.00 or $12.00 per bed, whichever is greater.
Required documentation/forms
Initial/Change of Ownership Certification Requirements
To meet federal requirements, the hospital must be surveyed for certification as directed by
the Centers for Medicare and Medicaid Services.
Additional forms required for certification
A facility seeking initial licensure and certification will receive two (2) surveys;
one licensure survey before operation begins and a certification survey after
the facility is fully operational. Psychiatric facilities require an additional
certification of the two (2) Medicare special conditions of participation.
Participation in the Medicare/Medicaid program(s) will depend upon an effective
date recommended by the Agency for Health Care Administration. Federal regulations
permit this date to be the date of initial certification if all federal requirements
are met. If all requirements are not met, the effective date is the date requirements
are met or the date you submit an acceptable plan of correction or waiver request.
Hospital Emergency Access
Any person needing emergency medical care or any woman in active labor shall not be denied
access to appropriate emergency medical services and care.
Emergency services and care means medical screening, examination and evaluation
(triage) by a physician, or by other appropriate personnel under the supervision
of a physician, to determine if an emergency medical condition exists.
Emergency Services Inventory
The Chart linked below lists hospitals alphabetically by county and indicates types of emergency services available at the facility. Also, please note that some facilities have been granted an exemption or a partial exemption from the requirement of providing certain services on a 24 hour basis seven days a week. Those facilities are indicated by a "1" with a red background. Details of the exemption are included in the separate document "Emergency Services Expemtions" below.
State of Florida Emergency Medical Services Plan
Pursuant to sections 395.103 and 401.015, F.S., hospitals with an emergency department
must have an onsite telecommunications device that meet the requirements of the EMS
Communications Plan. Additional information regarding compliance with the
requirements or obtaining assitance in meeting those requirements is contained in the following memo:
State Emergency Services Assessment Form
Hurricane/Disaster Preparedness
PPS Hurricane Waiver
The Centers for Medicare Medicaid Services (CMS) has announced a data submission waiver for
Prospective Payment System hospitals for the second, third, and fourth quarters of 2005 for
hospitals impacted by hurricanes in the listed Florida counties.
Background Screening
Florida Department of Law Enforcement, FBI fingerprinting, and Abuse Registry screening must
be completed by the administrator/chief executive officer and the chief financial officer for
initial licensure and every five years thereafter unless there is a new hire. Please go to
the background screening section of this web site for additional
documentation that must be submitted with your application.
Primary Stroke Center & Comprehensive Stroke Center Designation
As specified in s 395.3038, Florida Statutes, the Agency has adopted administrative rules that
provide criteria for designation of hospital programs as primary stroke centers and comprehensive stroke centers. This statutory
section requires that the criteria be substantially similar to the criteria for stroke center certification established by the Joint Commission (formerly known as the Joint Commission on Accreditation of Healthcare Organizations).
Agency administrative rules in 59A-3.2085(15),
Florida Administrative Code (F.A.C.), which became final on March 23, 2006, have incorporated Joint Commission
criteria for primary stroke centers. Criteria for comprehensive stroke centers included in these
rules are adopted from the criteria developed by the Brain Attack Coalition since Joint Commission has not yet
established comprehensive center criteria.
Stroke centers providing the required affidavit and documentation will be included on the
listing of stroke centers maintained by the Agency. This listing will be updated as additional
hospitals provide required documentation. This listing will be included on this website and
provided to the Department of Health Bureau of Emergency Services.
Designated Stroke Centers
Centers are included in these listings on the basis of the hospital providing an affidavit
and necessary documentation attesting that the stroke center meets the criteria
in 59A-3.2085(15), F.A.C., for
a primary or comprehensive stroke center.
Listing of stroke centers may be viewed using the following link:
The requirement to provide services and care specified in section 395.1041, Florida Statutes,
or the Emergency Medical Treatment and Active Labor Act (EMTALA) is not affected by the creation
of this listing of stroke treatment centers or the adoption of administrative rule criteria for those centers.
Hospital Emergency Departments continue to be required to provide emergency treatment to persons
presenting to those departments.
The creation of a listing of Stroke Treatment Centers does not constitute the basis for refusing
services or declining to provide emergency services and stabilizing an individual presenting
to an emergency department.
Stroke Center Rules, Criteria, and Forms
Notification of Disposition of Fetal Remains Form (AHCA Form 3100-0006 January 2005)
This form provides the procedures for notification of options available to a mother who has experienced a spontaneous
fetal demise of less than 20 weeks gestation. This form, to be used by hospitals and birth centers, is similar to a
Department of Health form that would be used by health care practitioners to provide this information. The form is
required by section 383.33625, Florida Statutes, the Stephanie Saboor Grieving Parents Act, and section 59A-3.281,
Florida Administrative Code.
Statute/Rule Authority
-
Chapter 395, Part 1, Florida Statutes
- Chapter
59A-3, Florida Administrative Code
-
Chapter 408, Part II, Florida Statutes
- 42
Code of Federal Regulations (CFR), Chapter IV, Subparts A_E
- 42
Code of Federal Regulations (CFR), Section 489.24 (Specialized Reponsibilities
of Medicare Hospitals in Emergency Cases (EMTALA)
- 42
Code of Federal Regulations (CFR), Section 482.50 (Condition of Participation
for Hospitals)
- 42
Code of Federal Regulations (CFR), Section 485 (Condition of Participation
for Specialized Providers and Critical Access Hospitals)
- Certification of Civil Rights Compliance Requirements
Applications/Forms
Reporting Death in Restraint/Seclusion to CMS
The Code of Federal Regulation, Part 42, section 482.13(g) Patients' Rights Final Rule, published December 8, 2006 and effectuated by CMS January 8, 2007, states, Hospital must report the following information to CMS:
- Each death that occurs while a patient is in restraint or seclusion.
- Each death that occurs within 24 hours after the patient has been removed from restraint or seclusion.
- Each death known to the hospital that occurs within one week after restraint or seclusion where it is reasonable to assume that use of restraint or placement in seclusion contributed directly or indirectly to the patient's death. For the purpose of this regulation "reasonable to assume" includes, but is not limited to, deaths related to restrictions of movement for prolonged periods of time, or death related to chest compression, restriction of breathing, or asphyxiation.
Each death must be reported to CMS by telephone no later than the close of business the next business day following knowledge of the patient's death.
Hospital staff must document in the patient's medical record the date and time the death was reported to CMS.
Other Report Forms
Updated May 2, 2008
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