Regulations: Infection Control

Universal Precautions

• Indiana Universal Precautions Rule – 410 IAC 1-4 (page 110)

Ambulatory Surgery Centers

• Indiana Health Care Facility Licensing Rules for Ambulatory Surgery Centers
  • 410 IAC 15-2.5-1  Infection Control (page 37)
• Centers for Medicare and Medicaid Services Certification Regulations and Guidance for Ambulatory Surgery Centers
  • 42 CFR 416.51  (Q0240, Q0241, Q0242, Q0243, Q0244 & Q0245) (last revision 05/21/2004)
  • Ref: S&C-09-37 -- CMS  Survey Guidelines, Appendix L and Worksheet (effective 05/2009)

End Stage Renal Disease (Dialysis) Clinics

• Indiana Health Care Facility Licensing Rules for Dialysis Clinics
  • [There is no state licensing for dialysis centers in Indiana]
• Centers for Medicare and Medicaid Services Certification Regulations and Guidance for End Stage Renal Disease Clinics  -- Adopted by Reference -  CDC RR10
  • 42 CFR 494.30 (V0113, V0114, V0115, V0116, V0117, V0118, V0122, V0126, V0127, V0128, V0129, V0130, V0131, V0132, V0143, V0147 & V0148) (last revision 05/21/2004)
  • Ref: S&C-09-01 – End Stage Renal Disease (ESRD) Program Interpretative Guidance Version 1.1 (effective 10/2008)

Homes Health/ Hospice Agencies

• Indiana Health Care Facility Licensing Rules for Home Health Agencies
  • 410 IAC 17-14-1(h) (4) Education - Infection Control (page 19)
• Indiana Health Care Facility Licensing Rules for Hospice
  • IC 16-25-1.1-4(a)(3) – must be certified under 42 CFR 418.1 et seq.
• Centers for Medicare and Medicaid Services Certification Regulations and Guidance for Home Health Agencies
  • 42 CFR 484.12(c) (G121- Professional Standards & Principles) (pages 24-25)
  • 42 CFR 484.36(a)(1) ( G206 – Home Health Aide Training) (pages 59-60)
• Centers for Medicare and Medicaid Services Regulations and Guidance for Hospice Agencies
  • 42CFR 418.60(L577, L578, L579, L580, L581, L582.) (last revision 05/04/2004) (page 28)
  • Ref: S&C-09-19 -- CMS  Survey Guidelines, Appendix M (effective 01/2009)

Hospitals

• Indiana Health Care Facility Licensing Rules for Hospitals
  • 410 IAC 15-1.5-2 (pages 18-19)
• Indiana Hospital Reporting of Healthcare Associated Infections
  • 410 IAC 15-4-1
  • Reporting Rule Advisory Letter
• Centers for Medicare and Medicaid Services Certification Regulations and Guidance for Hospitals
  • Hospitals -- 42 CFR 482.42  (A747, A748, A749, A750 & A756.) (pages 279-293)
  • Critical Access Hospital – 42 CFR 485.635(a)(3)(vi) (page 94)

Nursing Homes (Comprehensive Care Facilities)

• Indiana Health Care Facility Licensing Rules for Comprehensive Care Facilities / Nursing Homes
  • 410 IAC 16.2-3.1-18  Infection Control (pages 44-46)
• Centers for Medicare and Medicaid Services Certification Regulations and Guidance for Certified Nursing Facilities
  • 42 CFR 483.65  (F441) (pages 553-590)

Residential Care Facilities (Licensed Assisted Living Facilities)

• Indiana Health Care Facility Licensing Rules for Residential Care Facilities
  • 410 IAC 16.2-5-12  Infection Control (pages 95-96)