Comparative reports of hospital administrative services for extended care facilities and nursing homes;

              Comparative Reports of Hospital Administrative Services for Extended Care Facilities and Nursing Homes
by WILLIAM B. MANSFIELD Partner, Denver Office
Presented before a committee meeting of the Hospital Administrative Services division of the American Hospital Association, Chicago—February 1970
MEDICARE created a new name for some nursing homes—Extended Care Facility. The term "ECF" is defined in the law as an institu­tion
that has in effect a transfer agreement with one or more hospitals and in addition—
• is primarily engaged in providing to inpatients (a) skilled nurs­ing
care and related services for patients who require continuing medical or nursing care, or (b) rehabilitation services for the rehabilitation of injured, disabled, or sick persons;
• has policies developed by professional personnel, including doc­tors
and nurses, to govern the skilled nursing care and related medical or other services provided;
• has a physician, registered professional nurse, or a medical staff responsible for the execution of such policies ;
• has a requirement that the health care of every patient must be under the supervision of a physician, and provides for having a physician available in case of a medical emergency ;
• maintains clinical records on all patients;
• provides twenty-four hour nursing service sufficient to meet the nursing needs indicated in the professionally developed policies men­tioned
and has at least one registered nurse employed full time;
• provides appropriate methods and procedures for dispensing and administering drugs and biologicals;
• has in effect a utilization review plan;
140