Medical Facilities Regulatory Issues
State & Medicare Surveys
The Oklahoma State Department of Health Medical Facilities Division is
authorized by the Centers for Medicare & Medicaid Services (CMS) to
survey hospitals for compliance with Medicare Conditions of
Participation and Coverage. OSDH contracts with CMS to conduct
administrative and inspection activities related to certification for
participation in the federal Medicare program. The Oklahoma Hospital
Association works closely with OSDH to ensure a clear understanding of
the survey process and to equip members with resources.
Facility Design & Construction
OSDH proposed Facility Design and Construction Rules
The Oklahoma State Department of Health (OSDH) will be proposing updated
rules in the next legislative session regarding the design and
construction review process. The proposed changes are a result of the
work of a process improvement team that has been meeting for the past
year. The team consists of representatives from hospitals, health care
architectural and law firms, OHA and the health department.
The proposal amends physical plant requirements in chapter 667,
subchapter 41, by updating references to the Facility Guidelines
Institute (FGI): Guidelines for Design and Construction of Hospitals and
Outpatient Facilities, 2014 Edition, and the Life Safety Code adopted
by the Centers for Medicare & Medicaid Services on July 5, 2016.
Added are criteria and a process for hospitals to request exceptions and
temporary waivers of the requirements for design or construction
techniques that represent innovations or improvements.
There are also proposals to update subchapter 47 by revising the
requirements for stage one, stage two, and special construction plan
submittals, and by giving hospitals the option to move directly to the
stage two plan submittal. While the submission of a functional program
will still be required, documentation of the hospital governing body’s
approval of the functional program shall be sufficient to meet the
requirement relating to OSDH approval of the functional program.
The proposal sets fees for related services, including review of
temporary waivers and applications for self-certification. The proposal
establishes a process to ensure timely review of design and construction
documents. The proposal establishes requirements and a process for
hospitals to self-certify compliance of their plans for certain types of
Hospitals are encouraged to review the proposed rules. To view the comment packet, click here