Page:United States Statutes at Large Volume 92 Part 3.djvu/933

 PUBLIC LAW 95-626—NOV. 10, 1978

92 STAT. 3565

hospital's emergency room, outpatient department, and in the ... ^^ primary care center to screen and direct patients to the appro,,,,/:.,, priate location for care. "(C) Each patient of the center will have an identified primary care physician who is a member of the primary care group practice and who is responsible for continuous management of the patient, including the referral of the patient for inpatient, outpatient, or emergency services. "(D) To the extent practicable, existing facilities and equipment which are in or owned by the community hospital, which are not required for the delivery of inpatient or emergency services, and which are needed in the primary care center will be converted for the use of the primary care center. " (E) The hospital and primary care center will avoid unnecessary duplication of facilities and equipment, except that the primary care center may install appropriate support equipment for the provision of routine primary health services. " (F) The primary care center will be maintained as a separate and distinct cost and revenue center for accounting purposes. Any costs which are not directly associated with the operation of the center (including inpatient-related costs) will not be assigned to the center. Costs associated with the education and training of residents and medical and other health science students will not be calculated into the costs of operating the primary care center, except that the salaries and other costs associated with the provision of services by residents may be calculated into the costs of operating the center as long as such costs are proportional to the actual percentage of time spent by the resident in the provision of services in the primary care center. "(G) The primary care center will be operated in accordance with all the requirements of section 330(e)(3) (other than sub- 42 USC 254c. paragraph (G) thereof) applicable to community health centers. " (H) Unless the community hospital has a governing board described in subparagraph (G) of section 330(e)(3) for the primary care center, the application for the grant has been reviewed and approved by an advisory board which is established by the < community hospital and which— "(i) is composed of individuals a majority of whom are being served by the center and who, as a group, represent the individuals being served by the center, "(ii) participates in the development of the application for the grant under this section and in the development of any application for the renewal of such a grant, and "(iii) once the primary care center becomes operational, meets at least six times each year to review the operations of •;,#'• the center and to develop recommendations to the hospital's governing board concerning the types of services to be provided by, and the operations of, the center. " (I) The primary care center will provide for an information program for its patients under which patients are fully informed of the covered professional services and referral services offered by the center and of the methods by which patient grievances respecting billing for such services, or the quality of such services, may be resolved. nof*?.T;. I '^(J) The operating hours of the primary care center will include those periods when the community hospital's emergency room and outpatient department are most utilized.

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