Rhode Island Code of Regulations Title 216 - Department of health

Rhode Island Code of Regulations Title 216 is the comprehensive set of administrative rules and regulations for the Rhode Island Department of Health (RIDOH). As one of the only states without local public health departments, RIDOH has an extremely broad scope of work, and Title 216 reflects this extensive reach, covering virtually all aspects of public health, healthcare regulation, and environmental health within the state.

Overall Purpose of Rhode Island Code of Regulations Title 216:

The primary purpose of Title 216 is to:

Protect and Promote Public Health: Implement state laws related to health, sanitation, disease prevention, and health promotion.

Ensure Health and Safety: Establish and enforce standards for healthcare facilities, environmental conditions, and various health-related services.

Regulate Healthcare Professions: Set requirements for licensing, practice, and conduct of numerous healthcare professionals.

Address Health Disparities: Work towards eliminating health disparities and promoting health equity across all populations in Rhode Island.

Oversee Public Health Programs: Provide the regulatory framework for various public health initiatives, from maternal and child health to infectious disease control.

Key Chapters and Areas Covered in Title 216:

Title 216 is organized into numerous chapters, each addressing a specific area of public health or healthcare regulation. Based on common structures of state health regulations and specific examples found, here are some of the major areas you would expect to find covered:

Chapter 10 - Public Health Administration:

Practices and Procedures: General rules for administrative proceedings before the Department of Health, including hearings, appeals, and public records access.

Maternal and Child Health: Regulations related to services and programs for mothers, infants, and children.

Screening, Medical Services, and Reporting: Rules for various health screenings and reporting requirements for certain medical conditions or data.

Information for Health Care Professionals: General guidance and requirements for healthcare providers.

Chapter 20 - Community Health:

Infectious Diseases: Rules for disease surveillance, reporting, control measures (e.g., quarantines, vaccinations), and prevention programs for communicable diseases (e.g., COVID-19, flu, measles, HIV, STDs).

School Health Programs: Regulations for health education, screenings, and other health services in schools (public and non-public).

Chronic Disease Prevention: Regulations and guidelines for programs aimed at preventing and managing chronic conditions.

Health Promotion: Rules related to broader public health campaigns and initiatives.

Chapter 30 - Infectious Diseases: This chapter might contain more detailed rules specifically on the prevention, control, and management of various infectious diseases.

Chapter 40 - Professional Licensing and Facility Regulation: This is a very extensive chapter covering a vast array of healthcare regulation:

Professional Licensing: Rules for licensing and regulating numerous healthcare professionals, including:

Barbers, Hairdressers, Cosmeticians, Manicurists, Estheticians.

Pharmacists, Pharmacies, and Drug Manufacturers/Wholesalers/Distributors.

Physicians, Nurses, Dentists, Optometrists, Podiatrists, Physical Therapists, Social Workers, Psychologists, and many others.

Facility Regulation: Licensing and oversight of various healthcare facilities, including:

Hospitals

Nursing Facilities (nursing homes)

Assisted Living Facilities

Ambulatory Surgical Centers

Emergency Medical Services (EMS) Providers and Vehicles

Home Care Agencies

Hospices

School-Based Health Centers

Freestanding clinics and other healthcare providers.

Certificate of Need (CON): Regulations governing the process for healthcare providers to obtain approval for new healthcare facilities, services, or significant equipment purchases, aimed at controlling healthcare costs and preventing unnecessary duplication of services.

Radiation Control: Extensive rules regarding the safe use, handling, and disposal of radioactive materials and X-ray equipment in medical, industrial, and other settings.

Chapter 50 - Environmental Health:

Water Quality: Regulations related to public drinking water systems, private wells, and recreational water safety.

Food Protection: Rules for food establishments (restaurants, food trucks, catering, etc.) to ensure food safety and prevent foodborne illnesses.

Lead Poisoning Prevention: Regulations concerning lead-based paint hazards, lead abatement, and child blood lead screening.

Healthy Homes and Environment: Broader regulations related to environmental factors affecting public health.

On-site Wastewater Treatment Systems (Septic Systems): Rules for the design, installation, and maintenance of septic systems.

Chapter 60 - Laboratories and Medical Examiner:

Clinical Laboratories: Licensing and regulation of clinical laboratories and testing stations to ensure accuracy and quality of laboratory results.

Medical Examiner: Rules related to the operations of the medical examiner's office, including investigations of deaths.

In essence, Rhode Island Code of Regulations Title 216 is the backbone of public health and healthcare oversight in the state, empowering the Rhode Island Department of Health to fulfill its mission of safeguarding and improving the health and safety of all Rhode Islanders.

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