{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-1-701","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-1-701","heading":"Definitions","body":"For the purposes of Section 1-701 et seq. of this title:\n\n1. “Hospital” means any institution, place, building or agency,\n\npublic or private, whether organized for profit or not, primarily\n\nengaged in the maintenance and operation of facilities for the\n\ndiagnosis, treatment or care of patients admitted for overnight stay\n\nor longer in order to obtain medical care, surgical care,\n\nobstetrical care, or nursing care for illness, disease, injury,\n\ninfirmity, or deformity. Except as otherwise provided by paragraph\n\n7 of this section, places where pregnant females are admitted and\n\nreceive care incident to pregnancy, abortion or delivery shall be\n\nconsidered to be a hospital within the meaning of this article,\n\nregardless of the number of patients received or the duration of\n\ntheir stay. The term hospital includes general medical surgical\n\nhospitals, specialized hospitals, critical access hospitals,\n\nemergency hospitals, and rural emergency hospitals, but does not\n\ninclude birthing centers except to the extent a birthing center is\n\nlicensed as a hospital;\n\n2. “General medical surgical hospital” means a hospital\n\nmaintained for the purpose of providing hospital care in a broad\n\ncategory of illness and injury;\n\n3. “Specialized hospital” means a hospital maintained for the\n\npurpose of providing hospital care in a certain category, or\n\ncategories, of illness and injury;\n\n4. “Critical access hospital” means a hospital determined by\n\nthe State Department of Health to be a necessary provider of health\n\ncare services to residents of a rural community;\n\n5. “Emergency hospital” means a hospital that provides\n\nemergency treatment and stabilization services on a twenty-four-hour\n\nbasis that has the ability to admit and treat patients for short\n\nperiods of time;\n\n6. “Rural emergency hospital” means a hospital that provides\n\nemergency treatment and stabilization services for an average length\n\nof stay of twenty-four (24) hours or less;\n\n7. “Birthing center” means any facility, place or institution\n\nthat is maintained or established primarily for the purpose of\n\nproviding services to assist or attend a woman in delivery and\n\nbirth, and where a woman is scheduled in advance to give birth\n\nfollowing a normal, uncomplicated, low-risk pregnancy. Such\n\nservices are performed by:\n\na. a licensed Advanced Practice Registered Nurse\n\nrecognized by the Oklahoma Board of Nursing as a\n\nCertified Nurse-Midwife,\n\nb. a Certified Professional Midwife or Certified Midwife\n\nlicensed under Section 3040.6 of Title 59 of the\n\nOklahoma Statutes, or\n\nc. a licensed allopathic or osteopathic physician.\n\nProvided, however, licensure shall not be available or required for\n\nbirthing centers unless the birthing center is a hospital, in which\n\ncase the hospital shall be licensed as a hospital under Section 1-\n\n702 of this title;\n\n8. “Day treatment program” means nonresidential, partial\n\nhospitalization programs, day treatment programs, and day hospital\n\nprograms as defined by subsection A of Section 175.20 of Title 10 of\n\nthe Oklahoma Statutes; and\n\n9. a. “Primarily engaged” means a hospital shall be\n\nprimarily engaged, defined by this section and as\n\ndetermined by the State Department of Health, in\n\nproviding to inpatients the following care by or under\n\nthe supervision of physicians:\n\n(1) diagnostic services and therapeutic services for\n\nmedical diagnosis, treatment and care of injured,\n\ndisabled or sick persons, or\nOklahoma Statutes; and\n\n9. a. “Primarily engaged” means a hospital shall be\n\nprimarily engaged, defined by this section and as\n\ndetermined by the State Department of Health, in\n\nproviding to inpatients the following care by or under\n\nthe supervision of physicians:\n\n(1) diagnostic services and therapeutic services for\n\nmedical diagnosis, treatment and care of injured,\n\ndisabled or sick persons, or\n\n(2) rehabilitation services for the rehabilitation of\n\ninjured, disabled or sick persons.\n\nb. In reaching a determination as to whether an entity is\n\nprimarily engaged in providing inpatient hospital\n\nservices to inpatients of a hospital, the Department\n\nshall evaluate the total facility operations and\n\nconsider multiple factors as provided in subparagraphs\n\nc and d of this paragraph.\n\nc. In evaluating the total facility operations, the\n\nDepartment shall review the actual provision of care\n\nand services to two or more inpatients, and the\n\neffects of that care, to assess whether the care\n\nprovided meets the needs of individual patients by way\n\nof patient outcomes.\n\nd. The factors that the Department shall consider for\n\ndetermination of whether an entity meets the\n\ndefinition of primarily engaged include, but are not\n\nlimited to:\n\n(1) a minimum of four inpatient beds,\n\n(2) the entity’s average daily census (ADC),\n\n(3) the average length of stay (ALOS),\n\n(4) the number of off-site campus outpatient\n\nlocations,\n\n(5) the number of provider-based emergency\n\ndepartments for the entity,\n\n(6) the number of inpatient beds related to the size\n\nof the entity and the scope of the services\n\noffered,\n\n(7) the volume of outpatient surgical procedures\n\ncompared to the inpatient surgical procedures, if\n\nsurgical services are provided,\n\n(8) staffing patterns, and\n\n(9) patterns of ADC by day of the week.\n\ne. Notwithstanding any other provision of this section,\n\nan entity shall be considered primarily engaged in\n\nproviding inpatient hospital services to inpatients if\n\nthe hospital has had an ADC of at least two (2) and an\n\nALOS of at least two (2) midnights over the past\n\ntwelve (12) months. A critical access hospital shall\n\nbe exempt from the ADC and ALOS determination. ADC\n\nshall be calculated by adding the midnight daily\n\ncensus for each day of the twelve-month period and\n\nthen dividing the total number by days in the year. A\n\nfacility that has been operating for less than (12)\n\nmonths at the time of the survey shall calculate its\n\nADC based on the number of months the facility has\n\nbeen operational, but not less than three (3) months.\n\nIf a first survey finds noncompliance with the ADC and\n\nALOS, a second survey may be required by the\n\nDepartment to demonstrate compliance with state\n\nlicensure.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"3b73a582e2bb9d292d02c71a75b0be3c4857d86d666ae19746b30c6b4a0eef17","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-1-606","next":"us-ok/okla.-stat.-tit.-63-63-1-702"},"notice":"GroundRules: Original legal text. Not legal advice."}