Legal Aspects of Health Care
Regulation of Texas ESRD Facilities
An End Stage Renal Disease (ESRD) facility is one that "provides dialysis treatment or dialysis training to individuals" with this disease ("Licensing"). In keeping with its stated goal of ensuring the protection of public health and safety ("Philosophy"), the state of Texas requires such facilities to meet certain regulatory standards concerning design and space, equipment, water treatment and reuse, and sanitary and hygienic conditions; patient care and treatment; and dialysis technicians.
The federal government distinguishes among five types of ESRD facilities: transplant centers, dialysis centers and dialysis facilities (the distinction being that the former is a hosipital unit and the latter a stand-alone site), self-dialysis units, and special purpose renal dialysis centers (which are generally set up for emergency situations). All of these types of facilities in service after September 1, 1996 are subject to Texas licensing requirements.
The standards regarding design, space, water use, and sanitary conditions are concerned with the physical operating specifications of the facility or unit itself. Each of these standards is aimed at the general physical safety, medically-necessary cleanliness, and/or bodily or emotional comfort of patients and their families. Standards regarding equipment are concerned with both the safe operation and efficient treatment of necessary dialysis machinery (25 TAC 117.1-85). Fees for licensure are $2,000 for initial and relocation applications; a renewal fee of $.25/treatment is also assessed, with a minimum/maximum limit of $1,000/$2,500 (TDH "Licensing").
Specific regulations apply to ESRD facilities in the state of Texas. The goal of these regulations is to ensure the proper, efficient and effective treatment of dialysis patients as well as the safety, health and comfort of both patients and their families.
Works Cited
End Stage Renal Disease Facility Licensing." Texas Department of Health. www.tdh.state.tx.us/hfc/esrd.htm. Online. Available. 15 December 2002.
Regulatory Philosophy." Texas Department of Health. www.tdh.state.tx.us/hcgs/plc/pled_regphil.txt.Online. Available. 15 December
Texas Administrative Code. 25 TAC 117.1-85. ["End Stage Renal Disease Facilities."]
http://info.sos.state.tx.us/pub/plsql/readtac$ext.ViewTAC-tac_view=4&ti=25&pt=1&ch=117
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