10.05.04.01

.01 Definitions.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Center administrator" means an individual appointed by the governing body who is responsible for the center's daily operation and the duties set forth in Regulation .04 of this chapter.

(2) "Certified nursing assistant—dialysis technician (CNA-DT)" means an individual certified by the Maryland Board of Nursing as a certified nursing assistant—dialysis technician (CNA-DT).

(3) "Chief executive officer" means an individual who meets the requirements set forth in 42 CFR §405.2102, as amended, which is incorporated by reference.

(3-1) “In-center daytime hemodialysis” means a hemodialysis treatment that:

(a) Usually lasts 3 to 5 hours;

(b) Is performed on a routine basis, usually three times a week, to treat a chronic condition; and

(c) Is provided in a kidney dialysis center during daytime hours.

(3-2) “In-center nocturnal hemodialysis” means a hemodialysis treatment that:

(a) Lasts 6 to 9 hours;

(b) Is performed on a routine basis, usually three times a week, to treat a chronic condition; and

(c) Is provided in a kidney dialysis center.

(3-3) “Interdisciplinary team (IDT)” means a multidisciplinary team:

(a) Consisting of, at a minimum:

(i) The patient or the patient’s designee, if the patient chooses;

(ii) A registered nurse;

(iii) A physician;

(iv) A nurse practitioner or physician assistant treating the patient for ESRD;

(v) A social worker; and

(vi) A dietitian; and

(b) Whose professional members have dialysis experience.

(4) Kidney Dialysis Center.

(a) "Kidney dialysis center" means a facility that provides hemodialysis or chronic peritoneal dialysis.

(b) "Kidney dialysis center" does not include a center or service owned or operated by a hospital and regulated under Health-General Article, Title 19, Subtitle 2, Annotated Code of Maryland.

(5) “Patient comprehensive assessment” means an individualized comprehensive assessment that reflects the patient’s psychological, social, medical, dietary, and rehabilitation needs and identifies the care required to meet those needs as well as individualized modifications in the approaches required to meet the patient’s goals.

(6) “Patient plan of care” means a written plan that includes all of the care, services, and treatment interventions the interdisciplinary team decides to implement to meet the specific needs of the patient.