Page 306

(C) are not in obvious need of medical transport, but require an extended stay for monitoring and observation. (b) For purposes of this section, the annual average length of stay for individuals requiring extended stay may not exceed 48 hours. (Eff. 12/3/2006, Register 180) Statutory Authority: Authority: AS 47.32.010 AS 47.32.030 7 AAC 12.453. Scope of service. (a) In addition to complying with the requirements of 7 AAC 12.600(a) and (h), a frontier extended stay clinic must comply with 7 AAC 12.450 — 7 AAC 12.490. (b) A frontier extended stay clinic must provide medical, radiological, laboratory, extended stay, and emergency services. The clinic must have the staff and resources necessary to provide the care and services offered. (c) The clinic may provide care and services for

(1) an extended stay described in 7 AAC 12.450(a)(2)(A) for a patient awaiting requested medical transport to a general acute care hospital, rural primary care hospital, or critical access hospital; or

(2) a patient who elects to receive extended stay services as described in 7 AAC 12.450(a)(2)(B). (d) The clinic may provide care and services for an extended stay for monitoring and observation described in 7 AAC 12.450(a)(2)(C) if

(1) there is a reasonable expectation that the patient will show significant improvement within 24 hours and that care will be completed within 48 hours;

(2) the clinic can manage common complications associated with the patient’s medical condition and presenting problems;

(3) appropriate medical consultation is available to the clinic on site or by telephone; and

(4) a contingency plan is in place for appropriate medical transport to a general acute care hospital, rural primary care hospital, or critical access hospital if necessary.