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HOSPITALS

Licensed Michigan hospitals are defined by their participation in Medicare. Each designation carries special operating requirements and/or restrictions. These licensed hospitals must comply with procedures, building codes and fire safety regulations from the Michigan Department of Community Health (MDCH), Bureau of Health Systems, Division of Health Facilities & Services and the Department of Energy, Labor & Economic Growth, Bureau of Fire Services, respectively. These facilities are designated as "Acute Care Hospitals", "Critical Access Hospitals" or "Long Term Acute Care Hospitals" under Medicare and are defined below. There are approximately 175 licensed Acute Care Hospitals in the State; of these approximately 35 are Critical Access Hospitals and 20 are Long Term Care hospitals.

Acute Care Hospital
An Acute Care Hospital (HOSP) is defined as a facility offering inpatient, overnight care, and services for observation, diagnosis, and active treatment of an individual with a medical, surgical, obstetric, chronic, or rehabilitative condition requiring the daily direction or supervision of a physician. An Acute Care Hospital does not include a mental health hospital licensed or operated by the department of community health or a hospital operated by the Department of Corrections. Michigan acute care hospitals are approved, licensed and operated under the authority of Public Act 368 of 1978, as amended, Section 333.20106 (the Public Health Code) and Administrative Rules 325.1001 through 325.1100.

Critical Access Hospital
A hospital may be defined as a critical access hospital (CAH) and can also be federally certified if it's located outside any Metropolitan Statistical Area, as defined by the Office of Management and Budget, or that has been recognized as urban under the Code of Federal Regulations, Title 42, Part 412.62. In addition, a hospital not located outside of a Metropolitan Statistical Area as defined in Title 42, but located in a city, village, or township with a population of no more than 12,000 and in a county with a population of no more than 110,000, may be designated by the Department as a critical provider to satisfy the eligibility requirements for certification as a Critical Access Hospital.

Long Term Care Hospital
The Social Security Act, Section 1886(d)(1)(B)(iv)(I), defines a long term acute hospital (LTCH) as "a hospital which has an average inpatient length of stay (as determined by the Secretary of Health and Human Services (the Secretary) of greater than 25 days."

Psychiatric Hospitals and Programs
Psychiatric Hospitals (PSYC) and Programs are licensed under the authority of the Michigan Mental Health Code. Go to Michigan Psychiatric Hospitals and Programs for more information.

Veterans Hospitals
Veterans (VA) hospitals are operated under the authority of the federal Department of Military and Veteran Affairs. Go to http://www.va.gov for more information.

On-Line Look Up
The Hospital Compare page, was created through the efforts of the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), and other members of the Hospital Quality Alliance: Improving Care Through Information (HQA). The information on this website comes from hospitals that have agreed to submit quality information for Hospital Compare to make public.

Hospital Licensure and Certification Process
State licensure requirements and Medicare certification information are located on this page.

Accrediting Organizations
Hospitals accredited by one of the following programs are deemed to comply with the Medicare Conditions of Participation (CoP) for hospitals as published by CMS. Participation in an accreditation program is voluntary.

American Osteopathic Association
Healthcare Facilities Accreditation Program
142 E. Ontario; Chicago, IL 0611
1-800-621-1773; www.osteopathic.org

Joint Commission
One Renaissance Blvd.
Oakbrook Terrace, IL 60181
1-800-994-6610; www.jcrinc.com

DNV Healthcare, Inc.
463 Ohio Pike, Suite 203; Cincinnati, OH 45255-3722
513-947-8343; www.dnvaccreditation.com

Complaint Investigations
Allegations of improper care treatment, abuse or fraud may be submitted in writing to the address below, by calling the Bureau of Health Systems' hotline number @ 1-800-882-6006, or by faxing to (517) 241-0093.

The Bureau does not have the authority to investigate disputes that pertain to hospital fees for service or for hospital based insurance coverage.

Hospitals are required to report patient deaths that occur while the patient is restrained or in seclusion for behavior management: Hospital Restraint/Seclusion Death Reporting Requirements.

Medical Records
The State of Michigan does not maintain patient medical records. Information is available through the Michigan Department of Community Health regarding Birth, Death, Marriage and Divorce Records.

Contact Information
Michigan Department of Community Health
Bureau of Health Systems; Division of Licensing & Certification
PO Box 30664, Lansing, MI 48909 Telephone: (517) 241-4160; Fax:  (517) 241-3354

Related Links

Centers for Medicare & Medicaid Services (CMS); Hospital Center

Federal and State Legislation

Consumer Price Index Increase of Medical Records Access Act Fees

Health Facility Whistleblowers' Protection Act

Hospital Whistleblower Poster (required)

Legislation for Psychiatric Hospitals/Programs

Minimum Standards for Hospitals

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