New Bill 1471 - New Guidelines for BBLs & OSR Registration
HB 1471 Set to take effect 7/1/23: New Guidelines for BBL Procedures and OSR Inspections
As of May 5th 2023 the Florida Board of Medicine has adopted HB 1471 into their standards for office surgery in Florida. The following changes will take effect on July 1st, 2023:
New OSR Registration and Inspection Guidelines
1. Prior OSR Registration rule allowed for NEW facilities to begin procedures in the facility immediately following their OSR Registration license number issuance. Effective 7/1/23, with this New Bill 1471, this is no longer the case. Facilities will now be required to have an initial inspection after submitting their application and prior to starting any procedures.
2. Any registered office that denies entry to an inspector, whether announced or unannounced, will have
their registration IMMEDIATELY suspended and the office will be shut down for at least 14 days. The office will not be allowed to re-open until the Department provides a written declaration that the office can re-open. This may be beyond the 14 day minimum suspension.
3. New Requirements Gluteal Fat Grafting (BBL):
a. A physician performing a gluteal fat grafting procedure must conduct an in-person examination of the patient while physically present in the same room as the patient no later than the day before the procedure.
b. Written consent must be signed by patient if any duties will be delegated by the physician. The consent must include the functions being performed and by whom. Direct supervision by the physician is required.
c. Fat extraction and gluteal fat injections must be performed by the physician only.
d. Fat may be injected into the subcutaneous space no deeper than the fascia.
e. Intramuscular or submuscular fat injections are prohibited.
f. Physicians must use ultrasound guidance (or other technology approved by the Board) during placement and navigation of cannula only when injecting fat into subcutaneous space.
g. Hospitalizations resulting from gluteal fat grafting must be reported. This pertains to a direct transfer from Office Surgery Center, Home or Other
h. Starting with the administration of anesthesia (anesthesia start time) until the patient is extubated, there must be a 1:1 physician to patient ratio at all times during all phases of the procedure. Physicians may not commence or engage in any other procedures with another patient at the same time.
Written updates to the rule can be found by clicking this link or seeing the attached (beginning on Page 7 - Line 157).
https://m.flsenate.gov/session/bill/2023/1471/billtext/er/pdf
We understand that you may have many questions during the process of implementing these new changes. We are working with colleagues and the Board of Medicine to try and answer some of these questions.
Please email your us with your Risk Management Healthcare Compliance questions for further clarification on these updates.
RSL Healthcare Consulting, LLC
Your Partner in Patient Safety
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