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BULLET St. Louis City Revised Code Chapter 12.08 Division of Hospitals

St. Louis City Revised Code (annotated) has been converted to electronic format by the staff of the St. Louis Public Library. This electronic version has been done for the interest and convenience of the user. These are unofficial versions and should be used as unofficial copies.

Official printed copies of St. Louis City Revised Code may be obtained from the Register's Office at the St. Louis City Hall.




Chapter 12.08
Division of Hospitals

Sections:

12.08.010 Rules and regulations.
12.08.020 Sanitation.
12.08.030 Care for persons with infectious and contagious diseases.
12.08.040 Temporary emergency hospitals.
12.08.050 Superintendents.
12.08.060 Board, room and laundry for employees.
12.08.070 Duties of convalescent patients.
12.08.080 Admissions and discharges.
12.08.090 Obtaining charitable assistance through misrepresentation.
12.08.100 Representation statement.
12.08.110 Application for charity--Posting.
12.08.120 Contracts.
12.08.130 Payment in advance.
12.08.140 Medical Education and Research Fund.
12.08.150 Emergency treatment.
12.08.160 Inability to pay.
12.08.170 Married women and children.
12.08.180 Indigent sick to receive priority.
12.08.190 Communicable disease patients.
12.08.200 Certification of indigent patients.
12.08.210 Blood transfusion contracts.

Charter:

Art. XIII 14-C(d) Division of hospitals

City Counselor Ops.: 8769

12.08.010 Rules and regulations.

The hospital commissioner shall make rules and regulations, not inconsistent with the Charter and ordinances of the city, for the government of the hospital division.
(1948 C. Ch. 31 8: 1960 C. 435.010.)

City Counselor Ops.: 8135

12.08.020 Sanitation.

The hospitals and institutions under the control of the hospital commissioner shall be conducted in accordance with the sanitary requirements of the Charter and ordinances of the city.
(1948 C. Ch. 31 9: 1960 C. 435.020.)

12.08.030 Care for persons with infectious and contagious diseases.

Whenever the health commissioner shall so direct, the hospital commissioner shall receive and provide care in the proper institution for persons suffering from contagious, infectious or pestilential diseases. Whenever the mayor has proclaimed the prevalency of any malignant infectious or contagious disease or the probability that the same will become prevalent, the hospital commissioner shall cooperate with the health commissioner, under the direction and authority of the health commissioner, to avoid and suppress or mitigate such disease.
(1948 C. Ch. 31 10: 1960 C. 435.030.)

12.08.040 Temporary emergency hospitals.

Whenever it may become necessary to establish temporary hospitals or dispensaries in emergency or to employ means of transportation for the removal of the sick, the hospital commissioner is authorized to make arrangements as may be necessary. The hospital commissioner is authorized to employ extra help for such purposes and to fix the pay of such temporary help at not exceeding three dollars per day.
(1948 C. Ch. 31 11: 1960 C. 435.040.)

12.08.050 Superintendents.

Each superintendent or head of a section shall report at once in writing to the hospital commissioner any neglect of duty or misconduct by any employee, member of the visiting staff of physicians, nurse or attendant.

Each superintendent of an institution and his wife and children may reside in the institution under his charge.

In case of absence of the hospital commissioner or his inability to serve, the hospital commissioner shall designate one of the superintendents to perform the routine duties of his office, during which time such superintendent shall be known as acting hospital commissioner.
(1948 C. Ch. 31 12: 1960 C. 435.050, 435.060.)

12.08.060 Board, room and laundry for employees.

In addition to their salaries, all officers and employees on the payrolls of the institutions of the hospital division shall be entitled to board, room and laundry work, except as hereinafter provided in this title.
(1948 C. Ch. 31 13.)

12.08.070 Duties of convalescent patients.

Convalescent patients shall perform such labor about the hospitals as may be required of them, with the approval of the resident physician.
(1948 C. Ch. 31 14 (part): 1960 C. 446.010.)

12.08.080 Admissions and discharges.

Patients shall be admitted to and discharged from the various institutions under rules and regulations promulgated by the hospital commissioner.
(1948 C. Ch. 31 14 (part): 1960 C. 446.020.)

12.08.090 Obtaining charitable assistance through misrepresentation.

No person shall, directly or indirectly through another person, obtain charitable assistance by misrepresentation of their name, occupation, financial or social condition, or residence.
(1948 C. Ch. 31 15: 1960 C. 446.030.)

12.08.100 Representation statement.

All persons who apply for assistance or treatment at any of the city institutions shall make and sign a representation statement, which shall be substantially as follows; except emergency cases, who shall receive treatment and make a representation statement when their condition will permit without injury to themselves:

Date ________Representation of patient applying for admission to St. Louis City (Name and Address of Institution)____
No.____Age ________
Name ____Sex ________
Address ____
Occupation ____Nationality ________
Relationship in family ____
No. in family ________Rent paid ____
Total income of family ____. This is my ________
application to this Institution, and I have applied to ________ other dispensaries during the past year (or to the following institutions) ____.
I have the following Sickness, Health, Hospitalization, Medical and Surgical Benefits, Plans or Insurance____
____
(insert names of companies or organizations. If not covered, write "NONE") ________. I am able/unable (strike word not applicable) to pay for the services of a physician or surgeon.

The foregoing is in all respects true ____
Admitted ____
Refused ____
____
(Signature of applicant)
(Witness)____
(Ord. 47008 1, 1954: 1948 C. Ch. 31 16: 1960 C. 446.040.)

City Counselor Ops.: 7846, 8282, 8298

12.08.110 Application for charity--Posting.

Any person applying to private individuals or agencies for charitable assistance shall make and sign a statement similar to the one set forth in Section 12.08.100 upon request.

It shall be the duty of those in charge of all public institutions to post a copy of Section 12.08.100 in the reception room of the respective institution.
(1948 C. Ch. 31 17.)

12.08.120 Contracts.

No person shall, except as hereinafter provided, be admitted to any public hospital operated and maintained by the city who is able to pay, in whole or in part, the cost of his maintenance and treatment in such hospital, including charges for services of attending physicians, surgeons and dentists, other than members of the resident staff, until such person shall have signed a contract with the city through the hospital commissioner, or his authorized agents, agreeing to pay for his maintenance and treatment, including charges for services of attending physicians, surgeons and dentists, as aforesaid, during such times as he shall remain in the hospital. The amount to be paid, including charges for services of attending physicians, surgeons and dentists, as aforesaid, shall be determined in each case by the hospital commissioner, or his authorized agents, but shall in no event exceed such sum as would be payable under the schedule of fees fixed in accordance with the terms of Section 12.08.130. In no case shall an applicant be denied admission to a public hospital operated and maintained by the city who is unable to pay in advance or during his stay in the hospital, but such applicant shall be permitted to defer payment, in whole or in part, until such time as he shall have left the hospital.
(Ord. 47008 2, 1954: 1948 C. Ch. 31 18: 1960 C. 446.050.)

City Counselor Ops.: 7846, 8282, 8298

12.08.130 Payment in advance.

No person who is not admitted as a patient to a hospital maintained by the city, and who is able to pay for his expenses, including charges for services of attending physicians, surgeons and dentists, other than members of the resident staff, shall receive medical or surgical treatment at or from any hospital operated by the division of hospitals of the city without paying for such expenses. The hospital commissioner shall, with the unanimous concurrence of the executive committee or board of directors of the Institute of Medical Education and Research, a nonprofit corporation, composed of the several units of the visiting staffs of the physicians, surgeons and dentists, and certain officials, of the several public hospitals in the city, subject to the approval of the board of estimate and apportionment, fix a schedule of rates to be charged for such treatment, including charges for services of attending physicians, surgeons and dentists, as aforesaid. No person who is urgently in need of receiving immediate treatment, shall be denied such treatment by reason of failure to pay therefor in advance.
(Ord. 47008 3 (part), 1954: 1948 C. Ch. 31 19(a): 1960 C. 446-060.)

City Counselor Ops.: 7846, 8282, 8298

12.08.140 Medical Education and Research Fund.

All sums collected, at any public hospital operated and maintained by the city for services of attending physicians, surgeons and dentists, other than members of the residential staff, shall be deposited by the hospital commissioner, as trustee, in a private fund to be known as the "Medical Education and Research Fund." Under no circumstances shall any moneys so collected ever be paid to such attending physicians, surgeons and dentists. Moneys deposited in the fund shall be disbursed and expended by the hospital commissioner only to promote the medical and dental research and educational program and activities, in behalf of such public hospitals, conducted by the Institute of Medical Education and Research, a nonprofit corporation, composed of the several units of the visiting staffs of physicians, surgeons and dentists, and certain officials of the several public hospitals of the city, provided that all disbursements or expenditures must first be approved by the executive committee or board of directors of the institute. The hospital commissioner shall give a bond in the sum of ten thousand dollars to the Institute of Medical Education and Research for the faithful performance of his duties, as prescribed in this chapter. Whenever practicable, in the opinion of the executive committee or board of directors of the institute, funds collected for services of physicians, surgeons and dentists, as aforesaid, shall be used in connection with the medical and research activities of the particular unit of the visiting staff which rendered such services. All moneys deposited in the fund may be subject to audit by the comptroller.
(Ord. 47008 3 (part), 1954: 1948 C. Ch. 31 19(b): 1960 C. 446.070.)

City Counselor Ops.: 7846, 8282, 8298, 9179, 9771

12.08.150 Emergency treatment.

Any person who may be found to be suddenly ill or injured upon the streets or any other place in the city may be admitted to any public hospital operated and maintained by the city without a contract. The hospital commissioner, or his authorized agents, shall be authorized to make a contract with any such patient for the payment in whole or in part, for his maintenance and treatment, including charges for services of attending physicians, surgeons and dentists, other than members of the resident staff, in such hospital as soon as such patient shall be physically able to execute a contract.
(Ord. 47008 4, 1954: 1948 C. Ch. 31 20: 1960 C. 446.080.)

City Counselor Ops.: 7846, 8282, 8298

12.08.160 Inability to pay.

In every case in which an applicant for admission to a public hospital operated and maintained by the city, or an inmate thereof, shall declare inability to pay the whole cost of his maintenance and treatment therein, including charges for services of attending physicians, surgeons and dentists, other than members of the resident staff, it shall be the duty of the hospital commissioner to cause a full investigation to be made by his authorized agents, for the purpose of determining the ability of the applicant or inmate to pay, and in the event that the investigation shall disclose that he is able to pay, in whole or in part, the actual cost of his maintenance and treatment, including charges for services of attending physicians, surgeons and dentists, as aforesaid, the hospital commissioner shall be authorized to charge him with such proportion of the amount for his maintenance and treatment therein, including charges for services of attending physicians, surgeons and dentists, as aforesaid. Unless the patient is able to pay, or until the patient has paid, the full amount of the charges of the hospital for maintenance and treatment therein, other than the charges for services of attending physicians, surgeons and dentists, as aforesaid, no charge shall be made for services of the attending physicians, surgeons and dentists, unless, however, the patient is covered by insurance or some form of medical, dental and surgical benefits which provide for payment of medical, dental and surgical fees, in which event the hospital commissioner shall be authorized to charge the patient for the services of the attending physicians, surgeons and dentists, as aforesaid.
(Ord. 47008 5, 1954: 1948 C. Ch. 31 21: 1960 C. 446.090, 446.100.)

City Counselor Ops.: 7846, 8282, 8298

12.08.170 Married women and children.

In the case of a married woman or a minor, the contract hereinbefore provided for may be made with the husband, father or guardian, as the case may be, and the hospital commissioner or his authorized agents shall be authorized to charge, in whole or in part, the actual cost of maintenance and treatment, including charges for services of attending physicians, surgeons and dentists, other than members of the resident staff, to the husband, father or guardian, if his investigation shall disclose that such person is able to pay. Unless the person charged is able to pay, or until such person has paid the full amount of the charges of the hospital for maintenance and treatment therein, other than the charges for services of the attending physicians, surgeons and dentists, as aforesaid, no charge shall be made for services of the attending physicians, surgeons and dentists unless, however, the person charged, or the patient, is covered by insurance or some form of medical, dental and surgical benefits which provide for payment of medical, surgical and dental fees, in which event the hospital commissioner shall be authorized to charge such person, or the patient, for the services of the attending physicians, surgeons and dentists, as aforesaid.
(Ord. 47008 6, 1954: 1948 C. Ch. 31 22: 1960 C. 446.110.)

City Counselor Ops.: 7846, 8282, 8298

12.08.180 Indigent sick to receive priority.

No person shall be admitted as a pay patient to a public hospital operated and maintained by the city whenever his admission would result in the exclusion of indigent sick residents of the city who have applied for admission. Under all circumstances the indigent sick shall be entitled to priority.
(1948 C. Ch. 31 23: 1960 C. 446.120.)

City Counselor Ops.: 8336

12.08.190 Communicable disease patients.

The provisions of this chapter shall not apply to patients in institutions maintained for the care and treatment of communicable disease, when, in the judgment of the health commissioner, or hospital commissioner, it is necessary to admit a patient suffering from a communicable disease for the protection of the public health.
(1948 C. Ch. 31 24: 1960 C. 446.130.)

12.08.200 Certification of indigent patients.

In every case where the laws of the state provide for the admission of residents of the city to any of the eleemosynary institutions of the state, as poor persons, at the expense of the city, the comptroller, when convinced, upon proper investigation, that any resident of the city seeking admission to an eleemosynary institution is a proper subject for admission and has not means sufficient to pay the cost of his maintenance at such institution, shall be, and he is hereby authorized to issue such certificate as may be provided for by law as a condition to such admission, and by the issuance of such certificate to obligate the city to the payment of the sum legally fixed for the support of poor patients at such institution.
(1948 C. Ch. 31 25: 1960 C. 446.140.)

12.08.210 Blood transfusion contracts.

The hospital commissioner is authorized to make contracts with individuals who are willing to submit to transfusions of blood, providing for the payment to any such individual of the sum of twenty-five dollars for each transfusion whenever, in his opinion, the transfusion is necessary to save the life of any patient at the city institutions.
(1948 C. Ch. 31 26: 1960 C. 446.150.)

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