Regulatory
Larry Van Der Wege
Larry Van Der Wege
Director Preparedness and Regulatory Affairs

Regulatory

Advocacy includes both legislative and regulatory efforts.

Hospital Emergency Preparedness Program

Hospitals play a key role in emergency readiness throughout Kansas. As vital community resources, hospitals must be among the best prepared alongside police, fire, rescue, and other public safety services.

Conditions of Participation

HIPAA Basics for Providers: Privacy, Security, & Breach Notification Rule - CMS May 2021

State Survey Information

Kansas Office of the State Fire Marshal

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File iconWTD Bomb Threats v2.0.pdf
Size: 968 KB
A guide from the Cybersecurity and Infrastructure Security Agency (CISA) on how to plan for, react to and assess a bomb threat. For more information, see the Current Report article entitled Update Regarding Terrorism Threat to Hospitals.
File icon19_0515_cisa_action-guide-hospitals-and-healthcare.pdf
Size: 514 KB
An Action Guide from the Cybersecurity and Infrastructure Security Agency regarding awareness of and response to an active shooter situation. For more information, see the March 28 CR article Update Regarding Terrorism Threat to Hospitals.
File iconLaws to Interpretive Guidelines - 2025 CIS Handout.pdf
Size: 158 KB
Laws to Interpretive Guidelines – 2025 CIS Handout
File iconFire Fact 081 - Maintenance Overview (fire alarms, spriklers, etc).pdf
Size: 140 KB
The Office of the State Fire Marshal provided this document for primary maintenance and testing requirements for fire and life safety systems and equipment.
File iconKO918 Electrical Systems TAG 3-2025.pdf
Size: 175 KB
The Office of the State Fire Marshal provided guidance on maintenance of electrical systems falling under KO918 Tag. It relates to generators as well as the main and feeder circuits.
File iconRegion 7 CAH Survey Citations - 2024.xlsx
Size: 14 KB
Region 7 CAH Survey Citations – 2024
File iconRegion 7 PPS Hospital Survey Citations - 2024.xlsx
Size: 12 KB
Region 7 PPS Hospital Survey Citations – 2024
File iconRegion 7 RHC Survey Citations - 2024.xlsx
Size: 10 KB
Region 7 RHC Survey Citations – 2024
File iconRegion 7 Nursing Home Survey Citations - 2024.xlsx
Size: 11 KB
Region 7 Nursing Home Survey Citations – 2024
File iconRegion 7 CAH Life Safety Survey Citations - 2024.xlsx
Size: 12 KB
Region 7 CAH Life Safety Survey Citations – 2024
File iconRegion 7 PPS Hospital Life Safety Survey Citations - 2024.xlsx
Size: 10 KB
Region 7 PPS Hospital Life Safety Citations – 2024
File iconRegion 7 Nursing Home LIfe Safety Survey Citations - 2024.xlsx
Size: 11 KB
Region 7 Nursing Home Life Safety Survey Citations – 2024
File iconKSFM 2025 - 002 Hood Suppression System Maintenance.pdf
Size: 354 KB
The OSFM sent information on Hood Suppression System Maintenance for facilities with a Kitchen Hood System. The Information Release contains maintenance and inspection expectations. Share it with Facilities, Survey Preparedness and any other staff as needed.
File iconHealthcare Decorations.pdf
Size: 6 MB
State fire Marshal's Recommendations on Health Care Decorations
File iconRisk Management Survey.pptx
Size: 2 MB
Risk Management Survey PowerPoint - Oct. 2, 2023
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