Can Anyone tell me if or what the difference in regulations are between having an onsite dialysis unit in a hospital or an offsite dialysis unit for the same hospital in the state of New Jersey .

There are not too many differences that I can think of off hand. I am Tech Coord for an onsite acute/sub-acute and an offsite chronic program in New Jersey. I just went through an NJDOH survey for my acute/sub-acute (onsite) unit and I didn't pick up on much opposing the offsite surveys.

Many of the differences are that you need to have many departmental specific policies that you may not need to have at the hospital as it may be covered under a "general hospital policy". (such as disaster, safety & security, fire evacuation and so forth...) Another thing that comes to mind is a signed contract for emergency transportation, and agreements with local hospitals for emergency treatment. I think there may be some differences as far as billing is concerned as well, not sure.

Hope that helps...