SECTION 310:667-11-2. Quality improvement plan

Latest version.

(a)   A written quality improvement plan shall be developed, approved, and implemented by the governing body with advice from the medical staff. The plan shall include but not be limited to the following:
(1)   Methods of evaluating all patient services to assure quality of care, including those provided under contract.
(2)   Methods of evaluating off-site health care organizations for appropriateness of use and the degree to which the services aid in the provision of quality patient care.
(3)   Evaluation of all surgeries, inpatient and outpatient.
(b)   The evaluation of nosocomial infections and accompanying medication therapy shall be linked to the hospital-wide quality improvement program through regular reporting by appropriate hospital committees and functions such as pharmacy and therapeutics, infection control, pharmaceutical services, etc.

[Source: Added at 12 Ok Reg 1555, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok Reg 1664, eff 6-12-03]

                    
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