Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES
Section R9-10-304 - Quality Management
Universal Citation: AZ Admin Code R 9-10-304
Current through Register Vol. 30, No. 38, September 20, 2024
An administrator shall ensure that:
1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes:
a. A method to identify, document,
and evaluate incidents;
b. A method
to collect data to evaluate services provided to patients;
c. A method to evaluate the data collected to
identify a concern about the delivery of services related to patient
care;
d. A method to make changes
or take action as a result of the identification of a concern about the
delivery of services related to patient care; and
e. The frequency of submitting a documented
report required in subsection (2) to the governing authority;
2. A documented report is submitted to the governing authority that includes:
a. An identification of each concern about
the delivery of services related to patient care, and
b. Any changes made or actions taken as a
result of the identification of a concern about the delivery of services
related to patient care; and
3. The report required in subsection (2) and the supporting documentation for the report are maintained for at least 12 months after the date the report is submitted to the governing authority.
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