Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 9 - OUTPATIENT SURGICAL CENTERS
Section R9-10-903 - Quality Management

Universal Citation: AZ Admin Code R 9-10-903

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 change made or action 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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