Current through Reg. 50, No. 187; September 24, 2024
(1) The center's
organization shall have an effective governing authority responsible for the
legal and ethical conduct of the center. The governing board in fulfilling its
responsibility shall be organized under approved written bylaws, rules and
regulations which shall:
(a) State the
qualifications for governing board membership, and the method of selecting
members as well as the terms of appointment or election of members, officers
and chairmen of committees. Where legally permissible, physicians who are
members of the medical staff shall be eligible for, and should be included in,
full membership of the centers' governing board and its action committees in
the same manner as are other knowledgeable and effective individuals. Also, any
other member of the medical staff shall be considered eligible for membership
of the governing board.
(b) Provide
for the designation of officers, their duties, and for the organization of the
governing board into essential committees with the number and type consistent
with the size and scope of the center's activities.
(c) Coordinate through an executive committee
or the governing board as a whole, the policies and activities of the center
and special committees established by the governing board.
(d) Specify the frequency of meetings, at
regular stated intervals, with a majority of the members constituting a quorum
and with the requirement that minutes be recorded and made available to all
members of the governing board.
(e)
Establish the position of administrator, the incumbent of which shall be
responsible for operation and maintenance of the center as a functioning
institution, and define the methods established by the governing board for
holding such designated person responsible.
(f) Provide for the appointment,
reappointment, or dismissal of members of the medical staff through a
credentialing committee or its equivalent and a procedure for hearing and
appeal. No action on appointment, reappointment or dismissal shall be taken
without prior referral to the credentialing committee for their recommendation,
provided that the governing board may suspend an medical staff member pending
final determination of any reappointment or dismissal. The governing board
shall only appoint members of the medical staff as recommended by the
credentialing committee.
(g)
Provide for the approval of the bylaws, rules and regulations of the medical
staff.
(h) Require that every
patient shall be admitted by and remain under the care of a member of the
medical staff.
(i) Require that all
medications, treatments and procedures shall be administered upon specific
orders of a member of the medical staff.
(j) Require that all attending medical staff
members who do not have admitting privileges at an acute care general hospital
document a written agreement with a physician who has staff privileges with one
or more acute care general hospitals licensed by the state to accept any
patient who requires continuing care; or
(k) Ensure that there is a written center
agreement, with one or more acute care general hospitals licensed by the state,
which will admit any patient referred who requires continuing care.
(l) Provide for a formal and official means
of liaison among the medical staff, the governing board, and the administrator
to provide a channel for administrative advice.
(m) Specify the classification of services to
be provided in the center and list authorized surgical
procedures.
(2) Where a
physician serves as the licensee and governing board, the articles of
incorporation or other written organizational plan shall describe the manner in
which the licensee executes the governing board
responsibility.
Rulemaking Authority 395.1055 FS. Law Implemented 395.0191,
395.1055 FS.
New 6-14-78, Amended 3-3-80, Formerly 10D-30.05,
10D-30.005, Amended 11-13-95, 9-17-14.