Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS
Subpart B - OWNERSHIP AND MANAGEMENT
Section 205.220 - Organizational Plan

Universal Citation: 77 IL Admin Code ยง 205.220

Current through Register Vol. 48, No. 12, March 22, 2024

a) An organizational plan shall be known to the staff and available for public information in the facility. The document shall clearly set forth the organization, duties, responsibility, accountability and relationships of professional staff, including a designated qualified infection control professional, a designated grievance officer, and other personnel.

b) The plan shall include details of a quality assessment and performance improvement program, an infection control program, a patient rights plan, and a disaster preparedness plan.

c) The organizational plan shall be submitted to the governing body for review and approval and shall be submitted to the Department with the initial licensure application.

d) All owners, administrators, professional staff and ancillary personnel shall act in accordance with the organizational plan.

e) The Department will review the organizational plan at regular inspections.

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