Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.03 - Health Care Staff Agencies
Section 10.07.03.08 - Administration
Universal Citation: MD Code Reg 10.07.03.08
Current through Register Vol. 51, No. 19, September 20, 2024
A. The agency shall develop, document, and implement policies and procedures.
B. Policies and procedures shall include, but are not limited to:
(1) Selecting and
verifying the credentials of a health care practitioner referred by the
agency;
(2) Validating the
experience of a health care practitioner prior to referral by the
agency;
(3) Tracking and acting on
serious or life-threatening complaints received by a client, facility, or the
client facility's agent;
(4)
Reporting of an action or condition performed by a health care practitioner as
required under Regulation .09C of this chapter;
(5) Verifying the following:
(a) A health care practitioner referred by
the agency is of satisfactory health status and has received the necessary
testing and immunization as required or requested by the client
facility;
(b) Drug screening of a
health care practitioner is performed before referral by the agency, if the
client facility requires drug screening for facility employees;
(c) Drug testing of a health care
practitioner referred by the agency is performed, if there is probable cause to
perform a drug test or if a client facility requests a drug test;
(d) Criminal background checks of a health
care practitioner are performed before referral by the agency, if the client
facility requires criminal background checks for facility employees;
(e) The references of a health care
practitioner referred by the agency;
(f) A health care practitioner referred by
the agency has I-9 status that permits them to legally work in the United
States; and
(g) A health care
practitioner has active licensure or certification with the Board;
and
(6) Investigating a
complaint or grievance presented to an agency by the client facility, an
individual receiving services, a representative of the individual receiving
services, or any concerned individual that includes a:
(a) Description of how and to whom to file a
complaint within the agency;
(b)
Description of how and to whom to file a complaint with the Office;
(c) Commitment to conduct a thorough
investigation into any allegation against individuals referred by the agency;
and
(d) Mechanism for making
completed investigation reports available to the Department immediately upon
request during inspections.
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