Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 130.000 - Hospital Licensure
Subpart D - SUPPLEMENTARY STANDARDS: PARTICULAR SERVICES
Section 130.833 - Quality Assurance
Universal Citation: 105 CMR 130.000 MA Code of Regs 130.833
Current through Register 1531, September 27, 2024
(A) SEF specific quality assurance screens shall be developed. These screens, at a minimum, shall include reviews of:
(1) patients who die
in the SEF;
(2) if known to the
SEF, patients admitted to a hospital within 72 hours of having been seen at the
SEF;
(3) all patients transferred
from the SEF to an inpatient hospital, in which case said reviews shall include
the review of the management of the patient, whether transport was by
ambulance, and whether transport was done at the appropriate level of
care;
(4) walk-in patients who are
transferred; and
(5) all patients
arriving by ambulance.
(B) Any appropriate Continuous Quality Improvement (CQI) processes evaluated at the main campus of the hospital shall also be evaluated at the SEF.
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