Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 140.000 - Licensure Of Clinics
Subpart F - SURGICAL SERVICES
Section 140.613 - Evaluation of Quality
Universal Citation: 105 CMR 140.000 MA Code of Regs 140.613
Current through Register 1531, September 27, 2024
(A) In addition to the requirements set forth in 105 CMR 140.370, the quality assurance program established by each clinic licensed to perform surgery shall include reviews of at least the following:
(1) medical necessity
of procedures performed, including the review of tissue removed at surgery to
determine agreement or disagreement among the preoperative, postoperative and
pathological diagnoses;
(2) whether
adequate pre and postoperative services and procedures met patient needs; and
(3) all complications.
(B) Each clinic shall use the findings of the assessments required by 105 CMR 140.613(A) in the revision of clinic policies and consideration of clinical privileges.
(C) Each clinic shall document all such reviews conducted and their findings and shall make such documentation available to the Department upon request.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
