New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 800 - RESIDENTIAL CARE AND HEALTH FACILITY RULES
Part He-P 827 - FREESTANDING MEGAVOLTAGE RADIATION THERAPY FACILITY
Section He-P 827.22 - Quality Improvement
Universal Citation: NH Admin Rules He-P 827.22
Current through Register No. 40, October 3, 2024
(a) The FMRTF shall develop and implement a quality improvement program that reviews policies and services and maximizes quality by preventing or correcting identified problems.
(b) The FMRTF shall determine the size and composition of the quality improvement committee based on the size of the facility and the care and services provided.
(c) The quality improvement committee shall:
(1) Determine the information to be
monitored;
(2) Determine the
frequency with which information will be reviewed;
(3) Determine the indicators that will apply
to the information being monitored;
(4) Evaluate the information that is
gathered;
(5) Determine the action
that is necessary to correct identified problems;
(6) Recommend corrective actions to the
FMRTF;
(7) Evaluate the
effectiveness of the corrective actions and determine additional corrective
action as applicable;
(8) Meet at
least quarterly;
(9) Generate
dated, written minutes after each meeting; and
(10) Documentation of all quality improvement
activities, including minutes of meetings, shall be maintained on-site for at
least 2 years from the date the record was created.
(d) Mandatory monitoring of radiological safety practice standards according to He-P 4000 shall be part of the quality improvement program.
Disclaimer: These regulations may not be the most recent version. New Hampshire 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.
