New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES
Subchapter 7 - MEDICAL SERVICES
Section 10:161B-7.3 - Medical policies and medical staff bylaws
Universal Citation: NJ Admin Code 10:161B-7.3
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The medical director, in conjunction with the medical staff, shall develop, implement and review annually, medical policies, including medical staff bylaws that shall be subject to the review and approval of the governing authority and the administrator, and are consistent with New Jersey laws and rules.
(b) The written medical policies and bylaws shall include, but need not be limited to, the following:
1. A plan for convening medical staff meetings that are documented by
minutes;
2. A procedure for reviewing credentials and delineating
qualifications of medical staff, appointments and reappointments, evaluation of medical care, and the
granting, denial, curtailment, suspension, or revocation of medical staff privileges;
3. Specifications for verbal orders, including who may give verbal orders
and who may receive them;
4. A system for completion of entries
in the client clinical records by members of the medical staff, including identification of a time limit for
completion of the clinical record, which must not exceed 30 days following a client's last treatment or
discharge;
5. For those programs serving pregnant women, and
women and children, a plan for ensuring that the medical needs of the fetus, children and mothers are
adequately assessed and met during treatment;
6. Identification
of the program's quality assurance plan for medical services and how that plan will coordinate with the
nursing quality assurance plan; and
7. Medical staffing
patterns.
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