New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 370 - OVERSIGHT OF LICENSED HEALTHCARE FACILITIES AND COMMUNITY BASED WAIVER PROGRAMS
Part 12 - REQUIREMENTS FOR ACUTE CARE, LIMITED SERVICES AND SPECIAL HOSPITALS
Section 8.370.12.20 - CHIEF EXECUTIVE OFFICER/ ADMINISTRATOR
Universal Citation: 8 NM Admin Code 8.370.12.20
Current through Register Vol. 35, No. 18, September 24, 2024
A. Appointment: The hospital shall be directed by a chief executive officer/administrator. The chief executive officer/administrator shall be appointed by the governing body, shall be responsible for the management of the hospital and shall provide liaison among the governing body, medical staff, nursing services and other services of the hospital.
B. QualificationZ: The chief executive officer/ administrator shall:
(1) be a college or university graduate from
an accredited college or university, with three years of experience in a health
care facility; or
(2) possess a
college or university graduate degree in hospital, health care administration,
or an advanced degree such as an MPH or an MBA with a health concentration;
or
(3) have been hired and be
acting in the capacity of the facility's chief executive officer/ administrator
before the effective date of these requirements.
C. Responsibilities: The chief executive officer/ administrator shall:
(1)
keep the governing body fully informed about the quality of patient care, the
management and financial status of the hospital, survey results and the
adequacy of physical plant, equipment and personnel;
(2) organize the day-to-day functions of the
hospital;
(3) establish formal
means of staff evaluation and accountability on the part of subordinates to
whom duties have been assigned;
(4)
provide for the maintenance of an accurate, current and complete personnel
record for each hospital employee;
(5) ensure that there is sufficient
communication among the governing body, medical staff, nursing services and
other services, hold interdepartmental and departmental meetings, where
appropriate, attend or be represented at the meetings on a regular basis, and
report to the governing body on the pertinent activities of the
hospital;
(6) provide the authority
with any information required to document compliance with the Public Health
Act, Section 24-1-1 et seq., NMSA 1978, and provide reasonable means for
examining records and gathering the information;
(7) be responsible for the preparation of
policies and procedures on the withholding of resuscitative services from
patients.
Disclaimer: These regulations may not be the most recent version. New Mexico 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.
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