New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter V - Medical Facilities
Subchapter A - Medical Facilities-minimum Standards
Article 2 - Hospitals
Part 407 - Primary Care Hospitals-minimum Standards
Section 407.4 - Governing body
Universal Citation: 10 NY Comp Codes Rules and Regs ยง 407.4
Current through Register Vol. 46, No. 39, September 25, 2024
(a) The entity or person established as operator of the PCH/CAH shall be legally responsible for the quality of patient care services; for the conduct and obligations of the hospital as an institution and for ensuring compliance with all Federal, State and local laws. The operator's governing body, which shall mean the governing authority as defined in section 600.9(a) of this Title, shall operate in accordance with the provisions of section 405.2 of this Title except as provided for below. In addition, the governing body shall:
(1) ensure that all officers, directors,
trustees, partners, or sole proprietors participate in orientation and
continuing education programs addressing the mission, role and responsibilities
of the hospital, the local EMS system and if appropriate, the network of which
the PCH/CAH is a member in meeting the health care needs of patients and the
community;
(2) adopt by-laws which
reflect the role, purpose and responsibilities of the PCH/CAH within any rural
health network in which it may operate;
(3) establish and maintain a coordinated
program, in conjunction with an affiliated full service hospital and other area
providers as appropriate, which integrates the operational review activities of
all hospital services for the purpose of enhancing the quality of patient care
and identifying and preventing potential malpractice issues;
(4) sets policies that assure that a doctor
of medicine or osteopathy and/or a registered physician's assistant under the
general supervision of a physician or a nurse practitioner collaborating with a
physician, is on duty at all times during regular scheduled hours of operation
of emergency care services, and other services at times determined appropriate
by the governing body of the hospital and specified by hospital policies and
procedures; and
(5) sets policies
that ensure that a doctor of medicine or osteopathy is on call at all
times.
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