Ohio Administrative Code
Title 3701 - Department of Health - Administration and Director
Chapter 3701-83 - Licensing Provisions for Health Care Facilities
Section 3701-83-24 - Quality assessment and performance improvement - freestanding dialysis centers

(A) Each freestanding dialysis center governing body shall conduct an ongoing, comprehensive, integrated self-assessment of the quality and appropriateness of care provided by the facility, including:

(B) The dialysis center shall designate an individual or individuals to be responsible for the quality assessment and performance improvement program who shall be responsible for the following activities related to the quality of care and services provided by the dialysis center:

(C) The dialysis center shall use the findings of the quality assessment and performance improvement program to set priorities for performance improvement, correct identified problems, and to revise policies and procedures as necessary.

(D) Identified performance problems that threaten the health or safety of patients shall be immediately corrected.

(E) As part of the quality assessment and performance improvement system required under rule 3701-83-12 of the Administrative Code, each freestanding dialysis center shall provide to the director, upon request, copies of data reports provided to the "renal network" designated by the centers for medicare and medicaid services to include the state of Ohio or any portion of the state of Ohio pursuant to 42 C.F.R. section 405.2112. All patient specific information submitted to the director under this paragraph that identifies a patient shall be maintained in a confidential manner.