Ohio Administrative Code
Title 3701 - Department of Health - Administration and Director
Chapter 3701-84 - Quality Standards for Providers of Health Care Service (HCS)
Section 3701-84-85 - Quality assessment and performance improvement - pediatric cardiovascular surgery service

Universal Citation: OH Admin Code 3701-84-85

Current through all regulations passed and filed through September 16, 2024

In addition to the general quality assessment and performance improvement requirements set forth in rule 3701-84-12 of the Administrative Code, each pediatric cardiovascular surgery service will:

(A) As part of the service's overall quality assessment and performance improvement process:

(1) Utilize the quality performance measures outcomes data obtained from the service's participation in the service's chosen data registry ; and

(2) Include a periodic review and evaluation of the multidisciplinary meetings required by paragraph (D) of rule 3701-84-81 of the Administrative Code.

(B) Have a regular formal morbidity and mortality conference chaired by the medical director of the pediatric cardiovascular surgery service or the medical director's designee. The morbidity and mortality conferences will:

(1) Be held at a minimum, once a month or more frequently depending on the need; and

(2) Review all deaths and complications such as reoperation for bleeding, deep sternal wound infection, stroke, perioperative myocardial infarction, and any patterns that might indicate a problem will be investigated and remedied if necessary.

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