Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part IV - Health Facilities
Subpart F - Ambulatory Surgical Facilities
Chapter 557 - QUALITY ASSURANCE AND IMPROVEMENT
Section 557.4 - Quality Assurance and Improvement Committee
Universal Citation: 28 PA Code ยง 557.4
Current through Register Vol. 54, No. 12, March 23, 2024
(a) The Committee shall consist of the following:
(1) A practitioner who is not an
owner.
(2) A representative of
administration.
(3) A registered
nurse.
(4) Other health care
personnel, as appropriate.
(b) Committee functions shall include:
(1) Evaluating data submitted as part of the
quality assurance program.
(2)
Reviewing credentials.
(3)
Reviewing tissue examination reports.
(4) Reviewing infection control
program.
(5) Reviewing the
standards of practice in all specific areas of the ASF.
(c) Committee records of the activities shall include:
(1) Reports made to the governing
body.
(2) Minutes of committee
meetings including date, time, persons attending, description and results of
cases reviewed and recommendations made by the committee.
(3) Corrective actions taken including
appropriate orientation, training or education programs necessary to correct
deficiencies which are uncovered as a result of the quality assurance
program.
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