Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 137 - BIRTHING CENTERS
Subchapter D - OPERATIONAL AND CLINICAL STANDARDS FOR THE PROVISION AND COORDINATION OF TREATMENT AND SERVICES
Section 137.52 - Quality Assurance
Universal Citation: 25 TX Admin Code ยง 137.52
Current through Reg. 49, No. 38; September 20, 2024
(a) Quality assurance program. The center shall adopt, implement, and enforce a written quality assurance (QA) program that includes all health and safety aspects of client care for both mother and newborn.
(1)
The quality assurance program shall include, but not be limited to:
(A) a review of the clinical
record(s);
(B) incidences of
morbidity and mortality of mother and newborn;
(C) postpartum infections;
(D) all cases transferred to a hospital for
delivery, care of newborn, or postpartum care of mother;
(E) incidents, problems and potential
problems identified by staff of the center, including infection
control;
(F) address issues of
unprofessional conduct by any member of the center's staff (including contract
staff);
(G) address the integrity
of surgical instruments, medical equipment, and patient supplies;
(H) address client referrals and
consultations;
(I) address
medication therapy practices, if applicable; and
(J) problems with compliance with any federal
and state laws and rules.
(2) This program must be reviewed and updated
or revised at least annually.
(3)
The results of the quality assurance program must be reviewed and documented at
least quarterly.
(b) Quality assurance issues. The center shall identify and address quality assurance issues and implement corrective action plans as necessary. The outcome of any corrective action plans shall be documented. The outcome of the remedial action shall be documented.
(c) Departmental review.
(1) A representative(s) of the department
shall verify that the center has a quality assurance program which addresses
quality concerns and that center staff know how to access that
process.
(2) Attempts by the center
to identify and correct deficiencies will not be used by the department as a
basis for adverse action against the center.
Disclaimer: These regulations may not be the most recent version. Texas 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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