Current through Reg. 49, No. 38; September 20, 2024
(a) The facility administration shall adopt,
implement, and enforce administrative policies, procedures, and controls to
ensure orderly and efficient management of the facility. Administrative
responsibilities shall include:
(1) enforcing
policies delegated by the governing body;
(2) employing qualified management
personnel;
(3) long- and
short-range planning for the needs of the facility, as determined by the
governing body;
(4) using methods
of communicating and reporting, designed to ensure orderly flow of information
within the facility;
(5)
controlling purchase, maintenance, and distribution of the equipment,
materials, and facilities of the facility;
(6) establishing lines of authority,
accountability, and supervision of personnel;
(7) establishing controls relating to custody
of the official documents of the facility; and
(8) maintaining confidentiality, security,
and physical safety of data on patients and staff.
(b) The facility administration shall adopt,
implement, and enforce personnel policies to facilitate attainment of the
mission, goals, and objectives of the facility. Personnel policies shall:
(1) define and delineate functional
responsibilities and authority;
(2)
require employment of personnel with qualifications commensurate with job
responsibilities and authority, including appropriate licensure or
certification;
(3) require
documented periodic appraisal of each person's job performance;
(4) specify responsibilities and privileges
of employment;
(5) be made known to
employees at the time of employment; and
(6) provide and document adequate orientation
and training to familiarize all personnel with the facility's policies,
procedures, equipment, and facilities.
(c) A facility shall adopt, implement, and
enforce personnel policies that address and are relevant to all employees and
contractors.
(d) A facility shall
develop appropriate job descriptions for each employee position.
