Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 511 - LIMITED SERVICES RURAL HOSPITALS
Subchapter C - OPERATIONAL REQUIREMENTS
Section 511.43 - Administration
Universal Citation: 26 TX Admin Code ยง 511.43
Current through Reg. 49, No. 38; September 20, 2024
(a) A limited services rural hospital (LSRH) shall adopt, implement, and enforce administrative policies and procedures to ensure the orderly and efficient management of the LSRH. An LSRH's administrative policies and procedures shall include the following administrative responsibilities:
(1) enforcing policies delegated by the
governing body;
(2) employing
qualified management personnel;
(3)
long-range and short-range planning for the LSRH's needs, as determined by the
governing body;
(4) using methods
of communicating and reporting, designed to ensure the orderly flow of
information within the LSRH;
(5)
controlling the purchase, maintenance, and distribution of the LSRH's
equipment, materials, and facilities;
(6) establishing lines of authority,
accountability, and personnel supervision;
(7) establishing controls relating to the
custody of the LSRH's official documents; and
(8) maintaining the confidentiality,
security, and physical safety of data on patients and staff.
(b) The LSRH shall adopt, implement, and enforce personnel policies to facilitate the LSRH attaining its mission, goals, and objectives. The LSRH's personnel policies shall:
(1) define and delineate functional
responsibilities and authority;
(2)
require LSRH personnel to have qualifications commensurate with their job
responsibilities and authority, including appropriate licensure or
certification;
(3) require
documented periodic appraisal of each person's job performance;
(4) specify employment responsibilities and
privileges;
(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 LSRH's policies, procedures,
equipment, and facilities.
(c) An LSRH shall include all employee categories in personnel policies and shall develop appropriate job descriptions for each position.
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