Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-200 - Small Health Care Facility - Four to Sixteen Beds
Section R432-200-11 - Quality Assurance
Universal Citation: UT Admin Code R 432-200-11
Current through Bulletin 2024-06, March 15, 2024
(1) The licensee shall ensure that:
(a) the administrator
monitors the quality of services offered through the formation of a committee
to address infection control, pharmacy, therapy, resident care, and safety as
applicable;
(b) the committee
includes the administrator, consulting physician or medical director, health
services supervisor and consulting pharmacist with special program directors,
maintenance and housekeeping staff serving as needed;
(c) the committee meets quarterly and keeps
minutes of the meeting; and
(d) the
infection control services are compliant with Section
R432-150-11.
(2) Based on the pharmacy services offered by the licensee, the committee shall:
(a) monitor the pharmaceutical services in
the facility;
(b) recommend changes
to improve pharmaceutical services;
(c) evaluate medication usage; and
(d) develop and review pharmacy policies and
procedures annually, and recommend changes to the administrator and
licensee.
(3) Based on the resident care services offered by the licensee, the committee shall address the following:
(a) review, at least annually,
the facility's resident care policies including rehabilitative and habilitative
programs, as appropriate;
(b) make
recommendations to the medical director and advisory physician as appropriate;
and
(c) review recommendations from
other facility committees to improve resident care.
(4) Based on the services offered by the licensee, the licensee shall ensure the committee:
(a) reviews each incident and accident
reports and recommends changes to the administrator to prevent or reduce their
reoccurrence;
(b) reviews facility
safety policies and procedures, at least annually, and makes recommendations;
and
(c) establishes a procedure to
inspect the facility periodically for hazards, and requires that each
inspection report is filed with the committee.
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