Washington Administrative Code
Title 246 - Health, Department of
FACILITY STANDARDS AND LICENSING
Chapter 246-320 - Hospital licensing regulations
Section 246-320-016 - Department responsibilities-On-site survey and complaint investigation
Universal Citation: WA Admin Code 246-320-016
Current through Register Vol. 24-18, September 15, 2024
This section outlines the department's on-site survey and complaint investigation activities and roles.
(1) Surveys. The department will:
(a) Conduct on-site surveys of each hospital
on average at least every eighteen months or more often using the health and
safety standards in this chapter and chapter 70.41 RCW;
(b) Coordinate the on-site survey with other
agencies, including local fire jurisdictions, state fire marshal, and the
pharmacy quality assurance commission, and report the survey findings to those
agencies;
(c) Notify the hospital
in writing of the survey findings following each on-site survey;
(d) Require each hospital to submit a
corrective action plan addressing each deficient practice identified in the
survey findings;
(e) Notify the
hospital when the hospital submitted plan of correction adequately addresses
the survey findings; and
(f) Accept
on-site surveys conducted by the Joint Commission or American Osteopathic
Association as meeting the eighteen-month survey requirement in accordance with
RCW
70.41.122.
(2) Complaint investigations. The department will:
(a) Conduct an investigation of every
complaint against a hospital that concerns patient well being;
(b) Notify the hospital in writing of state
complaint investigation findings following each complaint
investigation;
(c) Require each
hospital to submit a corrective action plan addressing each deficient practice
identified in the complaint investigation findings; and
(d) Notify the hospital when the hospital
submitted plan of correction adequately addresses the complaint investigation
findings.
(3) The department may:
(a) Direct a hospital on how
to implement a corrective action plan based on the findings from an on-site
survey or complaint investigation; or
(b) Contact a hospital to discuss the
findings of the Joint Commission or American Osteopathic Association on-site
accreditation survey.
Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 09-07-050, § 246-320-016, filed 3/11/09, effective 4/11/09.
Disclaimer: These regulations may not be the most recent version. Washington 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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