(a) Each facility shall be under the direction of a governing body. The governing body shall:
(1) Adopt written bylaws in accordance with legal requirements and its community responsibility which shall include but not be limited to provision for:
(A) Identification of the purposes of the Postsurgical Recovery Care Facility and the means of fulfilling them.
(B) Formal organization of the medical staff with appropriate officers and bylaws.
(C) Membership for the medical staff which shall be restricted to physicians, podiatrists and dentists, competent in their respective fields and worthy in character and in professional ethics.
(D) Self-government by the medical staff with respect to the professional work performed in the facility and for periodic meetings of the medical staff to review and analyze the clinical experience of its members based on review and analysis of the patients' medical records.
(E) Provide for the security, completeness and accuracy of the medical records.
(2) Be responsible for compliance with the requirements of the designation agreement and for the organization, management, operation and control of the facility.
(3) Provide for the appointment and reappointment of members of the medical staff.
(4) Appoint an Administrator whose qualifications, authority and duties shall be defined in writing. The written statement of qualifications, authority and duties for the position of Administrator shall be approved by the Office.
(5) Provide appropriate physical resources and personnel required to meet the needs of the patients.
(6) Conform to all applicable federal, state and local laws and regulations.
(7) Provide for the control and use of the physical and financial resources of the facility.
(8) Assure that the medical staff establishes controls that are designed to ensure the achievement and maintenance of high standards of professional ethical practices.
(9) Assure that each member of the medical staff be required to demonstrate his/her ability to practice competently and to the satisfaction of the credentials committee of the staff, at the time original application for appointment to the staff is made and at least every two years thereafter.
(10) Assure that medical staff by-laws, rules and regulations are subject to governing body approval, which approval shall not be withheld unreasonably.
(11) Be responsible for the quality of care provided in the facility.
Credits
Note: Authority cited: Section 1250.9, Health and Safety Code. Reference: Section 1250.9, Health and Safety Code.
1. New section filed 3-7-88 as an emergency; operative 3-7-88 (Register 88, No. 12). No Certificate of Compliance required pursuant to the provisions of Health and Safety Code section 1250.9(m).
2. Editorial correction of History No. 1 (Register 90, No. 21).
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 22, § 97530.1, 22 CA ADC § 97530.1
