Ga. Comp. R. & Regs. R. 111-8-22-.06 - Facility Organization and Administration
(1)
Governing Body. The facility
shall function under the control of an identifiable governing body, which has
full legal authority for the governance and operation of the facility.
(a) The governing body shall specify in
writing the operational objectives of the facility, including which services
are to be offered.
(b) The
governing body shall be responsible for the establishment, adoption, and annual
review of administrative rules and regulations and facility policies and
procedures, and for ensuring that they are in accordance with accepted
standards of practice and safeguard the health and safety of
patients.
(c) The governing body
shall be responsible for ensuring that the facility's design and operation are
in compliance with all relevant federal, state, and local legal
requirements.
(d) The governing
body shall adopt for the facility admission criteria that ensure equitable
access to services for individuals needing care for end stage renal
disease.
(e) The governing body
shall designate sufficient staff and allocate sufficient staff time to
implement the facility's quality management program and shall provide for
leadership support of the program.
(f) The governing body shall establish and
implement written policies regarding the determination, selection, or
privileging of medical staff for the facility.
(g) The governing body shall appoint a
facility administrator to be responsible for the administrative management of
the facility and the enforcement of adopted rules and regulations.
1. The governing body shall delineate the
responsibilities of the facility administrator in writing and shall ensure that
the administrator is sufficiently free of other duties to provide effective
management of the facility.
2. The
governing body of the facility shall notify the Department of a change in the
administrator of the facility and shall at that time provide the name and
contact numbers of the new administrator.
(2)
Facility Administrator.
(a) The facility administrator may serve on a
full-time or part-time basis, but shall serve sufficient time to plan,
organize, and direct the overall function of the facility, and to carry out
those responsibilities as assigned by the governing body. The facility
administrator shall meet one of the following qualifications:
1. Holds at least a baccalaureate degree and
has at least one (1) year experience in an end stage renal disease facility;
or
2. Meets the qualifications for
a physician director or a nurse responsible for nursing services for an end
stage renal disease facility as described in these rules; or
3. As of the first effective date of these
rules, has been acting for at least two years as a facility administrator for
an end stage renal disease facility which has been certified for a federal
Medicare program.
(b) The
facility administrator shall be responsible for:
1. Management of the facility's fiscal
affairs, including maintenance of financial records and generating regular
reports of expenses and revenues for review by the governing body;
2. Implementing the policies and procedures
of the facility as approved by the governing body, and ensuring that all
personnel at the facility are familiar with applicable policies as well as
applicable state and federal regulations;
3. Coordinating the provision of services at
the facility, including establishing clear lines of authority and
accountability for those involved in patient care;
4. Ensuring that the facility employs
sufficient qualified staff to provide patient care services, and adequately
orients staff to their work responsibilities while meeting the following
minimum staffing ratios:
(i) There must be one
(1) licensed and qualified nurse for every twelve (12) patients receiving
dialysis care and one qualified dialysis care giver for each four (4) patients
present in the immediate clinical care area. At least one licensed and
qualified registered nurse shall be available in the immediate clinical care
area to provide nursing care whenever patients are being dialyzed.
(ii) Trainees may not be counted in the
staff:patient ratios.
5.
Maintaining facility records, including a chronological record of patient care
services provided, and submitting reports on facility functions and operations
as required by the governing body or the Department.
(c) The facility administrator shall serve as
the liaison between the governing body and the medical staff and other
healthcare workers at the facility.
(d) The facility administrator shall
designate in writing a qualified individual to act on his/her behalf in the
event of his/her absence.
(e) The
facility administrator shall be responsible for ensuring that the care of
dialysis patients of the facility is coordinated appropriately when a patient
is being transferred to a hospital or another dialysis provider or being
received back by the facility.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.