licensee shall have an organized governing body that assumes responsibility for
the management of the health facility or agency, the provision of all services,
its fiscal operations, and continuous quality assessment and performance
(2) The governing
body is responsible for ensuring the establishment of policies and procedures
for the management, operation, and evaluation of the health facility or agency.
The governing body shall ensure that these policies and procedures are reviewed
at least every 3 years and revised as appropriate. Dates of reviews and
revisions must be a matter of record in the health facility or
(3) The governing body
shall meet according to its bylaws, but at least once a year, to carry out its
obligations and shall keep a written record of its actions.
Mich. Admin. Code
4, Eff. 2/21/2020