Ohio Admin. Code 3701-19-37 - Governing body; quality assessment and performance improvement
(A)
The overall conduct and operation of the pediatric
respite care program , including the quality of care and the provision of
services, shall be the full legal responsibility of a clearly defined,
organized governing body .
(B)
The governing body of a licensed hospice care program
may also provide governance for a pediatric respite care program if the
programs are dually licensed and meet all requirements set forth in this rule
and chapter.
(C)
The governing body shall:
(1)
Establish and
review policies for the management, operation, and evaluation of the pediatric
respite program , including, but not limited to:
(a)
Qualifications
of employees and independent contractors; and
(b)
Policies and
procedures to receive and respond to patient grievances regarding medical
treatment, quality of care, the lack of respect for person or property,
mistreatment, neglect, verbal, mental, sexual, and physical abuse, including
injuries of unknown source, and misappropriation of patient property by any
individual furnishing services on behalf of the pediatric respite care program.
The policies and procedures developed by the governing body shall, at a
minimum, include:
(i)
Notification procedures for pediatric respite care
patients, employees and contracted staff to report alleged violations to the
pediatric respite care program administration;
(ii)
Requirements
for the immediate investigation of alleged violations;
(iii)
Procedures for
the reporting of verified violations to the appropriate state licensing
authority and/or local authorities where appropriate; and
(iv)
Requirements
for timely corrective actions for all verified violations.
(2)
Arrange for a physician to serve as medical director
for the pediatric respite care program who:
(a)
Should be
knowledgeable about the psychological, social, and medical aspects of pediatric
respite care as the result of training, experience, and interest;
and
(b)
Shall designate a physician to act in his or her
absence; and
(c)
The medical director may also may serve as the
physician representative on an interdisciplinary team or teams or as an
attending physician.
(3)
Appoint a
qualified individual to serve as the director of the pediatric respite care
program who shall perform the following duties:
(a)
Be responsible
for the day-to-day management of the program and for assuring compliance with
Chapter 3712. of the Revised Code, Chapter 3701-13, and this chapter of the
Administrative Code;
(b)
Implement the pediatric respite care program 's
policies and procedures regarding all activities and services provided by the
pediatric respite care program ;
(c)
Designate an
individual to act in his or her absence;
(d)
Implement the
pediatric respite care program 's quality assessment and performance improvement
program under rule 3701-19-52theAdministrativeCode; and
(e)
Implement the
pediatric respite care program 's patient grievance program established under
paragraph (A)(2) of this rule.
(4)
Ensure that all
services provided are consistent with accepted standards of practice for
pediatric respite care .
(5)
Evaluate the pediatric respite care program 's quality
assessment and performance improvement program on an annual
basis.
(D)
Each pediatric respite care program governing body
shall conduct an ongoing, comprehensive, integrated, self-assessment of the
quality and appropriateness of care provided by the program, including care
provided under contracts with other persons or public agencies.
(E)
The pediatric
respite care program governing body shall designate an individual or
individuals to be responsible for the quality assessment and performance
improvement program. The designee or designees shall implement and report on
activities and mechanisms for monitoring the quality of care, identify and
resolve problems, and make suggestions for improving care. The designee or
designees shall provide their reports to the governing body of the program. The
pediatric respite care program shall use the findings of the quality assessment
and performance improvement program to correct identified problems and to
revise pediatric respite care program policies if necessary.
(F)
The pediatric
respite care program governing body shall use the findings of the quality
assessment and performance improvement program to correct identified problems
and to revise pediatric respite care program policies if
necessary.
Notes
Promulgated Under: 119.03
Statutory Authority: 3712.031
Rule Amplifies: 3712.031, 3712.041, 3712.051, 3712.061, 3712.09, 3712.99
Prior Effective Dates: 12/26/2013
Promulgated Under: 119.03
Statutory Authority: 3712.031
Rule Amplifies: 3712.031, 3712.041, 3712.051, 3712.061, 3712.09, 3712.99
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