Or. Admin. R. 333-700-0095 - Medical Director of an Outpatient Renal Dialysis Facility

The Medical Director shall be responsible for oversight of the care provided by the staff of the dialysis facility. Treatment must be provided under the general supervision of a director who is a physician. The physician-director need not devote full time as director but shall be responsible for planning, organizing, conducting, and directing the professional dialysis services and must devote sufficient time to carrying out these responsibilities. The director may also serve as the Chief Executive Officer of the facility.

(1) The director of a dialysis facility must be a qualified physician-director.
(2) The responsibilities of the physician-director include but are not limited to the following:
(a) Assuring the development and implementation of the process of modality selection, i.e., transplantation or dialysis and the setting for dialysis for all patients;
(b) Assuring adequate training of nurses and technicians in dialysis techniques;
(c) Assuring adequate monitoring of the patient and the dialysis process, including, self-dialysis patients;
(d) Assuring periodic assessment of patient performance of dialysis tasks;
(e) Assuring the development and availability of a patient care policy and procedures manual and its implementation. At a minimum, the manual shall describe the following:
(A) Types of dialysis used in the facility and the procedures followed in performance of such dialysis;
(B) Hepatitis prevention and procedures for handling an individual with hepatitis;
(C) Infection control; and
(D) A disaster preparedness plan (e.g., patient emergency, fire, flood);
(f) Assuring that patient teaching materials are available for use by all trainees during the training period and at times other than during the dialysis procedure when self-dialysis training or home dialysis training is offered; and
(g) Assuring that patient outcomes are monitored and evaluated as part of the QAPI process. The Medical Director must assure that a plan is in place for the improvement of patient outcomes. This process shall include a review of any accidents, incidents, or adverse outcomes.


Or. Admin. R. 333-700-0095
PH 7-2003, f. & cert. ef. 6-6-03; PH 4-2012, f. 3-30-12, cert. ef. 4-1-12

Stat. Auth.: ORS 441.015 & 441.025

Stats. Implemented: ORS 441.025

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