55 Pa. Code § 1163.79 - Medical Care Evaluation studies
(a)
The hospital utilization review committee shall conduct Medical Care Evaluation
(MCE) studies under this section.
(b) MCE studies shall identify and analyze
medical or administrative factors related to patient care rendered in the
hospital and, when indicated, make recommendations for changes that would be
beneficial to patients, staff, the hospital and the community.
(c) MCE studies shall include analysis of at
least:
(1) Admissions.
(2) Length of stay.
(3) Diagnostic categories.
(4) Ancillary services, including drugs and
biologicals.
(5) Professional
services performed in the hospital.
(d) At least one MCE study shall be in
progress at any time.
(e) At least
one MCE study shall be completed each calendar year.
(f) The results of each MCE study shall be
documented.
(g) Documentation shall
be made describing how the MCE study results have been used to institute
improvements in the quality of care and to promote the efficient and effective
use of hospital facilities.
Notes
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