Utah Admin. Code R432-500-7 - Administrator

(1) Each licensee shall designate, in writing, an administrator who has freedom from other responsibilities to be on the premises of the facility enough hours in the business day to manage the facility and to respond to appropriate requests by the department.

(a) The administrator shall designate a person, in writing, to act as administrator in their absence.

(i) The designee shall have enough power, authority, and freedom to act in the best interests of patient safety and well-being and shall remain available at the facility.

(ii) A de facto administrator may not supplant or replace the designated facility administrator.

(b) The licensee shall ensure the administrator is the direct representative of the board in the management of the facility and is responsible to the board for the performance of their duties.

(2) The licensee shall ensure the administrator and designee are:

(a) at least 21 years old;

(b) experienced in administration and supervision of personnel; and

(c) knowledgeable enough about the practice of medicine to interpret and be conversant in surgery protocols.

(3) The licensee shall provide the administrator's responsibilities in a written job description that is available for department review. Administrator responsibilities shall include the following:

(a) ensure compliance with any applicable federal, state, and local laws, and facility bylaws;

(b) develop, evaluate, update, and implement facility policies and procedures annually;

(c) maintain enough qualified and competent staff to meet the needs of patients;

(d) develop clear and complete job descriptions for each position;

(e) notify appropriate authorities when a reportable disease is diagnosed;

(f) review any incident and accident reports and take appropriate action;

(g) establish a quality assurance committee that will respond to the quality and appropriateness of services and respond to the recommendations made by the committee;

(h) secure through contracts the necessary services not provided directly by the licensee; and

(i) receive and respond to the licensure inspection report by the department.

Notes

Utah Admin. Code R432-500-7

Amended by Utah State Bulletin Number 2023-17, effective 8/10/2023