3701-83-16 Governing body - ambulatory surgical facilities.

 

3701-83-16                  Governing body.

 

 

 

(A)       As   required   under   paragraph   (F)   of   rule   8701-83-03   3701-83-03   of   the Administrative Code, each ASF shall have a governing body.

 

(B)  The governing body shall:

 

(1)    At least every twelve twenty-four months review, update, and approve the surgical procedures that may be performed at the center and maintain an up-to-date listing of these procedures;

 

(2)   Grant or deny clinical (medical-surgical and anesthesia) privileges, in writing and reviewed or re-approved at least every twenty-four months, to physicians and other appropriately licensed or certified health care professionals based on documented professional peer advice and on recommendations from appropriate professional staff. These actions shall be consistent with applicable law and based on documented evidence of the following:

 

(a)   Current licensure and certification, if applicable;

 

(b)   Relevant education, training, and experience; and

 

(c)    Competence in performance of the procedures for which privileges are requested, as indicated in part by relevant findings of  quality assessment and improvement activities and other reasonable indicators of current competency.

 

These privileges shall be delineated in writing and shall be reviewed and re-approved at least every twelvemonths; and

 

(3)   In the case of an ASF owned and operated by a single individual, provide for an external peer review by an unrelated person not otherwise affiliated or associated with the individual. The external peer review shall consist of a quarterly audit of a random sample of surgical cases.

 

 

Effective:                                9/5/2002

 

 

 

 

3701-83-16                                                                                                                            2

R.C. 119.032 review dates:    2/28/2002 and 02/28/2006

CERTIFIED ELECTRONICALLY

Certification

08/26/2002 03:50 PM

Date

Promulgated Under:   119.03

Statutory Authority:   3702.13, 3702.30

Rule Amplifies:           3702.12, 3702.13, 3702.30

Prior Effective Dates: 1/13/96