Program evaluation.

(a) The clinic or center carries out, or arranges for, a biennial evaluation of its total program. (b) The evaluation includes review of: (1) The utilization of clinic or center services, including at least the number of patients served and the volume of services; (2) A representative sample of both active and closed clinical records; and (3) The clinic's or center's health care policies. (c) The purpose of the evaluation is to determine whether: (1) The utilization of services was appropriate; (2) The established policies were followed; and (3) Any changes are needed. (d) The clinic or center staff considers the findings of the evaluation and takes corrective action if necessary. [71 FR 55346, Sept. 22, 2006, as amended at 84 FR 51832, Sept. 30, 2019]