Records of Compliance

(1) Development or Selection of Acuity Tool(s). Each Acute Hospital shall document, retain for a minimum period of ten years and provide to the Department and the Commission upon request, the following records related to the development or selection of the Acuity Tool required by 958 CMR 8.06(2): (a) Membership of the advisory committee including name and title of members; (b) Minutes from meetings of the advisory committee; and (c) The Acute Hospital’s rationale for selection or development of the Acuity Tool including how the Acute Hospital addressed recommendations of the advisory committee and the decision to include or exclude certain Clinical Indicators of Patient Stability and other related Indicators of Staff Nurse Workload, and how Critical Environmental Factors in 958 CMR 8.06(2)(b)3. were taken into account in the selection and the method for scoring of the indicators. (2) Staffing Compliance. Each Acute Hospital shall document and retain for a minimum period of ten years the results of the assessment of ICU Patient stability for each ICU Patient and Patient Assignment pursuant to 958 CMR 8.04 and 8.05.