15 MAC Pt. 3, R. 1.2.3
Hospital Surveys
Cite as 15 Miss. Admin. Code Pt. 3, R. 1.2.3
Hospital Surveys
1.
The Department shall provide for the survey of the applicant hospital, provided that
its application has been formally approved by the Department, on the date
scheduled and indicated in the Department's acceptance letter to the applicant
hospital, unless the Department provides written notification with justification of
change to the applicant hospital no later than 14 days prior to the survey date; or the
applicant hospital provides written request with justification for a change in the
survey date to the Department no later than 30 days prior to the survey date.
2.
Results of trauma center surveys will be provided by the Department in writing to
the applicant hospital. Details related to the hospital's survey will be considered
confidential and will not be released.
3.
Surveys of Mississippi licensed hospitals and those that currently participate in the
Trauma System may be conducted by national accrediting organizations, i.e.,
American College of Surgeons or American Burn Association. The Department
must be present and receive the complete report from the accrediting organization,
including any/all Corrective Action Plans (CAP). The Department shall review the
report for compliance with the Mississippi Trauma System Rules and Regulations and
shall make a recommendation to the State Health Officer for designation.