Rule 3701-22-64. Quality assessment and performance improvement - pediatric cardiovascular surgery service

119.03 In addition to the general quality assessment and performance improvement requirements set forth in rule 3701-22-07 of the Administrative Code, each pediatric cardiovascular surgery service will: (A) As part of the service's overall quality assessment and performance improvement process: (1) Utilize the quality performance measures outcomes data obtained from the service's participation in the service's chosen data registry; and (2) Include a periodic review and evaluation of the multidisciplinary meetings required by paragraph (C) of rule 3701-22-59 of the Administrative Code. (B) Have a regular formal morbidity and mortality conference chaired by the medical director of the pediatric cardiovascular surgery service or the medical director's designee. The morbidity and mortality conferences will: (1) Be held at a minimum, once a month or more frequently depending on the need; and (2) Review all deaths and complications such as reoperation for bleeding, deep sternal wound infection, stroke, perioperative myocardial infarction, and any patterns that might indicate a problem will be investigated and remedied if necessary. Last updated September 2, 2025 at 10:08 AM Supplemental Information Authorized By: 3722.06 Amplifies: 3722.06 8/31/2030