OAC 310:667-11-2
Quality improvement plan
Cite as Okla. Admin. Code § 310:667-11-2
(a)
A written quality improvement plan shall be developed, approved,
and implemented by the governing body with advice from the medical
staff. The plan shall include but not be limited to the following:
(1)
Methods of evaluating all patient services to assure quality of
care, including those provided under contract.
(2)
Methods of evaluating off-site health care organizations for
appropriateness of use and the degree to which the services aid in
the provision of quality patient care.
(3)
Evaluation of all surgeries, inpatient and outpatient.
(b) The
evaluation
of
nosocomial
infections
and
accompanying
medication therapy shall be linked to the hospital-wide quality
improvement program through regular reporting by appropriate hospital
committees and functions such as pharmacy and therapeutics, infection
control, pharmaceutical services, etc.
OAC 310:667
OKLAHOMA STATE DEPARTMENT OF HEALTH
26
September 13, 2019