Governing body

(a) General. The CAH shall have an effective governing body legally responsible for all services and the quality of patient care provided. The majority of members of this body shall be residents of the incorporated community or service area of the CAH. (b) Organization. The governing body may be an organized board or owner designated individual(s). The method for appointment, terms, officers required, meeting requirements, duties, and responsibilities shall be established in written bylaws which shall be available at the CAH. The governing body shall meet at established intervals and maintain minutes of meetings. Meetings may be conducted by teleconference if not otherwise prohibited by law. (c) Responsibilities. The governing body's responsibilities shall include at least the following: (1) Appointment and reappointment of members of the medical and professional staff by methods established in approved bylaws. These appointments shall be made based on recommendations received from the medical and professional staff and be consistent with state law. (2) Approval of medical and professional staff bylaws, rules and regulations. (3) Approval or denial of physician or practitioner privilege delineations recommended by the medical and professional staff. (4) Consideration of reports received from the CAH concerning the quality of care provided. The governing body shall require corrective actions as necessary when inadequate patient care is identified. (5) Ensure patients are admitted and discharged by a physician or licensed independent practitioner. (6) Ensure a physician or licensed independent practitioner is available to communicate with CAH staff at all times. A physician or licensed independent practitioner shall be physically available as specified by CAH policy. If a physician or licensed independent practitioner functions as the physician or practitioner on-call for the CAH, the physician or licensed independent practitioner shall be physically available if necessary within twenty (20) minutes. (7) Ensure the licensed independent practitioners and registered nurses on-call to the CAH are physically available if necessary within twenty (20) minutes. (8) Designation of an administrator who shall be responsible for managing the facility. This person may have duties in addition to management responsibilities. (9) Ensure the CAH is constructed, arranged, and maintained to ensure the safety of the patient, and to provide facilities for diagnosis and treatment appropriate to the needs of the community. (10) Ensure the CAH is operated under an approved budget. OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH 73 September 13, 2019