WAC 246-322-040. Governing body and administration

The governing body shall: (1) Adopt written policies concerning the purposes, operation and maintenance of the hospital, and the safety, care and treatment of patients; (2) Provide staff, facilities, equipment, supplies and services to meet the needs of patients within the purposes of the hospital; (3) Establish and maintain a current written organizational plan delineating positions, responsibilities, authorities, and relationships of positions within the hospital; (4) Appoint an administrator responsible for implementing the policies adopted by the governing body; (5) Appoint a psychiatrist as medical director responsible for directing and supervising medical treatment and patient care twenty-four hours per day; (6) Maintain an organized professional staff accountable to the governing body; (7) Appoint and periodically reappoint the professional staff; (8) Require and approve professional staff bylaws and rules concerning, at a minimum: (a) Organization of the professional staff; (b) Delineation of privileges; (c) Requirements for membership; (d) Specific mechanisms for appointing and reappointing members; (e) Granting, renewing and revising clinical privileges, including temporary ward privileges for community psychiatrists; (f) Self-government; (g) Required functions; (h) Accountability to the governing body; and (i) Mechanisms to monitor and evaluate quality of care and clinical performance; and (9) Require that each person admitted to the hospital is under the care of a professional staff member with clinical privileges.