Ch. 18, § 6. Organization and Management

(a) Governing Body. The renal dialysis program shall have a governing body which has the legal authority and responsibility to operate the renal dialysis program. The governing body shall: (i) Obtain a fidelity bond for client protection arising from the want of honesty, integ- rity or fidelity of an employee. The bond shall consist of no less than $2500 and shall be augmented in relation to the number of employees. (ii) Provide verification of a central registry information check on all employees hired at the time of or after the filing of these rules. The individual agencies or corporations are responsible to initiate and follow this process to completion. Central registry information can be obtained by contacting The Department of Fam- ily Services at 307-777-5366. (This number is subject to change.) (iii) Adopt, revise, and approve personnel policies; including: (A) Frequency of evaluations; (B) Insuring confidentiality of a central registry information checks. (iv) Prepare an organizational chart that reflects the administrative control and lines of authority for the delegation of responsibility from management down to the client care level. (v) The governing body shall ensure that all services provided are consistent with ac- cepted standards of practice. (vi) The governing body shall ensure adequate staffing to provide quality care. (vii) There shall be policies and procedures for services offered, which shall be reviewed annually by the governing body. (viii) Ensure in accordance with the State Statute 35-2-910, there is an effective, ongoing, agency wide written quality improvement program which ensures and evaluates quality of care provided to all clients. (ix) Personnel Records. (A) There shall be one person designated responsible for maintaining the confi- dentiality. (x) Employee Health. The renal dialysis program shall: (A) Develop policies and procedures for employee health including a policy iden- tifying communicable diseases that could put the client population at risk. (xi) Advanced Directives. (A) The renal dialysis program shall adopt policies which assure they provide information on advanced directives to clients. If the client's advanced directives are known they shall be followed by the center. (xii) Notification. Prior to admission all prospective clients shall be notified if the renal dialysis program is not Medicare/Medicaid certified.