6 Colo. Code Regs. § 1011-1 Chapter 04, pt. 8

Current through Register Vol. 47, No. 17, September 10, 2024

Part 8 - QUALITY MANAGEMENT PROGRAM

8.1 Each hospital shall comply with the requirements of 6 CCR 1011-1, Chapter 2, Part 4.1.

8.2 If a hospital is part of a hospital system consisting of multiple hospitals using a system governing body that is legally responsible for the conduct of two (2) or more hospitals, the system governing body may have a unified Quality Management Program (QMP) provided the QMP does the following:

(A) Takes into account each hospital's unique circumstances and any significant differences in patient populations and services offered in each hospital; and

(B) Establishes and implements policies and procedures to ensure the needs and concerns of each hospital, regardless of practice or location, are given due consideration, and that the unified QMP has mechanisms in place to ensure that issues localized to particular hospitals are duly considered and addressed.

8.3 The system governing body is accountable for ensuring that each of its hospitals meet all of the requirements of this section.

6 CCR 1011-1 Chapter 04, pt. 8