6 Colo. Code Regs. § 1011-1-20-6

Current through Register Vol. 47, No. 11, June 10, 2024

Section 6 CCR 1011-1-20-6 - MEDICAL STAFF

6.1 Organization: The ambulatory surgical center shall have an organized medical staff.

6.2 Duties: The medical staff or a delegated committee composed of members of the medical staff shall:

(A) Be responsible for the quality of all medical care provided patients in the center;

(B) Ensure professionally ethical conduct on the part of all members of the medical staff and initiate corrective measures as required;

(C) Formulate, adopt and enforce bylaws, rules, regulations and policies for the proper conduct of its activities and credentialing of its members. The practitioners applying for staff privileges shall be required to sign an agreement to abide by the medical staff bylaws, code of conduct and applicable state laws, rules and regulations;

(D) Recommend medical staff privileges to the governing body;

(E) Hold meetings regularly and maintain accurate records of such meetings;

(F) Establish a formal liaison with the governing body;

(G) Participate actively in the quality management program; and

(H) Recommend admission and procedural policies to the governing body.

6 CCR 1011-1-20-6