10- 144 C.M.R. ch. 126, § 4.D

Current through 2024-51, December 18, 2024

Section 144-126-4.D - Quality Improvement

The ESRD Facility shall establish a Quality Improvement Program. The program will be an ongoing objective assessment of important aspects of patient care and the correction of identified problems. It will consist of a clinical record review at least quarterly, and an overall ESRD Facility review that will occur annually. The results of the review/evaluation are reported to, and acted upon by those responsible for the operation of the ESRD.

Components of the Quality Improvement Program will include, but are not limited to:

a. Continual monitoring and evaluation of the care provided;

b. An identification of issues and potential issues;

c. An implementation of improvement activities; and

d. Re-evaluate to determine if further improvement is possible or needed.

10- 144 C.M.R. ch. 126, § 4.D