Section He-Hea 1102.02 - Quality Assurance Requirements(a) Any applicant for adult cardiac catheterization laboratory services shall demonstrate the availability of a quality assurance plan to objectively and systematically monitor patient care.(b) Demonstration of a quality assurance plan shall be made by submitting with the application a copy of an existing or proposed plan specific to the adult cardiac catheterization laboratory services being offered which is consistent with the hospital-wide quality assurance plan.(c) The quality assurance plan shall:(1) Contain patient selection criteria by procedures;(2) Contain formal transfer agreements per He-Hea 1102.01(c) (2), and emergency protocols for transfer to another facility which: a. Specify the protocol for transfer to another facility; andb. Include the following:(i) Signature of both hospitals; and(ii) Dated within the past 12 months of submission with the application;(3) Describe the mentoring program for licensed physicians, which shall include operator volume requirements; and(4) Describe the process of cross-facility case review and outcomes analysis with the receiving facility for patients that have been transferred.N.H. Admin. Code § He-Hea 1102.02
#4326, eff 10-21-87; ss by #4923, eff 8-23-90; ss by #5237, eff 9-27-91, EXPIRED: 9-27-97
New. #6931, eff 1-14-99; ss by #8375, eff 6-21-05; ss by #10448, eff 10-25-13