N.J. Admin. Code § 8:33E-2.12

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:33E-2.12 - Quality improvement

(a) Quality control is essential for the consistent high quality level of performance required of any medical services. As one means of quality control, appropriate mechanisms for peer review shall be described in each application for designation as a cardiac surgical center. Such mechanisms should include, but not be limited to, the delineation of criteria for the evaluation of:

1. Overall case selection for study (for example, rate of normal studies, rate of surgical referral);

2. Laboratory and physician performance including the physician performance guidelines (for example, case volume, mortality and complication rates per physician);

3. Quality of studies (for example, number of incomplete studies, diagnostic adequacy of films, number of restudies performed elsewhere); and

4. Surgical program performance (including case volume, mortality, complication rate, rate of emergency surgery following unsuccessful PCI and reoperations).

(b) In all cases, criteria selection should be based on sound medical practice and consistency with the literature. Internal quality assurance procedures shall be adopted to address patient safety issues and the clinical appropriateness of the services being provided.

(c) All cardiac surgical centers shall participate in a continuous quality improvement (CQI) program that meets nationally recognized standards for improvement in cardiovascular care.

N.J. Admin. Code § 8:33E-2.12

Amended by R.1998 d.280, effective 6/1/1998.
See: 30 New Jersey Register 1008(a), 30 New Jersey Register 1996(a).
In (a), substituted "surgical center" for "diagnostic facility" in the introductory paragraph; and added a new (c).
Amended by R.2001 d.210, effective 6/18/2001.
See: 33 New Jersey Register 616(b), 33 New Jersey Register 2105(a).
In (a)2, deleted "as recommended by the Cardiac Service Task Force" following "performance"; added (a)4; and rewrote (b).
Amended by R.2006 d.263, effective 7/17/2006.
See: 38 New Jersey Register 53(a), 38 New Jersey Register 3025(a).
In (a)4, substituted "PCI" for "PTCA".