N.J. Admin. Code § 8:43G-7.12

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

Section 8:43G-7.12 - Cardiac surgery continuous quality improvement methods

(a) There shall be a program of continuous quality improvement for all cardiac services that is integrated into the hospital quality continuous improvement program and includes regularly collecting and analyzing data to help identify health-service problems and their extent, and recommending, implementing, and monitoring corrective actions on the basis of these data.

(b) The continuous quality improvement program for cardiac surgery, percutaneous transluminal coronary angioplasty (PTCA), and electrophysiology studies (EPS) shall include at least:

1. Monitoring the volume of each service provided;

2. Infection and complication rates;

3. The incidence of mortality, morbidity, and other adverse occurrences in each service;

4. Patient factors that affect risk of complications in each service; and

5. Retrospective evaluation of emergency procedures in each service.

N.J. Admin. Code § 8:43G-7.12

Amended by R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).
Substituted references to continuous quality improvement for references to quality assurance throughout.