Section 3701-84-85 - Quality assessment and performance improvement - pediatric cardiovascular surgery serviceIn addition to the general quality assessment and performance improvement requirements set forth in rule 3701-84-12 of the Administrative Code, each pediatric cardiovascular surgery service will:
(A) As part of the service's overall quality assessment and performance improvement process:(1) Utilize the quality performance measures outcomes data obtained from the service's participation in the service's chosen data registry ; and(2) Include a periodic review and evaluation of the multidisciplinary meetings required by paragraph (D) of rule 3701-84-81 of the Administrative Code.(B) Have a regular formal morbidity and mortality conference chaired by the medical director of the pediatric cardiovascular surgery service or the medical director's designee. The morbidity and mortality conferences will: (1) Be held at a minimum, once a month or more frequently depending on the need; and(2) Review all deaths and complications such as reoperation for bleeding, deep sternal wound infection, stroke, perioperative myocardial infarction, and any patterns that might indicate a problem will be investigated and remedied if necessary.Ohio Admin. Code 3701-84-85
Effective: 5/15/2023
Five Year Review (FYR) Dates: 2/27/2023 and 05/05/2028
Promulgated Under: 119.03
Statutory Authority: 3702.11, 3702.13
Rule Amplifies: 3702.11, 3702.12, 3702.13, 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Prior Effective Dates: 03/01/1997, 03/24/2003, 06/21/2012, 08/01/2017