Or. Admin. Code § 333-076-0900

Current through Register Vol. 63, No. 12, December 1, 2024

Section 333-076-0900 - ESC Governing Body

(1) The governing body of each ESC shall be responsible for the operation of the facility, the selection of the medical staff and the quality of care rendered in the facility. The governing body shall:

(a) Establish in writing the ESC's scope of services and qualifications for an administrator;

(b) Designate an administrator, in writing, who is directly responsible for the daily operations of the ESC;

(c) Ensure that all health care personnel for whom state licenses or registration are required are currently licensed or registered;

(d) Ensure that physicians and dentists admitted to practice in the facility are granted privileges consistent with their individual training, experience and other qualifications;

(e) Ensure that procedures for granting, restricting and terminating privileges exist and that such procedures are regularly reviewed to assure their conformity to applicable law;

(f) Ensure that physicians and dentists admitted to practice in the facility are organized into a medical staff insofar as applicable in such a manner as to effectively review the professional practices of the facility for the purposes of reducing morbidity and mortality and for the improvement of patient care; and

(g) Ensure that a physician or dentist is not denied medical staff membership or privileges at the facility solely on the basis that the physician or dentist holds medical staff membership or privileges at another ESC.

(2) The governing body for an ESC may be the same governing body as the affiliated ASC. All actions of the ESC governing body must be separate and distinct from the ASC governing body.

(3) The administrator for an ESC may be the same administrator as the affiliated ASC. An administrator responsible for the daily operations of both the ESC and the affiliated ASC may have clinical responsibilities in either the ASC or ESC but shall not have clinical responsibilities in both facilities at the same time.

(4) An ESC must keep its own records that are separate and distinct from the affiliated ASC.

Or. Admin. Code § 333-076-0900

PH 1-2019, adopt filed 01/07/2019, effective 1/7/2019

Statutory/Other Authority: ORS 441.025 & OL 2018 Chapter 50

Statutes/Other Implemented: ORS 441.025, 441.055 & OL 2018 Chapter 50