S.C. Code Regs. § § 61-108.1500.1501

Current through Register Vol. 48, 12, December 27, 2024

Section 61-108.1500.1501 - General (II)

A. There shall be a written, implemented quality improvement program that provides effective self-assessment and implementation of changes designed to improve the care, treatment, procedures, and/or services provided.

B. The quality improvement program, as a minimum, shall:

1. Establish desired outcomes and the criteria by which policy and procedure effectiveness is systematically, objectively, and regularly accomplished at a frequency as determined by policies and procedures to ensure that policies and procedures and this regulation are met, but not less than every three months:

2. Identify, evaluate, and determine the causes of any deviation from the desired outcomes;

3. Identify the action taken to correct deviations and prevent future deviation, and the person(s) responsible for implementation of these actions;

4. Analyze all serious incidents and accidents, to include all patient deaths and significant medication errors;

5. At least every three months, review an established percentage of patient records to verify the accuracy and integrity of the system and take corrective action as needed;

6. Establish a systematic method of obtaining feedback from patients and other interested persons, e.g., family members and peer organizations, as expressed by the level of satisfaction with care, treatment, procedures, and/or services received.

S.C. Code Regs. § 61-108.1500.1501

Added by State Register Volume 28, Issue No. 5, eff May 28, 2004.