There shall be a governing body legally responsible for the management and operation of the rehabilitation hospital.
(a) Bylaws shall be adopted by the governing body in accordance with legal requirements. - (i) The bylaws shall:
- (A) Stipulate the basis upon which members are selected, term of office, and duties.
- (B) Specify to whom responsibilities for the operation and maintenance of the rehabilitation hospital, including evaluation of the rehabilitation hospital practices, shall be delegated.
(b) Medical staff members shall be appointed by the governing body. - (i) There shall be a formal procedure established, governed by written rules and regulations, covering the application for medical staff membership and the method of processing applications.
(c) The rehabilitation hospital administrator, appointed by the governing body, shall be the executive officer of the rehabilitation hospital and shall be an individual qualified in rehabilitation hospital administration either by sufficient education or experience. She shall be responsible directly to such governing entities and shall execute all policies established by the governing body. - (i) The administrator shall:
- (A) Keep the governing body fully informed on the operation of the rehabilitation hospital through annual or monthly written or oral reports and by attendance at meetings of the governing body.
- (B) Be responsible for developing current written personnel policies and for establishing continuing in-service programs as indicated by personnel needs.
- (C) Maintain current employee records containing evidence of adequate health examinations and absence of active communicable disease.
- (D) Insure that all unusual accidents and deaths are immediately reported verbally and in writing to the State Survey Agency and other authorities as required by city, county, state, and federal laws.
(d) The governing body shall be responsible to ensure the facility has an ongoing, facility-wide Quality Assessment and Performance Improvement (QAPI) plan.
048-22 Wyo. Code R. § 22-6