Ohio Administrative Code|Rule 3701-83-24 | Quality assessment and performance improvement - freestanding dialysis centers.

                                                
(A) Each freestanding dialysis center
		  governing body shall conduct an ongoing, comprehensive, integrated
		  self-assessment of the quality and appropriateness of care provided by the
		  facility, including:
(1) Adequacy of
			 dialysis;
(2) Vascular
			 access;
(3) Medical injuries and
			 medical error identification;
(4) Infection
			 control;
(5) Nutritional
			 status;
(6) Mineral metabolism
			 and renal bone disease;
(7) Anemia
			 management;
(8) Hemodialysizer reuse
			 program where applicable; and
(9) Patient satisfaction
			 and grievance resolution.
(B) The dialysis center shall designate
		  an individual or individuals to be responsible for the quality assessment and
		  performance improvement program who shall be responsible for the following
		  activities related to the quality of care and services provided by the dialysis
		  center:
(1) Developing and
			 implementing mechanisms for monitoring;
(2) Identifying and
			 resolving issues;
(3) Providing suggestions
			 to the governing body for improvement; and
(4) Reporting program
			 activities and findings to the governing body.
(C) The dialysis center shall use the
		  findings of the quality assessment and performance improvement program to set
		  priorities for performance improvement, correct identified problems, and to
		  revise policies and procedures as necessary.
(D) Identified performance problems that
		  threaten the health or safety of patients shall be immediately
		  corrected.
(E) As part of the quality assessment and performance
		  improvement system required under rule 3701-83-12 of the Administrative Code,
		  each freestanding dialysis center shall provide to the director, upon request,
		  copies of data reports provided to the "renal network" designated by
		  the centers for medicare and medicaid services to include the state of Ohio or
		  any portion of the state of Ohio pursuant to 42 C.F.R. section 405.2112. All
		  patient specific information submitted to the director under this paragraph
		  that identifies a patient shall be maintained in a confidential
		  manner.