N.J. Admin. Code § 8:43G-27.5

Current through Register Vol. 56, No. 18, September 16, 2024

Section 8:43G-27.5 - Continuous quality improvement patient services

(a) There shall be an ongoing process of monitoring patient care. Evaluation of patient care throughout the hospital is criteria-based, so that certain review actions are taken or triggered when specific quantified, predetermined levels of outcomes or potential problems are identified.

(b) The continuous quality improvement coordinator shall be available to provide ongoing consultation to each department including assistance with the development of specific indicators used to evaluate service outcome in each department.

(c) The program shall follow up on its findings to assure that effective corrective actions have been taken, including at least policy revisions, procedural changes, educational activities, and follow-up on recommendations, or that additional actions are no longer indicated or needed.

(d) The continuous quality improvement program shall identify and establish indicators of quality care specific to the hospital that are monitored and evaluated and encompass at least:

1. Surgical case review;

2. Drug usage;

3. Medical record review;

4. Blood usage;

5. Pharmacy and therapeutics function; and

6. Appropriateness of specific diagnostic and therapeutic procedures, as selected by the continuous quality improvement program.

(e) The continuous quality improvement program shall provide information that is utilized in the evaluation of the clinical competence of all clinical practitioners.

N.J. Admin. Code § 8:43G-27.5

Amended by R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).
Substituted references to continuous quality improvement for references to quality assurance throughout.