10A NCAC 43A .0404. LOCAL RESPONSIBILITY FOR QUALITY ASSURANCE

Each provider of family planning services shall have two standing committees:

(1)           Program Review Committee

(a)           Composition ‑ at least one representative from the clinic's patient population, representatives from the health care delivery staff (including medical and support services personnel), and a member of the administrative staff;

(b)           Frequency of meetings ‑ quarterly;

(c)           Topics of review ‑ accessibility of services, comprehensiveness of services, continuity of care, clinic efficiency, and patient participation in the planning, operation, and evaluation of the program;

(d)           Suggested review process ‑ problem identification, problem definition, recommendations, follow‑up or reassessment;

(e)           Documentation ‑ the documentation of the proceedings shall be required. Records of the meetings shall be shared with program administration and staff.

(2)           Patient Care Review Committee

(a)           Composition ‑ health care professionals;

(b)           Frequency of meetings ‑ at least monthly (may be conducted in conjunction with team meetings or post‑clinic conferences);

(c)           Topics for review ‑ assessments of the medical quality of patient care;

(d)           Suggested review process ‑ problem identification, selection of the best means for further study of the problem, recommendations, follow‑up or reassessment;

(e)           Documentation ‑ the documentation of the proceedings is required. This includes physician review or consultation when appropriate.

(3)           Local providers may meet either or both of these requirements if existing committees, councils, or groups performing identical functions are active in their agency.

 

History Note:        Authority 130A‑124;

Eff. December 1, 1980;

Amended Eff. September 1, 1990.