R432-600-13. Quality Assurance  


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  •   (1) The administrator, in conjunction with the medical staff, shall establish a quality assurance committee and program. This committee shall review regularly clinic operations, protocols, policies and procedures, incident reports, infection control, patient care policies and safety.

      (2) The committee shall include a representative from the clinic administration, a physician, and a nurse.

      (3) The committee shall meet at least quarterly and keep minutes of the proceedings. The minutes shall be available for review by the Department.

      (4) The committee shall initiate action to resolve identified quality assurance problems by filing a written report of findings and recommendations with the licensee.