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Washington Administrative Code (Last Updated: November 23, 2016) |
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Title 246. Health, Department of |
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Chapter 246-320. Hospital licensing regulations. |
Section 246-320-016. Department responsibilities—On-site survey and complaint investigation.
Latest version.
- This section outlines the department's on-site survey and complaint investigation activities and roles.(1) Surveys. The department will:(a) Conduct on-site surveys of each hospital on average at least every eighteen months or more often using the health and safety standards in this chapter and chapter 70.41 RCW;(b) Coordinate the on-site survey with other agencies, including local fire jurisdictions, state fire marshal, and the pharmacy quality assurance commission, and report the survey findings to those agencies;(c) Notify the hospital in writing of the survey findings following each on-site survey;(d) Require each hospital to submit a corrective action plan addressing each deficient practice identified in the survey findings;(e) Notify the hospital when the hospital submitted plan of correction adequately addresses the survey findings; and(f) Accept on-site surveys conducted by the Joint Commission or American Osteopathic Association as meeting the eighteen-month survey requirement in accordance with RCW 70.41.122.(2) Complaint investigations. The department will:(a) Conduct an investigation of every complaint against a hospital that concerns patient well being;(b) Notify the hospital in writing of state complaint investigation findings following each complaint investigation;(c) Require each hospital to submit a corrective action plan addressing each deficient practice identified in the complaint investigation findings; and(d) Notify the hospital when the hospital submitted plan of correction adequately addresses the complaint investigation findings.(3) The department may:(a) Direct a hospital on how to implement a corrective action plan based on the findings from an on-site survey or complaint investigation; or(b) Contact a hospital to discuss the findings of the Joint Commission or American Osteopathic Association on-site accreditation survey.