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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 246-324. Private alcohol and chemical dependency hospitals. |
Section 246-324-040. Governing body and administration.
Latest version.
- The governing body shall:(1) Adopt written policies concerning the purposes, operation and maintenance of the hospital, and the safety, care and treatment of patients;(2) Provide staff, facilities, equipment, supplies and services to meet the needs of patients within the purposes of the hospital;(3) Establish and maintain a current written organizational plan delineating positions, responsibilities, authorities, and relationships of positions within the hospital;(4) Appoint an administrator responsible for implementing the policies adopted by the governing body;(5) Appoint a physician as medical director responsible for directing and supervising medical treatment and patient care twenty-four hours per day;(6) Maintain an organized professional staff accountable to the governing body;(7) Appoint and periodically reappoint the professional staff;(8) Require and approve professional staff bylaws and rules concerning, at a minimum:(a) Organization of the professional staff;(b) Delineation of privileges;(c) Requirements for membership;(d) Specific mechanisms for appointing and reappointing members;(e) Granting, renewing and revising clinical privileges;(f) Self-government;(g) Required functions;(h) Accountability to the governing body; and(i) Mechanisms to monitor and evaluate quality of care and clinical performance; and(9) Require that each person admitted to the hospital is under the care of a professional staff member with clinical privileges.