NAC695C.430. Written guidelines for remedial action; final determinations regarding quality of care.

     1. The quality assurance program must include written guidelines which set forth the procedures for remedial action when problems related to quality of care are identified.

     2. The guidelines must provide:

     (a) A list of the types of problems which require remedial action;

     (b) The specific remedial action that may be required;

     (c) The time within which providers of health care must comply with such remedial action;

     (d) The action that the organization will take if the remedial action is not implemented when required; and

     (e) The procedures used to assess the effectiveness of any remedial action.

     3. The guidelines must also identify a person who is responsible for making any final determinations regarding the quality of care and set forth procedures for terminating an affiliation with a physician or other health care provider who does not meet the established standard of care.

     (Added to NAC by Bd. of Health, eff. 11-1-95)