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WAC 246-320-016

Department responsibilitiesOn-site survey and complaint investigation.

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.
[Statutory Authority: 2013 c 19, RCW 43.70.040, and 70.41.030. WSR 15-09-108, § 246-320-016, filed 4/20/15, effective 5/21/15. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. WSR 09-07-050, § 246-320-016, filed 3/11/09, effective 4/11/09.]
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