Md. Code Regs. 10.07.01.07 - Inspections
A. New Hospitals. A
hospital that began initial operation on or after July 1, 1982, shall be
inspected for compliance with the safety and sanitation components of the
regulations promulgated by the Department until the hospital receives
accreditation by an accreditation organization approved by the Department. If
the hospital has not applied for accreditation by an accreditation organization
approved by the Department within 1 year after beginning operation or has had
its application for accreditation rejected, the Department shall inspect the
hospital for compliance with the standards adopted under this
subtitle.
B. Accredited Hospitals
and Accredited Special Rehabilitation Hospitals. An accredited hospital and an
accredited special rehabilitation hospital shall be subject to inspection under
this chapter by the Department to:
(1)
Determine compliance with a quality requirement;
(2) Follow up on any serious problem
identified by an accreditation organization approved by the
Department;
(3) Investigate a
complaint; or
(4) Validate the
findings of an accreditation organization approved by the Department.
C. Nonaccredited Hospitals.
Nonaccredited hospitals shall be subject to at least two inspections per year
by the Department.
D. Inspection by
Secretary. The Secretary may inspect any:
(1)
Hospital record or record of any utilization review agent of a hospital
pertaining to review activities under the utilization review plan of the
hospital to enforce the provisions of Regulations .13-.22 of this
chapter;
(2) Physician
credentialing record to enforce the provisions of Regulation .24 of this
chapter; and
(3) Hospital patient
safety record, patient complaint record, or hospital patient record pertaining
to review activities under a hospital's patient safety program to enforce the
provisions of COMAR 10.07.06.
Notes
Regulations .07 adopted effective August 1, 1983 (10:15 Md. R. 1350)
Regulations .07 amended as an emergency provision effective July 1, 1986 (13:15 Md. R. 1726); adopted permanently effective December 1, 1986 (13:24 Md. R. 2558)
Regulation .07 amended effective December 28, 1987 (14:26 Md. R. 2746); June 28, 2010 (37:13 Md. R. 852)
Regulation .07A amended effective November 11, 2002 (29:22 Md. R. 1721)
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