Ohio Admin. Code 4731-25-07 - Accreditation of office settings

(A) No physician or podiatric physician shall perform special procedures or surgery using moderate sedation/analgesia or anesthesia services in an office setting unless that office setting is accredited by an accrediting agency approved by the board, except that physicians and podiatric physicians who are performing such procedures or surgeries in office settings that are not accredited on the effective date of this rule shall apply for accreditation within eighteen months of the effective date of this rule and shall receive accreditation within three years of the effective date of this rule. in compliance with both of the following requirements:

(1) Prior to performing special procedures or surgery in the office setting that is not accredited, the physician or podiatric physician shall file an application for accreditation with an accrediting agency listed in paragraph (B) of this rule.

(2) Upon receipt of provisional accreditation, the physician or podiatric physician may perform special procedures or surgery in the office setting in accordance with the rules in Chapter 4731-25 of the Administrative Code until full accreditation is received or for one year from the date application for accreditation was filed, which ever is sooner.

(B) Accrediting agencies approved by the board include the following:

(1) The joint commission on accreditation of healthcare organizations;

(2) The accreditation association for ambulatory health care, inc.;

(3) The American association for accreditation of ambulatory surgery facilities, inc.;

(4) The healthcare facilities accreditation program of the American osteopathic association; or,

(5) Any other accrediting agency that demonstrates to the satisfaction of the board that it has:

(a) Standards pertaining to patient care, record keeping, equipment, personnel, facilities and other related matters that are in accordance with acceptable and prevailing standards of care as determined by the board;

(b) Processes that assure a fair and timely review and decision on any applications for accreditation or renewals thereof;

(c) Processes that assure a fair and timely review and resolution of any complaints received concerning accredited facilities; and

(d) Resources sufficient to allow the accrediting agency to fulfill its duties in a timely manner.

(C) A violation of paragraph (A) of this rule, as determined by the board, shall constitute "a departure from, or the failure to conform to, minimal standards of care of similar practitioners under the same or similar circumstances, whether or not actual injury to a patient is established," as that clause is used in division (B)(6) of section 4731.22 of the Revised Code.

Notes

Ohio Admin. Code 4731-25-07

Effective: 5/31/2018
Five Year Review (FYR) Dates: 3/2/2018 and 05/31/2023
Promulgated Under: 119.03
Statutory Authority: 4731.05
Rule Amplifies: 4731.22
Prior Effective Dates: 01/01/2004