Section 7.12.630. Governing body.

	(a)  Each facility, with the exception of birth centers, hospice agencies that do not provide inpatient care on agency premises,  and intermediate care facilities for individuals with an intellectual disability or related condition, must have a governing body that assumes responsibility for implementing and monitoring policies that govern the facility's operation and for ensuring that those policies are administered in a manner that provides quality health care in a safe environment. The facility must provide to the department the name, title, and mailing address for  
		(1) each owner of the facility;  
		(2) each person who is principally responsible for directing facility operations; and  
		(3) the person responsible for medical direction.  
	(b)  The governing body shall  
		(1) adopt, and revise when necessary, written bylaws providing for    
			(A) election or appointment of officers and committees;  
			(B) appointment of a local advisory board if the governing body is outside the state; and    
			(C) frequency of meetings;  
		(2) appoint an administrator, in accordance with written criteria;  
		(3) maintain written records on the appointment of members to the medical staff, and the granting of privileges based on the recommendations of the medical staff;  
		(4) require medical staff to sign an agreement to follow the bylaws of the medical staff;  
		(5) establish appeal procedures for applicants for and members of the medical staff;  
		(6) provide resources and personnel as necessary to meet patient needs; and    
		(7) provide adequate equipment and supplies for the facility.  
	(c)  In addition to meeting the responsibilities of a governing body set out at (b) of this section, the governing body of a critical access hospital shall  
		(1) make agreements with one or more appropriate entities identified in 42 C.F.R. 485.603(c), as amended through July 1, 1999 and adopted by reference, for credentialing of medical staff and for review of the quality and effectiveness of the diagnosis and treatment furnished by medical staff at the hospital; and    
		(2) if the hospital provides inpatient care through mid-level practitioners under the offsite supervision of a physician, participate in a rural health network as described in 42 C.F.R. 485.603(a), as amended through July 1, 1999 and adopted by reference, and enter agreements with other members of the network addressing the subjects described in 42 C.F.R. 485.603(b), as amended through July 1, 1999 and adopted by reference.   

Authorities

18.05.040;47.05.300;47.05.310;47.32.010;47.32.030;44.62.125

Notes

Reference

7 AAC 12.275
7 AAC 12.325
7 AAC 12.600

Authority

AS 18.05.040 AS 47.05.300 AS 47.05.310 AS 47.32.010 AS 47.32.030 Editor's note: As of Register 207 (October 2013), and acting under AS 44.62.125(b)(6) and sec. 29, ch. 42, SLA 2013, the regulations attorney made a technical change to 7 AAC 12.630(a), to change "intermediate care facilities for the mentally retarded" to "intermediate care facilities for individuals with an intellectual disability or related condition." Chapter 42, SLA 2013 amended terminology in the Alaska Statutes to replace references to "mental retardation" and "mentally retarded" with more current terms. Section 29, ch. 42, SLA 2013 instructed that similar changes be made in the Alaska Administrative Code.

History

Eff. 11/19/83, Register 88; am 9/1/2000, Register 155; am 12/3/2006, Register 180; am 5/24/2007, Register 182

References

7.12.630