The clinic shall have a comprehensive and well-designed plan for measuring and improving its performance. The plan shall include:
- (1) A statement of the clinic's general purpose, specific objectives, needs and practice guidelines;
- (2) A description of the methodology which is used to collect and evaluate data and assess the performance of the clinic;
- (3) A method for incorporating information yielded by the performance data and implementing changes based on data.
(Adopted effective February 1, 1999)