2023.1 Each hospital shall establish and implement a written process that promptly addresses grievances filed by patients or their representatives. The process includes, but is not limited to:

1. (a) A procedure for submission of grievances which is made available to patients or representatives;
2. (b) Time frames and procedures for review of grievances and provision of a response; and
3. (c) How information from grievances and responses are utilized to improve the quality of patient care and treatment.

SOURCE: Notice of Final Rulemaking published at 55 DCR 8813 (August 15, 2008).