Ind. Admin. Code tit. 410, r. 15-2.2-2 – Survey procedures

Sec. 2. (a) The center shall fully cooperate with licensure and complaint investigation inspections conducted by representatives of the department.

(b) The center shall maintain documents, registers, and reports which show ownership and compliance with local, state, and federal laws and regulations and adherence to bylaws and regulations of the facility.

(c) All documents in legally reproducible form must be maintained within the center for the period required by statutes of limitations and must be made available upon request for inspection, including copying by representatives of the department as follows:

(1) Items to include, but not be limited to, the following:
1. (A) Documents showing ownership and a certified copy of articles of incorporation (if incorporated).
2. (B) Constitution and bylaws of governing body.
3. (C) Minutes of meetings of governing body and committees thereof.
4. (D) Minutes of meetings of the medical staff and committees thereof.
5. (E) All documents pertaining to quality assurance and improvement of patient care and medical care.
6. (F) A current roster of members of the medical staff with designated privileges.
7. (G) Personnel records.
8. (H) Medical records.
9. (I) Reports pursuant to IC 16-21-2-6.
(2) A written or electronic register must be kept of all patients treated which provides identification data, treatment rendered, attending surgeon, condition on discharge, transfers to hospital facility, and such other pertinent data deemed needed by the center.
(3) Reports on patient services rendered must be submitted to the department as specified by the commissioner on forms provided by the department.

(d) The center must file an acceptable plan of correction with the division within ten (10) days of receipt of a survey report that documents noncompliance with state rules.

(Indiana Department of Health; 410 IAC 15-2.2-2; filed Dec 1, 1999, 3:44 p.m.: 23 IR 783; errata filed Feb 15, 2000, 8:05 a.m.: 23 IR 1657; readopted filed Jul 15, 2005, 8:00 a.m.: 28 IR 3661; readopted filed Jul 14, 2011, 11:42 a.m.: 20110810-IR-410110253RFA; readopted filed Sep 13, 2017, 4:08 p.m.: 20171011-IR-410170339RFA; readopted filed Nov 28, 2023, 12:13 p.m.: 20231227-IR-410230639RFA)