1. A. The administrator shall ensure that the facility develops and maintains a quality assurance program which includes:

   1. (1) Monitoring and evaluation of the quality of patient care; and
   2. (2) Identification, evaluation, and resolution of care problems.
2. B. The facility shall conduct ongoing quality assurance activities and document the activities on a continuous basis, but not less than quarterly.
3. C. The administrator shall ensure that the facility develops a quality control procedure to monitor and document the safety and performance of all biomedical equipment.

4. D. The facility shall document the following information for all quality assurance activities:

   1. (1) A description of identified problems;
   2. (2) Findings;
   3. (3) Conclusions;
   4. (4) Recommendations;
   5. (5) Actions taken;
   6. (6) Results; and
   7. (7) Follow-up.

Authority: Health-General Article, §20-209, Annotated Code of Maryland

Effective date: July 23, 2012 (39:14 Md. R. 835)