PURPOSE: This rule specifies the requirements for outpatient services provided by a hospital.

1. (1) Outpatient services, if provided through an organized department of the hospital, shall be under the medical direction of qualified physician member(s) of the medical staff and appointed by the governing body. The physician(s) shall be responsible for implementing rules of the medical staff governing the quality and scope of outpatient services provided.
2. (2) Outpatient services shall be integrated with other hospital services as required to meet the needs of the patient.
3. (3) Nursing personnel assigned to outpatient services shall be under the supervision of a qualified registered professional nurse with relevant education, experience, and demonstrated current competency.
4. (4) Approved written policies and procedures shall describe the scope of outpatient care provided. Policies and procedures shall be reviewed, kept current per hospital policy, and made readily available to staff. SENIOR SERVICES
5. (5) Outpatient services shall be staffed by personnel qualified by education, training, and experience to provide safe patient care.
6. (6) Patient’s medical records shall reflect outpatient care and treatment provided. These records shall be filed and maintained under supervision of the medical records department.
7. (7) There shall be a process for the review and evaluation on a regular basis of the quality and appropriateness of outpatient services provided.

AUTHORITY: section 192.006, RSMo 2000, and sections 197.080 and 197.154, RSMo Supp. 2013.* This rule previously filed as 19 CSR 30-20.021(4)(A). Original rule filed June 27, 2007, effective Feb. 29, 2008. Amended: Filed June 6, 2013, effective Jan. 30, 2014.

*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995, 2013; and 197.154, RSMo 2004.