PURPOSE: This rule specifies the requirements for ambulatory care services provided by a hospital.
- (1) Ambulatory care services, if provided through an organized department of the hospital, shall be under the medical direction of a qualified physician member of the medical staff and appointed by the governing body. This physician shall be responsible for implementing rules of the medical staff governing the quality and scope of ambulatory care services provided.
- (2) Ambulatory care services shall be integrated with other hospital services as required to meet the needs of the patient.
- (3) Nursing personnel assigned to the ambulatory care services shall be under the supervision of a qualified registered professional nurse with relevant education, experience and demonstrated current competency.
- (4) Approved written policies and procedures shall describe the scope of ambulatory care provided. Policies and procedures shall be reviewed at least annually and revised as necessary.
- (5) Ambulatory care services shall be staffed by personnel qualified by education, training and experience to provide safe patient care.
- (6) Patient’s medical records shall reflect ambulatory care and treatment provided. These records shall be filed and maintained under supervision of the medical records department.
- (7) There shall be a mechanism for the review and evaluation on a regular basis of the quality and appropriateness of ambulatory care services provided.
AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 197.154, RSMo Supp. 2007.* This rule previously filed as 19 CSR 30-20.021(4)(A). Original rule filed June 27, 2007, effective Feb. 29, 2008.
*Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo 2004.