Or. Admin. R. 333-077-0200 – Quality Assessment and Performance Improvement

(1) The governing body of a birthing center must ensure that there is an effective, facility-wide quality assessment and performance improvement program that demonstrates measurable improvement in client health outcomes and improves client safety by using quality indicators or performance measures associated with improved health outcomes and by the identification and reduction of medical errors.
(2) The birthing center must measure, analyze, and track quality indicators, adverse client and newborn events including deaths, infection control, and other aspects of performance that includes care and services furnished in a birthing center. Written documentation of quality assessment and performance improvement activities shall be recorded at least quarterly.
(3) After an analysis of the causes for adverse events, the birthing center must develop and implement facility-wide preventive strategies and ensure that staff are trained in and familiar with these strategies.
(4) The birthing center must set priorities for its performance improvement activities that:
1. (a) Focus on high risk, high volume, and problem prone areas;
2. (b) Consider incidence, prevalence, and severity of problems in those areas; and
3. (c) Affect health outcomes, client safety and quality of care.

ORS 441.025

ORS 441.025