All hospitals which are insured by the State Budget and Control Board through the Insurance Reserve Fund under a General Liability or Professional Liability Insurance Policy shall develop and implement a program providing for risk management and loss prevention. The risk management program must be approved by the Insurance Reserve Fund prior to its implementation.

The Hospital Risk Management Program shall include:

1. (a) A written plan for risk management,
2. (b) Identification of a risk manager,
3. (c) A committee of reference for risk management,
4. (d) Education and training,
5. (e) A system for reporting incidents to the State Insurance Reserve Fund including adverse effects of medical management, and
6. (f) Participation in loss control educational programs and services sponsored by the State Insurance Reserve Fund.

Editor's Note

This regulation became effective May 11, 1979.