1. (1) The administrator shall establish and maintain an organizational structure for the hospital indicating the authority and responsibility of various positions, departments, and services within the hospital.

2. (2) The administrator shall:

   1. (a) advise the board in the formulation of hospital policies and procedures;
   2. (b) appoint a member of the staff to oversee compliance with the requirements of the Utah Anatomical Gift Act;
   3. (c) be the direct representative of the board in the management of the hospital;
   4. (d) designate, in writing, a person to act in the administrator's absence;
   5. (e) ensure that each applicant for medical and professional staff membership is oriented to agency or hospital bylaws and shall agree in writing to abide by each condition;
   6. (f) ensure that patient billing practices comply with Section 26B-2-219;
   7. (g) ensure that policies and procedures are implemented and followed;

   8. (h) function as liaison between the board, the medical staff, the nursing staff, and departments of the hospital;

      1. (i) maintain a written record of any business transactions and patient services provided in the hospital and submit reports as requested to the board;
   9. (j) review and revise policies and procedures to reflect current hospital practice; and

   10. (k) submit to OL, upon receipt from any accrediting organization, copies of each:

       1. (i) certificate;
       2. (ii) survey report; and
       3. (iii) recommendation of any survey result.

KEY: health care facilities

Date of Last Change: June 5, 2026

Notice of Continuation: August 22, 2025

Authorizing, and Implemented or Interpreted Law: 26B-1-202; 26B-2-202; 26B-2-203