The purpose of this section is to ensure that performance improvement activities of clinical staff result in continuous improvement of client health outcomes.

Each birthing center licensee must maintain a quality improvement program to ensure the quality of care and services provided that includes, at a minimum:

1. (1) A complaint process that includes a procedure for the receipt, investigation, and disposition of complaints regarding services;

2. (2) A method to identify, monitor and evaluate:

   1. (a) Services; and
   2. (b) Referral, transfer, consultation, and transport experience and plans; and
   3. (c) Complications of labor and immediate postpartum; and
   4. (d) Other aspects of services which affect quality care.
3. (3) A method to identify, evaluate, monitor and correct problems identified by clients, families, clinical staff, volunteers, students or consultants.
4. (4) A method to identify, evaluate, monitor and correct problems associated with events reported to the department in WAC 246-329-045 (3)(a) and (b) as required by chapter 70.56 RCW.
5. (5) A method to monitor, evaluate and modify as needed corrective actions taken.
6. (6) A system to assess client satisfaction.

[Statutory Authority: RCW 18.46.060 and 43.70.250. WSR 25-15-078, s 246-329-180, filed 7/15/25, effective 8/15/25. Statutory Authority: Chapter 18.46 RCW and RCW 43.70.040. WSR 07-07-075, § 246-329-180, filed 3/16/07, effective 4/16/07.]