1. (1) Committee maintenance and composition. A facility shall maintain a quality assessment and assurance committee for the purpose of identifying and addressing quality of care issues. The committee shall be comprised of at least all of the following individuals:

   1. (a) The director of nursing services.
   2. (b) The medical director or a physician designated by the facility.
   3. (c) At least 3 other members of the facility’s staff.

2. (2) Committee responsibilities. The quality assessment and assurance committee shall do all of the following:

   1. (a) Meet at least quarterly to identify quality of care issues with respect to which quality assessment and assurance activities are necessary.
   2. (b) Identify, develop and implement appropriate plans of action to correct identified quality deficiencies.
3. (3) Confidentiality. The department may not require disclosure of the records of the quality assessment and assurance committee except to determine compliance with the requirements of this section. This paragraph does not apply to any record otherwise specified in this chapter or s. 50.04 (3), 50.07 (1) (c) or 146.82 (2) (a) 5., Stats.

History

History: CR 04-053: cr. Register October 2004 No. 586, eff. 11-1-04.