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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 3701-84-39 | Quality assessment and performance improvement - open heart surgery service.

 

(A) In addition to the general quality assessment and performance improvement requirements set forth in rule 3701-84-12 of the Administrative Code, each open heart surgery service will:

(1) As part of the service's overall quality assessment and performance improvement process:

(a) Utilize the quality performance measures outcomes data obtained from the service's participation in a data registry to monitor operator and institutional volumes and outcomes; and

(b) Include a periodic review and evaluation of the multidisciplinary meetings required by paragraph (J) of rule 3701-84-36 of the Administrative Code.

(2) Have a regular formal morbidity and mortality conference chaired by the medical director of the open heart surgery service or the medical director's designee. The morbidity and mortality conferences will:

(a) Be held at least once every sixty days or more frequently depending on the need; and

(b) Review all deaths and complications such as reoperation for bleeding, deep sternal wound infection, stroke, and perioperative myocardial infarction and any patterns that might indicate a problem will be investigated and remedied if necessary.

(B) Each open heart surgery service will maintain a clinical pathway for coronary bypass graft surgery and valve replacements.

Last updated May 15, 2023 at 12:45 AM

Supplemental Information

Authorized By: 3702.11, 3702.13
Amplifies: 3702.11, 3702.12, 3702.13, 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Five Year Review Date: 5/5/2028
Prior Effective Dates: 3/1/1997, 3/24/2003, 5/15/2008, 6/21/2012, 8/1/2017