4723-8-05 Quality assurance standards.

(A) A holder of a current valid certificate of authority shall comply with all continuing education requirements for registered nurse license renewal set forth in division (C) of section 4723.24 of the Revised Code and national certification requirements set forth in sections 4723.41 and 4723.42 of the Revised Code and this chapter.

(B) The certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist and the collaborating physician or podiatrist shall jointly review each effective standard care arrangement at least once a year. Such review shall be documented with the date and signature of each nurse who is party to the arrangement and at least one collaborating physician or podiatrist.

(C) Each certified nurse-midwife, certified nurse practitioner, and clinical nurse specialist who is a party to a standard care arrangement shall comply with all quality assurance provisions of the standard care arrangement in accordance with this chapter. Failure to provide, enter into, or to practice in accordance with a standard care arrangement may result in disciplinary action in accordance with section 4723.28 of the Revised Code.

(D) Each practicing advanced practice registered nurse shall participate in a quality assurance process and shall immediately provide documentation satisfactory to the board of such participation upon request of the board. The quality assurance process shall include at a minimum:

(1) Periodic random chart review at least annually by a collaborating or supervising physician, podiatrist, dentist, or a designated member of a quality assurance committee, composed of physicians, of the institution, organization, or agency where the nurse has practiced during the period covered by the review. If the nurse holds prescriptive authority, the process shall include a procedure for periodic review, at least semi-annually, of prescriptions written and prescribing patterns for the holder of a certificate to prescribe;

(2) Subsequent to each chart review, a conference shall be held between a collaborating or supervising physician, podiatrist, dentist, or a designated member of a quality assurance committee of the institution, organization, or agency and the advanced practice registered nurse. Such conference shall include, but not be limited to, a discussion of the results of the chart review and identification of any patient care issues, and, where applicable, whether past plans for improving care delivery have been effectively implemented. The results of the chart review and conference shall be incorporated into a plan used to maintain or improve care delivery; and

(3) A process for patient evaluation of care.

(E) Documentation of participation in an ongoing, systematic quality assurance process at an institution, organization, or agency shall satisfy the requirements of paragraph (D) of this rule, provided there is a plan to utilize the results of the quality assurance process to maintain or improve care delivery.

(F) Annually, each certified nurse-midwife, certified nurse practitioner, and clinical nurse specialist shall verify the licensure and, if applicable, certification status of each collaborating physician or podiatrist with whom the nurse has an effective standard care arrangement. Verification of physician or podiatrist licensure and certification status may be obtained from the state medical board or an employing institution, organization, medical group practice, or agency. The certified nurse-midwife, certified nurse practitioner, or clinical nurse specialist shall document that such verification was obtained upon request of the board.

(G) The board may review or investigate, at any time, whether an advanced practice registered nurse has complied with the quality assurance standards set forth in this rule.

Effective: 02/01/2014
R.C. 119.032 review dates: 10/15/2015
Promulgated Under: 119.03
Statutory Authority: 4723.07
Rule Amplifies: 4723.41 , 4723.431
Prior Effective Dates: 04/01/1997, 02/01/2002, 04/01/2006, 02/01/2011, 11/05/2012