Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-5 - AMBULATORY SURGICAL CENTER LICENSURE › Section 59A-5.005 - Governing Board

Current through Reg. 50, No. 138; July 16, 2024
(1) The center's
				organization shall have an effective governing authority responsible for the
				legal and ethical conduct of the center. The governing board in fulfilling its
				responsibility shall be organized under approved written bylaws, rules and
				regulations which shall:
(a) State the
				qualifications for governing board membership, and the method of selecting
				members as well as the terms of appointment or election of members, officers
				and chairmen of committees. Where legally permissible, physicians who are
				members of the medical staff shall be eligible for, and should be included in,
				full membership of the centers' governing board and its action committees in
				the same manner as are other knowledgeable and effective individuals. Also, any
				other member of the medical staff shall be considered eligible for membership
				of the governing board.
(b) Provide
				for the designation of officers, their duties, and for the organization of the
				governing board into essential committees with the number and type consistent
				with the size and scope of the center's activities.
(c) Coordinate through an executive committee
				or the governing board as a whole, the policies and activities of the center
				and special committees established by the governing board.
(d) Specify the frequency of meetings, at
				regular stated intervals, with a majority of the members constituting a quorum
				and with the requirement that minutes be recorded and made available to all
				members of the governing board.
(e)
				Establish the position of administrator, the incumbent of which shall be
				responsible for operation and maintenance of the center as a functioning
				institution, and define the methods established by the governing board for
				holding such designated person responsible.
(f) Provide for the appointment,
				reappointment, or dismissal of members of the medical staff through a
				credentialing committee or its equivalent and a procedure for hearing and
				appeal. No action on appointment, reappointment or dismissal shall be taken
				without prior referral to the credentialing committee for their recommendation,
				provided that the governing board may suspend an medical staff member pending
				final determination of any reappointment or dismissal. The governing board
				shall only appoint members of the medical staff as recommended by the
				credentialing committee.
(g)
				Provide for the approval of the bylaws, rules and regulations of the medical
				staff.
(h) Require that every
				patient shall be admitted by and remain under the care of a member of the
				medical staff.
(i) Require that all
				medications, treatments and procedures shall be administered upon specific
				orders of a member of the medical staff.
(j) Require that all attending medical staff
				members who do not have admitting privileges at an acute care general hospital
				document a written agreement with a physician who has staff privileges with one
				or more acute care general hospitals licensed by the state to accept any
				patient who requires continuing care; or
(k) Ensure that there is a written center
				agreement, with one or more acute care general hospitals licensed by the state,
				which will admit any patient referred who requires continuing care.
(l) Provide for a formal and official means
				of liaison among the medical staff, the governing board, and the administrator
				to provide a channel for administrative advice.
(m) Specify the classification of services to
				be provided in the center and list authorized surgical
				procedures.