Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-4 - AMBULATORY SURGICAL TREATMENT CENTERS › Rule 111-8-4-.03 - Organization and Administration

Current through Rules and Regulations filed through June 27, 2024
(1) Each ambulatory surgical treatment center
				shall be organized with an identifiable governing body that establishes the
				objectives, sets the policies and assumes full legal responsibilities for the
				overall conduct of the center and for compliance with all applicable laws and
				regulations pertaining to the center. The membership of the governing body
				shall be identified in the application to the Department for
				licensure.
(2) The ownership of the
				center shall be fully disclosed in the application to the Department. This
				disclosure shall include the names and addresses of all corporate officers and
				any person(s) having a five percent (5.0%) or more financial
				interest.
(3) The governing body of
				the center shall be responsible for appointing the professional staff and shall
				establish effective mechanisms for quality assurance and to ensure the
				accountability of the center's medical and/or dental staff and other
				professional personnel.
(4) The
				organizational objectives of the ambulatory surgical treatment center shall be
				clearly stated in the procedures and policies of the governing body and on the
				application for licensure.
(5) The
				governing body shall inform the Department of the name(s) of the
				administrator(s) to whom the responsibility for the day-to-day management of
				the center is delegated, including the implementation of rules and policies
				adopted by the governing body.
(6)
				Each center shall be at all times under the immediate personal and daily
				supervision and control of the administrator or his designated representative,
				whose authority, duties and responsibilities shall be defined in writing and
				which shall be available to the Department upon request.
(7) The Department shall be notified with a
				new application, or written amendment to the current application, when there
				are changes in location, ownership, management or operational
				objectives.
(8) Individual patients
				shall be discharged within twenty-four (24) hours of admission, in an
				ambulatory condition which will not endanger their continued well-being, or
				shall be transferred to a licensed hospital or other treatment facility. There
				shall be written procedures and assigned responsibilities for implementing such
				procedures, including provisions for transportation. Patients requiring
				emergency services shall be accompanied by a member of the professional staff
				of the center.
(9) Each center
				shall have an organized professional staff which is responsible for the
				development of patient care policies and procedures and for maintaining the
				level of professional performance through a continuing program of staff
				education, review and evaluation of patient care.
(10) Each center shall at all times have a
				professional director designated by the governing body, who shall be
				responsible for the direction and coordination of all professional aspects of
				the center programs.
(11) The
				practitioners applying for staff privileges shall be required to sign an
				agreement to abide by the staff bylaws and required State laws and rules and
				regulations.
(12) Nothing in these
				rules and regulations shall prevent a licensed hospital from organizing and
				providing an ambulatory surgical treatment service as a part of a licensed
				hospital under the controlling authority of a hospital board, so long as all
				hospital licensure standards are met and the provided services are included in
				the application under which the hospital license is granted.
O.C.G.A. §§
										31-2-4
et seq.
and
				  31-7-1
et seq.