| (a) The ambulatory surgical center must make a report of the following incidents to the department. A written letter of explanation with supporting documents must be mailed to the department within 10 business days of the incident. The mailing address is Department of State Health Services, Facility Licensing Group, 1100 West 49th Street, Austin, Texas 78756. (1) The death of a patient while under the care of the ASC; (2) The transfer of a patient to a hospital; (3) Patient development of complications within 24 hours of discharge from the ASC resulting in admission to a hospital; and (4) A patient stay exceeding 23 hours. (b) On an annual basis, the ASC must report the types and numbers of procedures performed and the average length of stay during the previous 12-month period. The report will be made using a form to be prescribed by the department. (c) Any theft of drugs and/or diversion of controlled drugs shall be reported to the local police agency, the State Board of Pharmacy, the Texas Department of Public Safety, and/or the Drug Enforcement Administration, and the Department of State Health Services. (d) An ASC that performs abortions must comply with the reporting requirements specified in the Texas Health and Safety Code, §245.011. (e) Occurrences of fire in the ASC shall be reported as specified under §135.41(2) of this title (relating to Fire Prevention, Protection, and Safety) and §135.42(1)(F) of this title (relating to Handling and Storage of Gases, Anesthetics, and Flammable Liquids). |
