|(a) Upon notification of a death requiring an administrative
death review, the community center CEO or designee shall appoint a
physician or registered nurse as the investigating officer, as defined
in this subchapter, who shall begin a preliminary investigation based
upon the deceased's medical record, particularly the circumstances
leading to the transfer to a facility or outpatient status where death
occurred, and other information he/she deems appropriate.
(b) Within seven working days of the knowledge of death,
the CEO, and investigating officer shall use the preliminary investigation
information to determine whether the death should be reviewed clinically,
in compliance with §405.274 of this subchapter (relating to Community
Centers: Clinical Death Review).
(1) The determination shall be based upon the possible
need for review of clinical policies and procedures, the opportunity
for professional education, and/or the opportunity to improve patient
care through medical practice.
(2) It shall also be determined whether a preliminary
administrative death review should proceed before the completion of
the clinical death review, addressing the issue described in §405.275(c)(2)
of this subchapter (relating to Community Centers: Administrative
Death Review) or should be deferred until the submission of the recommendations
of the clinical death review committee.
(3) The deliberations and findings of a preliminary
administrative death review will be considered at the final administrative
death review after receipt of the recommendations of the clinical
death review committee.
(c) If it has been determined that a clinical death
review is unnecessary, then the CEO shall be responsible for forwarding
to the administrative death review committee the following:
(1) a summary of the preliminary investigation information;
(2) a copy of the death/discharge summary, if available;
(3) a copy of the death certificate, bearing a valid
diagnosis, if available;
(4) a copy of the preliminary or full autopsy report,
if available; and
(5) the probable final diagnosis, including contributory
causes, and reasons for variance from the death certificate, if any.