| (a) The facility administration shall adopt, implement,
and enforce administrative policies, procedures, and controls to ensure
orderly and efficient management of the facility. Administrative responsibilities
shall include:
(1) enforcing policies delegated by the governing body;
(2) employing qualified management personnel;
(3) long- and short-range planning for the needs of
the facility, as determined by the governing body;
(4) using methods of communicating and reporting, designed
to ensure orderly flow of information within the facility;
(5) controlling purchase, maintenance, and distribution
of the equipment, materials, and facilities of the facility;
(6) establishing lines of authority, accountability,
and supervision of personnel;
(7) establishing controls relating to custody of the
official documents of the facility; and
(8) maintaining confidentiality, security, and physical
safety of data on patients and staff.
(b) The facility administration shall adopt, implement,
and enforce personnel policies to facilitate attainment of the mission,
goals, and objectives of the facility. Personnel policies shall:
(1) define and delineate functional responsibilities
and authority;
(2) require employment of personnel with qualifications
commensurate with job responsibilities and authority, including appropriate
licensure or certification;
(3) require documented periodic appraisal of each person's
job performance;
(4) specify responsibilities and privileges of employment;
(5) be made known to employees at the time of employment;
and
(6) provide and document adequate orientation and training
to familiarize all personnel with the facility's policies, procedures,
equipment, and facilities.
(c) A facility shall adopt, implement, and enforce
personnel policies that address and are relevant to all employees
and contractors.
(d) A facility shall develop appropriate job descriptions
for each employee position.
|
