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SECTION . A NEW SECTION OF KRS
CHAPTER 216B IS CREATED TO READ AS FOLLOWS:
All health care facilities and
services licensed under this chapter shall develop comprehensive quality
assurance or improvement standards adequate to identify, evaluate, and
remedy problems related to the quality of health care facilities and
services. These standards shall be made available upon request to the
public during regular business hours and shall include:
(1) An ongoing written internal
quality assurance or improvement program;
(2) Specific, written guidelines
for quality care studies and monitoring;
(3) Performance and clinical
outcomes-based criteria;
(4) Procedures for remedial
action to correct quality problems, including written procedures for
taking appropriate corrective action;
(5) A plan for data gathering and
assessment;
(6) A peer review process; and
(7) A summary of process outcomes
and follow-up actions related to the overall quality improvement program
for the health care facility or service.
SECTION . A NEW SECTION OF KRS
CHAPTER 216B IS CREATED TO READ AS FOLLOWS:
All health care facilities and
services licensed under this chapter shall include in their policies and
procedures a care delivery model based on patient needs which includes but
is not limited to:
(1) Defined roles and
responsibilities of licensed and unlicensed health care personnel;
(2) A staffing plan that
specifies staffing levels of licensed and unlicensed personnel required to
safely and consistently meet the performance and clinical outcomes-based
standards as outlined in the facility's or service's quality improvement
plan;
(3) A staffing model that is
developed and implemented in an interdisciplinary and collaborative
manner;
(4) A policy and method that
incorporates at least four (4) components in an ongoing assessment done by
the registered nurse of the severity of the patient's disease, patient
condition, level of impairment or disability, and the specific unit
patient census to meet the needs of the individual patient in a timely
manner; and
(5) A staffing model that
supports the delivery of patient care services with an appropriate mix of
licensed health care personnel that will allow them to practice according
to their legal scope of practice, professional standards of practice, and
facility and service policies.
SECTION . A NEW SECTION OF KRS
CHAPTER 216B IS CREATED TO READ AS FOLLOWS:
(1) Any agent or employee of a
health care facility or service licensed under this chapter who knows or
has reasonable cause to believe that the quality of care of a patient,
patient safety, or the health care facility's or service's safety is in
jeopardy shall make an oral or written report of the problem to the health
care facility or service, and may make it to any appropriate private,
public, state, or federal agency.
(2) Any individual in an
administrative or supervisory capacity at the health care facility or
service who receives a report under subsection (1) of this section shall
investigate the problem, take appropriate action, and provide a response
to the individual reporting the problem within seven (7) working days.
(3) No health care facility or
service licensed under this chapter shall by policy, contract, procedure,
or other formal or informal means subject to reprisal, or directly or
indirectly use, or threaten to use, any authority or influence, in any
manner whatsoever, which tends to discourage, restrain, suppress,
dissuade, deter, prevent, interfere with, coerce, or discriminate against
any agent or employee who in good faith reports, discloses, divulges, or
otherwise brings to the attention of the health care facility or service
the circumstances or facts to form the basis of a report under subsections
(1) or (2) of this section. No health care facility or service shall
require any agent or employee to give notice prior to making a report,
disclosure, or divulgence under subsections (1) or (2) of this section.
(4) All reports, investigations,
and action taken subject to this chapter shall be conducted in a manner
that protects and maintains the confidentiality of patients and personnel
and preserves the integrity of data, information, and medical records.
(5) All health care facilities
and services licensed under this chapter shall, as a condition of
licensure, abide by the terms of Section 1 of this Act and this section.
(6) No agent or employee of a
health care facility or service shall file a report under subsection (1)
or (2) of this section in bad faith and shall have a reasonable basis for
filing a report.
SECTION . A NEW SECTION OF KRS
CHAPTER 216B IS CREATED TO READ AS FOLLOWS:
(1) All health care facilities
and services licensed under this chapter shall require all persons,
including students, who examine, observe, or treat a patient or resident
of the health care facility or service to wear identification which
readily identifies, at a minimum, the person's first name, licensure
credential, and position title or department.
(2) The identification shall be
of a size and type and appropriately displayed so that it may be easily
detected and read.
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