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Development of Quality Assurance Standards - KRS 216B.155
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Be it enacted by the General Assembly of the Commonwealth
of Kentucky:
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.
Requirements for Care Delivery - KRS 216B.160
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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
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.
Kentucky Patient Safety Act - KRS 216B.165
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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.