OAR 333-071-0360
Governing Body Responsibility

(1) If an SICF is part of a multi-hospital system, one governing body may oversee multiple licensed hospitals within the system.
(2) The governing body of each SICF shall be responsible for the operation of the facility, the selection of the medical staff and the quality of care rendered in the facility. The governing body shall ensure that:
(a) All health care personnel for whom state licenses or registrations are required are currently licensed or registered;
(b) Qualified individuals allowed to practice in the SICF are credentialed and granted privileges consistent with their individual training, experience and other qualifications;
(c) Procedures for granting, restricting and terminating privileges exist and that such procedures are regularly reviewed to assure their conformity to applicable law;
(d) It has an organized medical staff responsible for reviewing the professional practices of the SICF for the purposes of improving patient safety and patient care;
(e) A physician is not denied medical staff privileges at the facility solely on the basis that the physician holds medical staff membership or privileges at another health care facility;
(f) All SICF employees and health care practitioners granted privileges have been tested for tuberculosis in accordance with OAR 333-071-0450 (Infection Control); and
(g) A notice, in a form specified by the Authority, summarizing the provisions of ORS 441.152 (Nurse Staffing Advisory Board) through 441.177 (Posting of audit reports and civil penalties) is clearly visible to the public that includes a phone number for purposes of reporting a violation of nurse staffing laws.
(3) An SICF may grant privileges to nurse practitioners or physician assistants in accordance with ORS 441.064 (Use of facilities by nurse practitioners and physician assistants) and subject to SICF rules governing credentialing and staff privileges.
(a) An SICF may refuse to grant privileges to nurse practitioners only upon the same basis that privileges are refused to other licensed health care practitioners.
(b) An SICF may refuse to grant privileges to a physician assistant based on the refusal of privileges to the physician assistant’s supervising physician.
(4) An SICF shall require that every patient admitted shall be and remain under the care of a member of the medical staff as specified under the medical staff by-laws.
(5) Nothing in these rules shall preclude an attending physician, identified by a patient, from providing care to the patient in a freestanding hospice facility.

Source: Rule 333-071-0360 — Governing Body Responsibility, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-071-0360.

333‑071‑0200
Purpose and Applicability 333‑071‑0205
Definitions 333‑071‑0210
License Application and Fees 333‑071‑0215
Application Review 333‑071‑0220
Approval of License Application 333‑071‑0225
Fees for Complaint Investigations and Compliance Surveys 333‑071‑0230
Expiration and Renewal of License 333‑071‑0235
Denial of License Application 333‑071‑0240
Return of SICF License and SICF Closure 333‑071‑0245
Discontinuance and Recommencement of Operations 333‑071‑0250
Classification 333‑071‑0260
Waivers 333‑071‑0270
Complaints 333‑071‑0280
Investigations 333‑071‑0290
Surveys 333‑071‑0300
Nurse Staffing Audit and Complaint Investigation Procedures 333‑071‑0310
Violations 333‑071‑0315
Informal Enforcement 333‑071‑0320
Formal Enforcement 333‑071‑0330
Approval of Accrediting Organization 333‑071‑0340
Civil Penalties for Violations of Nurse Staffing Laws 333‑071‑0345
Civil Penalties for Violation of Smoking Prohibition 333‑071‑0350
Civil Penalties, Generally 333‑071‑0360
Governing Body Responsibility 333‑071‑0370
Health Care Practitioner Credentialing 333‑071‑0380
Administrator 333‑071‑0390
Medical Staff 333‑071‑0400
Organization Policies 333‑071‑0410
Patient Rights 333‑071‑0420
Personnel 333‑071‑0430
Medical Records 333‑071‑0440
Quality Assessment and Performance Improvement 333‑071‑0450
Infection Control 333‑071‑0470
Patient Admission and Treatment Orders 333‑071‑0480
Nursing Care Management 333‑071‑0485
Nursing Services 333‑071‑0490
Nurse Executive 333‑071‑0510
Dietary Services 333‑071‑0520
Laboratory Services 333‑071‑0530
Pharmacy Services 333‑071‑0535
Radiology Services 333‑071‑0550
Sanitary Precautions 333‑071‑0560
Safety and Emergency Preparedness 333‑071‑0570
Smoking Prohibition 333‑071‑0580
Physical Environment Requirements
Last Updated

Jun. 8, 2021

Rule 333-071-0360’s source at or​.us