Medical Director of an Outpatient Renal Dialysis Facility
(1)The director of a dialysis facility must be a qualified physician-director.
(2)The responsibilities of the physician-director include but are not limited to the following:
(a)Assuring the development and implementation of the process of modality selection, i.e., transplantation or dialysis and the setting for dialysis for all patients;
(b)Assuring adequate training of nurses and technicians in dialysis techniques;
(c)Assuring adequate monitoring of the patient and the dialysis process, including, self-dialysis patients;
(d)Assuring periodic assessment of patient performance of dialysis tasks;
(e)Assuring the development and availability of a patient care policy and procedures manual and its implementation. At a minimum, the manual shall describe the following:
(A)Types of dialysis used in the facility and the procedures followed in performance of such dialysis;
(B)Hepatitis prevention and procedures for handling an individual with hepatitis;
(C)Infection control; and
(D)A disaster preparedness plan (e.g., patient emergency, fire, flood);
(f)Assuring that patient teaching materials are available for use by all trainees during the training period and at times other than during the dialysis procedure when self-dialysis training or home dialysis training is offered; and
(g)Assuring that patient outcomes are monitored and evaluated as part of the QAPI process. The Medical Director must assure that a plan is in place for the improvement of patient outcomes. This process shall include a review of any accidents, incidents, or adverse outcomes.
Rule 333-700-0095 — Medical Director of an Outpatient Renal Dialysis Facility,