Rule 3701-84-40 | Adult open heart surgery service performance measures.
(A) Each adult open heart surgery service should maintain a volume of open heart procedures per year sufficient to ensure the safety and quality of procedures performed at the service and individual surgeon proficiency.
(B) Volume may be considered by the director in conjunction with other indicators of quality and not as the sole indicator of service performance.
(C) No minimum volume is recommended, however, the combination of high mortality and low individual surgeon volume will trigger a thorough internal review of an individual surgeon by the provider of the open heart surgery service.
(D) Failure to maintain the safety and quality of the procedures performed at the service may result in any or all of the following:
(1) An extended review of the service by the director;
(2) Mandatory peer review of procedures performed by the service;
(3) Annual inspections until such time as the director determines that annual inspection is no longer required; or
(4) At the discretion of the director, the establishment of a probationary period. If a probationary period is imposed, at a minimum, the service will be notified of the following:
(a) The time period for which the probationary period is effective;
(b) The actions that may be taken by the director for a service's failure to successfully complete the probationary period.
Last updated May 15, 2023 at 12:45 AM
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