Section 1250.1570  Quality

a)         Criteria #1:  Are essential patient care support services available?

b)         Standard #1:  All necessary supportive services are available.

1)         Renal Transplantation Center

            The following services must be available on the facility's premises: laboratory services, social services, dietetic services and self-care dialysis support services, inpatient dialysis services, pharmacy, and the participation of the center in a recipient registry.  The following services must be available:  specialized blood facilities (including tissue typing).

2)         Renal Dialysis Center or Facility

            The following services must be available:  clinical and pathological laboratory services, blood bank, nutrition, rehabilitation, psychiatric and social services, self-care dialysis support services.

c)         Data Factors:  Required support service availability.

d)         Criteria #3:  All facilities performing kidney transplants and dialysis services have established an acceptable data system which meets all federal and state criteria.

e)         Standard #1:  Data systems should be established and functioning.

f)          Data Factors:

1)         Federal and State data requirements.

2)         Data system information.

g)         Criteria #4:  Are medical review boards in existence at all facilities providing such services?

h)         Standard #1:  Medical review boards should exist in all facilities providing such services and comply with required functions for such boards.  All facilities providing a renal dialysis or renal transplantation category of service shall have a medical review board which is responsible for

1)         establishing criteria for acceptance of patients into the program and ruling on the eligibility of applicants;

2)         formulation of an individual plan for the most effective treatment for each patient;

3)         at least twice a year reassess the plan of therapy as to its effectiveness and appropriateness; and

4)         at least twice a year have medical care evaluations to appraise the quality of care provided.

i)          Data Factors:

1)         Existence of review boards.

2)         Policies of review boards.