Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter G - Standards and Certification |
Part 491 - Certification of Certain Health Facilities |
Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage |
§ 491.11 - Program evaluation.
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§ 491.11 Program evaluation.
(a) The clinic or center carries out, or arranges for, an annual a biennial evaluation of its total program.
(b) The evaluation includes review of:
(1) The utilization of clinic or center services, including at least the number of patients served and the volume of services;
(2) A representative sample of both active and closed clinical records; and
(3) The clinic's or center's health care policies.
(c) The purpose of the evaluation is to determine whether:
(1) The utilization of services was appropriate;
(2) The established policies were followed; and
(3) Any changes are needed.
(d) The clinic or center staff considers the findings of the evaluation and takes corrective action if necessary.
[71 FR 55346, Sept. 22, 2006, as amended at 84 FR 51832, Sept. 30, 2019]