Ch. 368                                        1994 LAWS' OF MARYLAND

(b) (1) To assure compliance with the standards adopted under this subtitle, the
Secretary shall have an inspection made:

(i) Of each related institution and each nonaccredited hospital for
which a license is sought; and

(ii) Periodically of each related institution and each nonaccredited
hospital for which a license has been issued.

(2) An accredited hospital shall be subject to inspections under this subtitle
by the Department [only for the purpose of complaint investigation.] FOR:

                (I) TO INVESTIGATE COMPLAINTS OR ALLEGATIONS CONCERNING
PATIENT'S HEALTH AND SAFETY;

(II) TO DETERMINE COMPLIANCE WITH LICENSURE

REQUIREMENTS FOR RISK MANAGEMENT, UTILIZATION REVIEW. AND PHYSICIAN
CREDENTIALING UNDER § 19 319 OF THIS SUBTITLE:

(III) TO DETERMINE PROGRESS TOWARD CORRECTIVE ACTION
WHEN THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE
ORGANIZATIONS HAS IDENTIFIED A TYPE I FINDING;

(IV) TO VALIDATE A FINDING MADE BY THE JOINT COMMISSION OF
HEALTH CARE ORGANIZATIONS; OR

(V) TO COMPLY WITH FEDERAL CERTIFICATION REQUIREMENTS.

(I)      A COMPLAINT INVESTIGATION IN ACCORDANCE WITH § 19-309
OF THIS PART;

(II)     REVIEWING COMPLIANCE WITH LICENSURE REQUIREMENTS
FOR RISK MANAGEMENT, UTILIZATION REVIEW, AND PHYSICIAN CREDENTIALING
UNDER § 19-319 OF THIS SUBTITLE; OR

(III)    REVIEWING COMPLIANCE WITH A WRITTEN PROGRESS
REPORT OR OTHER DOCUMENTATION OF CORRECTIVE ACTION IN RESPONSE TO A
FOCUSED SURVEY SUBMITTED BY THE HOSPITAL TO THE JOINT COMMISSION ON
ACCREDITATION OF HEALTH CARE ORGANIZATIONS IN RESPONSE TO A TYPE I
FINDING THAT THE HOSPITAL IS ONLY IN PARTIAL COMPLIANCE WITH THE PATIENT
CARE STANDARDS ESTABLISHED BY THE JOINT COMMISSION ON ACCREDITATION
OF HEALTH CARE ORGANIZATIONS.

(3) WHEN CONDUCTING AN INSPECTION OF AN ACCREDITED HOSPITAL,
THE DEPARTMENT SHALL USE THE CURRENT STANDARDS OF THE JOINT
COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS.

[(3)] (4) A hospital that begins initial operation on or after July 1, 1982
shall be inspected for compliance with the safety and sanitation components of the
regulations promulgated by the Department. If the hospital has not applied for

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