PARRIS N. GLENDENING, Governor

Ch. 130

(i) Of each related institution and, each nonaccredited hospital, AND
EACH NONACCREDITED RESIDENTIAL TREATMENT CENTER for which a license is
sought; and

(ii) Periodically of each related institution and, each nonaccredited
hospital, AND EACH NONACCREDITED RESIDENTIAL TREATMENT CENTER for which
a license has been issued.

(2) An accredited hospital AND AN ACCREDITED RESIDENTIAL
TREATMENT CENTER shall be subject to inspections under this subtitle by the
Department for:

(i) A complaint investigation in accordance with § 19-309 of this part;

OR

(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 OR RESIDENTIAL TREATMENT CENTER to the Joint Commission on
Accreditation of Health-Care HEALTHCARE Organizations in response to a Type I
finding that the hospital OR RESIDENTIAL TREATMENT CENTER is only in partial
compliance with the patient care standards established by the Joint Commission on
Accreditation of Health-Care HEALTHCARE Organizations.

(3) IN ADDITION TO OTHER PROVISIONS OF THIS SUBSECTION, AN
ACCREDITED HOSPITAL SHALL BE SUBJECT TO INSPECTIONS UNDER THIS SUBTITLE
BY THE DEPARTMENT FOR REVIEWING COMPLIANCE WITH LICENSURE
REQUIREMENTS FOR RISK MANAGEMENT. UTILIZATION REVIEW, AND PHYSICIAN
CREDENTIALING UNDER § 19-319 OF THIS SUBTITLE.

(3) (4) When conducting an inspection of an accredited hospital OR
ACCREDITED RESIDENTIAL TREATMENT CENTER, the Department shall use the
current APPLICABLE standards of the Joint Commission on Accreditation of Health Care
HEALTHCARE Organizations.

(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 accreditation by the
Joint Commission on Accreditation of Health Care Organizations within 1 year after
beginning operation or has had its application for accreditation rejected, the Department
shall inspect the hospital for compliance with the standards adopted under this subtitle.

(5) At least 2 inspections a year of each related institution shall be
unannounced.

(6) The part of a building that contains part of a hospital, RESIDENTIAL
TREATMENT CENTER, or related institution and any outbuilding are considered part of
the facility and are subject to inspection to determine occupancy status for licensing
purposes.

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