2012 Vermont Statutes
Title 18 Health
Chapter 43A PATIENT SAFETY SURVEILLANCE AND IMPROVEMENT SYSTEM
§ 1915 Hospital obligations

§ 1915. Hospital obligations

The rules adopted pursuant to this chapter shall require hospitals to:

(1) develop, maintain, and implement internal policies and procedures that meet the standards of the department to:

(A) identify, track, and analyze reportable adverse events, adverse events, and near misses;

(B) determine what type of causal analysis, if any, is appropriate;

(C) conduct causal analyses and develop corrective action plans; and

(D) disclose to patients, or, in the case of a patient death, an adult member of the immediate family, at a minimum, adverse events that cause death or serious bodily injury.

(2) report reportable adverse events to the department.

(3) provide the department with copies of its causal analysis and corrective action plan in connection with each reportable adverse event.

(4) for reportable adverse events that must also by law be reported to other departments or agencies, notify the department of health or provide a copy of any written report and provide any causal analysis information required by the department.

(5) for the purpose of evaluating a hospital's compliance with the provisions of this chapter, provide the commissioner and designees reasonable access to:

(A) information protected by the provisions of the patient's privilege under 12 V.S.A. § 1612(a) or otherwise required by law to be held confidential; and

(B) the minutes and records of a peer review committee and any other information subject to peer review protection under 26 V.S.A. § 1443. (Added 2005, No. 215 (Adj. Sess.), § 324.)