OAR 333-076-0119: ASC Governing Body Responsibility

The governing body of each ASC shall be responsible for the operation of the facility, the selection of the medical staff and the quality of care rendered in the facility. The governing body shall: (1) Ensure that all health care personnel for whom state licenses or registration are required are currently licensed or registered; (2) Ensure that physicians and dentists admitted to practice in the facility are granted privileges consistent with their individual training, experience and other qualifications; (3) Ensure that procedures for granting, restricting and terminating privileges exist and that such procedures are regularly reviewed to assure their conformity to applicable law; (4) Ensure that physicians and dentists admitted to practice in the facility are organized into a medical staff insofar as applicable in such a manner as to effectively review the professional practices of the facility for the purposes of reducing morbidity and mortality and for the improvement of patient care; and (5) Ensure that a physician or dentist is not denied medical staff membership or privileges at the facility solely on the basis that the physician or dentist holds medical staff membership or privileges at another ASC.