[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR491.11]



[Page 975-976]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 491_CERTIFICATION OF CERTAIN HEALTH FACILITIES--Table of Contents

 

Subpart A_Rural Health Clinics: Conditions for Certification; and FQHCs 

                         Conditions for Coverage

 

Sec.  491.11  Program evaluation.



    (a) The clinic or center carries out, or arranges for, an annual 

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;



[[Page 976]]



    (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]