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;
(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]