Idaho Admin. Code r. 16.02.01.251

Current through September 2, 2024

Section 16.02.01.251 - TSE SITE SURVEY - GENERAL REQUIREMENTS

The TSE site survey will consist of and consider each facility's application and compliance with the TSE Standards Manual for the specific type of designation being requested. The general requirements in Subsections 251.01 through 251.06 of this rule apply:

01.Survey Team Member Requirements. Survey team members will meet the following inclusion criteria:

a. A physician surveyor must:

i. Be certified by the American Board of Medical Specialties or the American Board of Osteopathic Medicine;

ii. Be board-certified in the specialty area being represented on the review team;

iii. Be currently active, or active in the last twelve (12) months, in trauma, stroke, or emergency cardiac care at a center that is at or above the level being reviewed;

iv. Have no conflict of interest with the facility under review; and

v. Be from outside the region of the center being verified.

b. A nurse surveyor or program manager must:

i. Be currently active, or active in the last twelve (12) months, in trauma, stroke, or emergency cardiac care at a center that is at or above the level being reviewed;

ii. Have no conflict of interest with the facility under review; and

iii. Be from outside the region of the center being verified.

02.Communication Between Surveyors and Facilities. To standardize ethical practice, all communication between surveyors and facilities prior to the survey must be facilitated by TSE program staff.

03.Survey Team Member Notification of Potential Conflict of Interest. Upon being assigned to a site survey team, a potential team member must notify the TSE Council of any potential conflict of interest regarding any financial, professional, or personal bias that may affect the survey of the applicant's facility.

04.Notification to Applicant of Survey Team Members. The TSE Council will provide the applicant with the names of the site survey team once they have been selected and at least thirty (30) calendar days prior to the scheduled survey.

05.Facility Notification to TSE Council of Potential Conflict of Interest. If the applicant believes that a potential surveyor has a financial, professional, or personal bias that may affect the survey, the applicant must notify the TSE Council in writing no later than seven (7) calendar days after the applicant receives the TSE Council's notification of the proposed survey team.

06.Notification of Decision for Conflict of Interest. The TSE Council will consider the conflict of interest notice and make a decision concerning replacement of the survey team member in question. No person who has a substantial conflict of interest in the operation of any facility under review will participate in the site survey of the applicant.

Idaho Admin. Code r. 16.02.01.251

Effective March 28, 2023