At least once during each three (3) year designation period, the Trauma Care Region shall conduct a Site Visit at each Level IV Trauma Center. The primary purpose of this visit will be to ensure compliance with the regulations, with particular emphasis on practitioner training; protocols and procedures; and Performance Improvement. A written report of any deficiencies shall be forwarded to the Department within 90 days of the visit.
15 Miss. Code. R. 3-1-1.5.9