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STANDARD 13: Outpatient Services

13.1 General

1. If the healthcare organization provides outpatient services, all service provision, providers, equipment, and facilities shall be consistent in quality with those of inpatient services. These shall be in keeping with standard of practice and care.

2. Outpatient services shall be equally integrated into the healthcare organization’s quality management system.

NOTE 1 Acceptable standard of practice and care include those recommended and promoted by nationally and internationally recognized professional organizations.

13.2 Organization

1. The healthcare organization shall assign a Director of outpatient services who shall direct the overall operation of outpatient services and location.

2. The organization shall provide any required, appropriate support personnel.

3. The healthcare organization’s outpatient services shall be appropriate to the scope and complexity of services offered and required support.

4. The outpatient director shall establish written policies to provide continuity of care to its outpatients. These policies shall include top management communication between corresponding outpatient and inpatient services.