Regulation .05 Quality Management.

The hospital shall:

Have ongoing QM of the eye trauma center that is integrated into the hospital's overall QM program;

Participate in the State EMS system QM activities, as described in this subtitle;

Maintain an eye trauma registry;

Participate in and maintain the State eye trauma registry; and

Have QM activities, including:

(1)

Problem identification;

(2)

Problem analysis;

(3)

Action planning;

(4)

Implementation of the plan;

(5)

Reevaluation of the plan; and

(6)

Loop closure.