(a) Each facility shall submit an annual report to the department through reports required by the Centers for Medicare and Medicaid Services or the department's designee to include aggregate data on specified indicators of the quality of care provided to patients. Examples of indicators include:
  (1) anemia management;
  (2) measures of the adequacy of dialysis;
  (3) vascular access management; and
  (4) hospitalization rate.
(b) Data from each facility shall be reviewed to identify opportunities to improve care. Assistance in improving care from the department or department's designee may include feedback of comparative data, a corrective action plan, or an on-site inspection.

Source Note: The provisions of this §117.44 adopted to be effective July 6, 2010, 35 TexReg 5835