(a) Administrative policies, procedures, and controls shall be established and implemented to assure the orderly and efficient management of the ambulatory surgical center (ASC). Administrative responsibilities shall include, but are not limited to:
  (1) enforcing policies delegated by the governing body;
  (2) employing qualified management personnel;
  (3) long-range and short-range planning for the needs of the ASC, as determined by the governing body;
  (4) using methods of communicating and reporting, designed to assure the orderly flow of information within the ASC;
  (5) controlling the purchase, maintenance, and distribution of the equipment, materials, and facilities of the ASC;
  (6) establishing lines of authority, accountability, and supervision of personnel;
  (7) establishing controls relating to the custody of the official documents of the ASC; and
  (8) maintaining the confidentiality, security, and physical safety of data on patients and staff.
(b) Personnel policies shall be established and implemented to facilitate attainment of the mission, goals, and objectives of the ASC. Personnel policies shall:
  (1) define and delineate functional responsibilities and authority;
  (2) require the employment of personnel with qualifications commensurate with job responsibilities and authority, including appropriate licensure or certification;
  (3) require periodic appraisal of each person's job performance;
  (4) specify responsibilities and privileges of employment;
  (5) be made known to employees at the time of employment; and
  (6) provide adequate orientation and training to familiarize all personnel with the ASC's policies, procedures, and facilities.
(c) The ASC shall periodically assess patient satisfaction with services and facilities provided by the ASC. The findings shall be reviewed by the governing body.
(d) When students and postgraduate trainees are present, their status shall be defined in the ASC's personnel policies.
(e) All employee categories shall be included in personnel policies and appropriate job descriptions shall be developed.

Source Note: The provisions of this §135.6 adopted to be effective June 18, 2009, 34 TexReg 3948