St. Elizabeth Medical Center
PFI # 0598
Complaints:
| Complaint Information: | 1998 |
| Complaint Investigations Completed | 6 |
| Complaints with Statements of Deficiencies (SOD) Issued | 2 |
| % of Complaints with SODs Issued | 33% |
| Regional % of Complaints with SODs Issued: | 36.7% |
Areas Cited as a Result of Complaints:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 3/10/98 | 482.11(a) | Hospitals - Compliance Federal Laws | 4/7/98 |
| 482.21(a) | Basic Hospital Functions – Quality Assurance | ||
| 482.22(c) | Basic Hospital Functions – Medical Staff Bylaws | ||
| 482.55(a) | Optional Hospital Services – Emergency Department – Organization & Direction | ||
| 489.20(1) | Provider/Supplier Agreements -Compliance with 489.24b | ||
| 489.20(r) | Provider/Supplier Agreements – Oncall Physicians List | ||
| 489.24(a) | Provider/Supplier Agreements – Special Responsibilities/Medicare Hospital – General | ||
| 8/31/98 | 405.6(a) | Quality Assurance – QA Committee | 9/25/98 |
| 405.7(b) | Patients’ Rights – Hospital Responsibilities |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 12/2/97 | COBRA | 482.11(a) - Hospitals - Compliance Federal Laws | 4/7/98 |
| 482.21(a) - Basic Hospital Functions - Quality Assurance | |||
| 482.22(c) - Basic Hospital Functions - Medical Staff Bylaws | |||
| 482.55(a) - Optional Hospital Services – Emergency Department – Organization & Direction | |||
| 489.20(1) - Provider/Supplier Agreements –Compliance with 489.24b | |||
| 489.20(r) - Provider/Supplier Agreements – Oncall Physicians List | |||
| 489.24(a) - Provider/Supplier Agreements – Special Responsibilities/Medicare Hospital – General | |||
| 4/29/98 | COBRA – First Followup | None |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |