University Hospital SUNY Health Science Center
PFI # 0635
Revised: 10/03
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed: | 10 |
| Complaints with Statements of Deficiencies (SOD) issued: | 4 |
| % of Complaints with SODs Issued | 40% |
| Regional % of Complaints with SODs issued: | 33.8% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 01/17/2002 | 405.6 | Quality Assurance | 2/26/2002 |
| 405.6(a) | Quality Assurance | ||
| 01/31/2002 | 405.2(b) | Governing Body - Organization & Operation | 6/27/2002 |
| 405.5(e) | Nursing Services - Quality Assurance | ||
| 405.6(a) | Quality Assurance | ||
| 405.7(b) | Patients' Rights - Hospital Responsibilities | ||
| 405.9(b) | Admission/Discharge - Admission | ||
| 405.11(b) | Infection Control - Nosocomial Surveillance, Prevention and Control | ||
| 07/11/2002 | 405.2(f) | Governing Body - Care of Patients | 3/17/2003 |
| 405.6(a) | Quality Assurance | ||
| 405.9(f) | Admission/Discharge - Discharge | ||
| 405.10(a) | Medical Records - General Requirements | ||
| 405.10(b) | Medical Records - Content | ||
| 09/25/2002 | 405.6(a) | Quality Assurance | 1/14/2003 |
| 405.7 | Patients' Rights | ||
| 405.10(a) | Medical Records - General Requirements | ||
| 405.22(g) | Critical Care and Special Care Services | ||
| 63.6(a) | Confidentiality & Disclosure | ||
| 63.7(a) | Documentation of HIV-Related Info & Disclosures | ||
| 63.9(a) | Health Care Provider & Health Facility Policy & Procedures | ||
| 63.9(d) | Health Care Provider & Health Facility Policy & Procedures | ||
| 63.9(e) | Health Care Provider & Health Facility Policy & Procedures | ||
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 1/2 - 11/2002 | Annual Compliance Review - Resident Work Hours | 405.4(b) - Medical Staff - Organization | 4/18/2002 |
| 10/23 - 31/2002 | Annual Compliance Review - Resident Work Hours | 405.5(b) - Medical Staff - Organization | 2/24/2003 |
| 12/12/2002 | Article 28 Focus | None | |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |