The hospital effectively manages its programs, services, sites, or departments.

(1)

The hospital’s emergency services are supervised by a qualified member of the medical staff.

(2)

The hospital assigns one or more individuals who are responsible for outpatient services.

(3)

For hospitals that use Joint Commission accreditation for deemed status purposes: A qualified doctor of medicine or osteopathy directs the following services, when provided: - Anesthesia - Nuclear medicine - Respiratory care Note 1: The anesthesia service is responsible for all anesthesia administered in the hospital. Note 2: For respiratory care services, the director may serve on either a full-time or part-time basis.

(4)

If obstetrical services are provided, hospital labor and delivery rooms/suites (including labor rooms; delivery rooms, including rooms for operative delivery; and post-partum/recovery rooms whether combined or separate) are supervised by an experienced registered nurse, certified nurse midwife, nurse practitioner, physician assistant, or a doctor of medicine or osteopathy.