(a) Administrative policies, procedures, and controls shall be adopted, implemented, and enforced to ensure the orderly and efficient management of the facility. 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 facility, as determined by the governing body; (4) using methods of communicating and reporting, designed to ensure the orderly flow of information within the facility; (5) controlling the purchase, maintenance, and distribution of the equipment, materials, and facilities of the facility; (6) establishing lines of authority, accountability, and supervision of personnel; (7) establishing controls relating to the custody of the official documents of the facility; and (8) maintaining the confidentiality, security, and physical safety of data on patients and staff. (b) Personnel policies shall be adopted, implemented, and enforced to facilitate attainment of the mission, goals, and objectives of the facility. 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 documented 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 and document adequate orientation and training to familiarize all personnel with the facility's policies, procedures, equipment, and facilities. (c) A facility shall include all employee categories in personnel policies and shall develop appropriate job descriptions.
Source Note: The provisions of this §131.42 adopted to be effective June 1, 2010, 35 TexReg 4400