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SOUTHWEST MEMORIAL HOSPITAL
No Description Available
Tag No.: C0273
Based on interviews, facility document and policy reviews, the CAH failed to provide a policy that describes the services they furnish and those they are unable to furnish. Also not included were any agreement or arrangements with facilities that do provide the services they cannot.
Findings:
1. In reviewing hospital policies, none provided a description of services the CAH furnishes directly and those furnished through agreement or arrangement.
2. An interview was conducted on 08/08/12 at 9:40 a.m. with the Chief Executive Officer (CEO), Director of Compliance and Informatics and a Hospitalist. They stated the CAH did not have a policy that described the services it provided directly and those provided through agreement or arrangement with another facility.