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clinic’s health care activities;

(2) at regular intervals, no less than once each year, participate with a mid-level practitioner member of the clinic staff, either separately or together, in

(A) developing, executing, and reviewing the clinic’s written policies; and

(B) the review of services provided to patients through the periodic program evaluation under 7 AAC 12.460(c), unless that review is conducted under contract;

(3) review at least quarterly the clinic’s patient records;

(4) provide medical orders and medical care services to the clinic’s patients; and

(5) at least quarterly, sign the records of patients cared for by a mid-level practitioner. (f) The onsite medical staff of a frontier extended stay clinic may consist exclusively of one or more mid-level practitioners if

(1) the mid-level practitioners are subject to the oversight of a physician who is also a member of the clinic’s medical staff, even though the physician might not be on site, if

(A) that physician is

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Page 312

Official source

clinic’s health care activities;

(2) at regular intervals, no less than once each year, participate with a mid-level practitioner member of the clinic staff, either separately or together, in

(A) developing, executing, and reviewing the clinic’s written policies; and

(B) the review of services provided to patients through the periodic program evaluation under 7 AAC 12.460(c), unless that review is conducted under contract;

(3) review at least quarterly the clinic’s patient records;

(4) provide medical orders and medical care services to the clinic’s patients; and

(5) at least quarterly, sign the records of patients cared for by a mid-level practitioner. (f) The onsite medical staff of a frontier extended stay clinic may consist exclusively of one or more mid-level practitioners if

(1) the mid-level practitioners are subject to the oversight of a physician who is also a member of the clinic’s medical staff, even though the physician might not be on site, if

(A) that physician is

(i)notified by a mid-level practitioner when a patient is…#

(i) notified by a mid-level practitioner when a patient is admitted for extended stay; and

(ii)available 24 hours per day through direct radio or…#

(ii) available 24 hours per day through direct radio or telephone communication for consultation, assistance with medical emergencies, or patient referral; and

(B) each contact with the physician is documented;

(2) each mid-level practitioner participates

(A) in the development, execution, and periodic review of the written policies governing the services provided by the clinic; and

(B) in the periodic review of the medical records of patients with a physician as described in 7 AAC 12.460(c)(1), unless that review is conducted under contract; and

(3) each mid-level practitioner performs the following functions when the functions are not performed by a physician:

(A) provide services in accordance with the clinic’s policies;

(B) arrange for, or refer patients to, needed services that cannot be furnished at the clinic;

(C) assure that adequate patient health records are maintained and transferred as required if patients are referred or services are arranged under (B) of this paragraph. (g) A physician or a mid-level practitioner member of the staff may be an owner or employee