# WAC 246-324-040: WAC 246-324-040. Governing body and administration

> Washington · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_040

## Section

- **Citation:** WAC 246-324-040
- **Heading:** WAC 246-324-040. Governing body and administration
- **Jurisdiction:** Washington
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington Administrative Code / Title 246 / Chapter 246-324 / Section 246-324-040

## Text

The governing body shall:
(1) Adopt written policies concerning the purposes, operation and maintenance of the hospital, and the safety, care and treatment of patients;
(2) Provide staff, facilities, equipment, supplies and services to meet the needs of patients within the purposes of the hospital;
(3) Establish and maintain a current written organizational plan delineating positions, responsibilities, authorities, and relationships of positions within the hospital;
(4) Appoint an administrator responsible for implementing the policies adopted by the governing body;
(5) Appoint a physician as medical director responsible for directing and supervising medical treatment and patient care twenty-four hours per day;
(6) Maintain an organized professional staff accountable to the governing body;
(7) Appoint and periodically reappoint the professional staff;
(8) Require and approve professional staff bylaws and rules concerning, at a minimum:
(a) Organization of the professional staff;
(b) Delineation of privileges;
(c) Requirements for membership;
(d) Specific mechanisms for appointing and reappointing members;
(e) Granting, renewing and revising clinical privileges;
(f) Self-government;
(g) Required functions;
(h) Accountability to the governing body; and
(i) Mechanisms to monitor and evaluate quality of care and clinical performance; and
(9) Require that each person admitted to the hospital is under the care of a professional staff member with clinical privileges.

## Nearby sections

- [WAC 246-324-010 WAC 246-324-010. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_010.md)
- [WAC 246-324-020 WAC 246-324-020. Licensure—Initial, renewal, modifications](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_020.md)
- [WAC 246-324-025 WAC 246-324-025. Responsibilities and rights—Licensee and department](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_025.md)
- [WAC 246-324-030 WAC 246-324-030. Criminal history, disclosure, and background inquiries](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_030.md)
- [WAC 246-324-035 WAC 246-324-035. Policies and procedures](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_035.md)
- [WAC 246-324-040 WAC 246-324-040. Governing body and administration](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_040.md)
- [WAC 246-324-050 WAC 246-324-050. Staff](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_050.md)
- [WAC 246-324-100 WAC 246-324-100. Infection control](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_100.md)
- [WAC 246-324-120 WAC 246-324-120. Physical environment](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_120.md)
- [WAC 246-324-140 WAC 246-324-140. Patient living areas](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_140.md)
- [WAC 246-324-150 WAC 246-324-150. Clinical facilities](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_150.md)
- [WAC 246-324-160 WAC 246-324-160. Bathrooms, toilet rooms and handwashing sinks](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_160.md)
- [WAC 246-324-170 WAC 246-324-170. Patient care services](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_170.md)
- [WAC 246-324-180 WAC 246-324-180. Patient safety](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_180.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_246_324_040. Check the current official text before relying on it. Not legal advice.