(1) An advanced practice registered nurse performing direct patient care shall submit a method of quality assurance for evaluation of the advanced practice registered nurse's practice. The quality assurance method must be approved by the board prior to licensure.

(2) The quality assurance method must include the following elements:

(a) 15 charts or 5 percent of all charts handled by the advanced practice registered nurse, whichever is less, must be reviewed quarterly. The charts being reviewed must be evaluated by a peer review, by a physician of the same practice specialty, or by others as approved by the board. Each evaluator shall hold an unencumbered license;

(b) use of standards which apply to the advanced practice registered nurse's area of practice;

(c) concurrent or retrospective review of the practice.

(d) use of preestablished patient outcome criteria specific to the APRN's specific patient population; and

(e) written evaluation of review with steps for corrective action if indicated and follow-up.

(3) An advanced practice registered nurse shall immediately file with the board any proposed change in the quality assurance method. Any change is subject to prior approval by the board.

(4) Proof of quality assurance reviews must be maintained by the licensee for five years.