R03-402 Quality Improvement Plans

A. A licensee shall develop, implement, and comply with a quality improvement plan designed to:

1. Assess,

2. Measure,

3. Improve, if applicable, and

4. Maintain the quality of services provided.

Review in Policy and Procedure Manual.

 

B. The licensee shall develop, implement, and comply with quality improvement policies and procedures that address the:

1. Method by which the program will measure the degree of client satisfaction with services,

2. Process by which staff will receive feedback regarding client satisfaction with services, and

3. Process that:

a. Determines and maintains quality service, and

b. Promotes continuous quality improvement.

Review in Policy and Procedure Manual for elements addressing R03-402 B 1-3.

 

C. The licensee shall ensure the information gathered or generated by the risk management review process is available to and utilized by the treatment program’s quality improvement program.

Verify through meeting minutes the risk management review process.