20 CAR § 417-802 – Quality assurance

(a)
1. (1) The facility must maintain a continuous quality assurance plan.
2. (2) This plan must review and monitor each service provided by the facility and to the residents on a quarterly basis.
3. (3) The goal is to ensure the highest quality of service, address any identified issues, and confirm that the services meet the facility's expected outcomes.
(b)
1. (1) The facility must describe the quality assurance plan in a written plan which describes mechanisms, committees, or other methods used to coordinate the facility’s approach to monitoring and evaluating the quality and appropriateness of services.
2. (2) The written quality assurance plan shall be available upon request for review by the Office of Long-Term Care.
(c) All organized services related to resident care, including services furnished by a contractor, shall be evaluated.
(d) Psychiatric residential treatment facility staff must be trained and demonstrate understanding of the quality assurance plan.
(e) The quality assurance plan must include procedures to improve the quality of care and to evaluate the adequacy, appropriateness, and effectiveness of the care and treatment that will be provided to the residents.
(f) At a minimum, the continuous quality improvement policies and procedures shall include processes for the following:
1. (1) Review and analysis of the data collected and reported to the office;
2. (2) Collection, review, and analysis of feedback from residents and their parent or legal guardian;
3. (3) Collection, review, and analysis of complaints received.