- (a) The CMA shall develop and implement a quality improvement program that reviews policies and services and maximizes quality by preventing or correcting identified problems.
- (b) As part of its quality improvement program, a quality improvement committee shall be established containing a minimum of the administrator and one employee.
(c) The quality improvement committee shall:
- (1) Determine the indicators to be monitored and ensure that indicators reflect the clinical requirements of He-P 819;
- (2) Determine the frequency with which information shall be reviewed;
- (3) Evaluate the information that is gathered;
- (4) Develop and implement the action necessary to correct identified problems; and
- (5) Evaluate the effectiveness of the corrective actions.
- (d) The quality improvement committee shall meet at least annually and record the minutes of each meeting.
- (e) Documentation of all quality improvement activities, including minutes of meetings, shall be confidential in accordance with RSA 151:13-b.
Source. #10260, eff 1-25-13; ss by #13709, eff 8-1-23