1. (1) Each provider shall develop and implement a structured and ongoing process to assess, monitor, and improve the quality and effectiveness of services provided to individuals and their families, including:

   1. (a) A quality improvement committee; and
   2. (b) A performance improvement process documented in a performance improvement plan.

2. (2) The quality improvement committee shall include representatives of individuals served and their families and shall meet at least quarterly to:

   1. (a) Identify and assess the following indicators of quality:

      1. (A) Access to services;
      2. (B) Outcomes of services;
      3. (C) Systems integration and coordination of services; and
      4. (D) Utilization of services.
   2. (b) Review incident reports, emergency safety intervention documentation, grievances, and other documentation as applicable;
   3. (c) Identify measurable and time-specific performance objectives and strategies to meet the objectives and measure progress;
   4. (d) Recommend policy and operational changes necessary to achieve performance objectives; and
   5. (e) Reassess and, if necessary, revise objectives and methods to measure performance on an ongoing basis to ensure sustainability of improvements.

3. (3) The quality assessment and performance improvement process shall be documented in a performance improvement plan that shall include:

   1. (a) Performance objectives aimed at improving services; and
   2. (b) Strategies designed to meet the performance objectives and measure progress.

Statutory/Other Authority

ORS 161.390, 413.042, 430.256, 426.490 - 426.500, 428.205 - 428.270, 430.640 & 443.450

Statutes/Other Implemented

ORS 109.675, 161.390 - 161.400, 179.505, 413.520 - 413.522, 426.380 - 426.395, 426.490 - 426.500, 430.010, 430.205 - 430.210, 430.240 - 430.640, 430.850 - 430.955, 443.400 - 443.460, 443.991 & 743A.168

History

BHS 24-2018, amend filed 12/27/2018, effective 01/25/2019
BHS 16-2018, temporary amend filed 07/17/2018, effective 08/01/2018 through 01/27/2019
MHS 5-2014, f. & cert. ef. 2-3-14
MHS 8-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14