1. (1) An Agency with Choice must establish and maintain an effective, quality assurance and performance improvement program that evaluates and monitors the quality, safety, retention of Direct Support Workers, and appropriateness of services provided by the Agency with Choice, and must include at a minimum:

   1. (a) A method to identify, analyze and correct events listed in OAR 411-039-0060 (9)(a), issues with infection control and other aspects of performance relating to services provided;
   2. (b) A method to identify, and track quality indicators by high risk, high volume, problem prone areas and by the effect on Individual safety and quality of the services received;
   3. (c) A method to ensure services provided by the Agency with Choice are self-directed by the Individual and honor the Individual’s needs and preferences; and
   4. (d) A method to analyze workforce trends, proactive responses to identified challenges, address systemic issues, such as like high turnover among Direct Support Workers.
2. (2) After an analysis of the causes for any issues identified in section (1) of this rule, develop and implement a performance improvement program to ensure staff are trained in and familiar with any identified quality improvement activities.
3. (3) The improvement activities must be reviewed by a committee comprised of, at a minimum, Agency with Choice administrative staff, Direct Support Workers, and at least one Individual receiving Agency with Choice Services.
4. (4) Quality improvement activities must be conducted and documented at least quarterly. All reports of the quality assurance system and performance improvement must be submitted to the Department.

Statutory/Other Authority

Or Laws 2024, ch. 37

Statutes/Other Implemented

ORS 124.050 & Or Laws 2024, ch. 37

History

APD 17-2025, adopt filed 12/10/2025, effective 12/15/2025