42 CFR 460.134 - Minimum requirements for quality assessment and performance improvement program.
(a) Minimum program requirements. A PACE organization's quality assessment and performance improvement program must include, but is not limited to, the use of objective measures to demonstrate improved performance with regard to the following:
(1) Utilization of PACE services, such as decreased inpatient hospitalizations and emergency room visits.
(3) Outcome measures that are derived from data collected during assessments, including data on the following:
(5) Nonclinical areas, such as grievances and appeals, transportation services, meals, life safety, and environmental issues.
(b) Basis for outcome measures. Outcome measures must be based on current clinical practice guidelines and professional practice standards applicable to the care of PACE participants.
(c) Minimum levels of performance. The PACE organization must meet or exceed minimum levels of performance, established by CMS and the State administering agency, on standardized quality measures, such as influenza immunization rates, which are specified in the PACE program agreement.
Title 42 published on 2014-10-01
no entries appear in the Federal Register after this date.