All PPEC centers must have a quality assurance program and
must conduct quarterly reviews of the PPEC center's medical records for at
least half of the children served by the PPEC center at the time of the quality
assurance review. The quarterly review sample must be randomly selected so each
child served at the center has an equal opportunity to be included in the
review.
(1) The quality assurance
committee must include the following: the medical director, administrator,
director of nursing, and three (3) other committee members as determined by
each PPEC center.
(2) The quality
assurance review will be conducted by two (2) members of the quality assurance
committee. Within 15 calendar days of its review, the quality assurance
committee must furnish copies of its report to the PPEC center medical and
nursing directors.
(3) Each
quarterly quality assurance review must include:
(a) A review of the goals in each child's
nursing protocol.
(b) A review of
the steps, process, and success in achieving the goals.
(c) Identification of goals not being
achieved as expected, reasons for lack of achievement and plans to promote goal
achievement.
(d) Evidence that the
protocol has been revised to accommodate the findings of the quality assurance
report will be forwarded to the quality assurance committee within then (10)
calendar days of receipt of the quality assurance committee report.
(e) Implementation of revisions to the
protocol must be documented in the child's record.
(4) The quality assurance review will also
ascertain and assure the presence of the following documents in each child's
medical record:
(a) A properly executed
consent form.
(b) A medical history
for the child, including notations from visits to health care
providers.
(c) An immunization
record with documentation of allergies and special
precautions.
