N.Y. Comp. Codes R. & Regs. Tit. 10 § 1007.9 - Quality Improvement Activities; Policies and Procedures
(a) A medical
respite program shall implement a quality improvement program that provides for
an annual or more frequent review of the medical respite program. The quality
improvement program must evaluate, at a minimum, a profile of the
characteristics of recipients admitted to the program, the services and degree
of services most utilized, the length of stay and use rate, recipient need for
care and services, recipient feedback about services received, and disposition
upon discharge.
(b) The quality
improvement process must:
(1) Include an
evaluation of all services in order to enhance the quality of care and to
identify actual or potential problems concerning medical respite
services;
(2) Review accident and
incident reports, recipient complaints and grievances, recipient feedback, and
the actions taken to address problems identified by the process;
(3) Develop and implement revised policies
and practices to address problems found and the immediate and systematic causes
of those problems; and
(4) Assess
the impact of the revisions implemented to determine if they were successful in
preventing recurrence of past problems.
(c) The results of the quality improvement
process shall be (1) reported to the chief executive officer of the operator of
the medical respite program ; (2) maintained at the facility; and (3) available
for review and inspection by the department. Nothing in this subdivision (c)
shall be interpreted as prohibiting the operator from sharing the results of
the quality improvement process with any other person or entity.
(d) The medical respite program shall adopt
policies and procedures as required by the department, which shall, at a
minimum, include policies and procedures governing:
(1) Emergency/disaster response
plan;
(2) Eligibility assessment
and service plan;
(3) Discharge
planning and length of stay;
(4)
Care coordination;
(5) Medication
storage; and
(6) Infection
control.
Notes
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