Tenn. Comp. R. & Regs. 0940-05-42-.22 - QUALITY OF CARE

(1) The Facility shall develop and implement a plan for continuous quality improvement. At a minimum, the plan shall include:

(a) Structured assessment of the program which addresses Facility program management, staffing, policies and procedures and general operations.

(b) A service delivery assessment which, at a minimum, shall evaluate appropriateness of the IPP and services delivered, completeness of documentation in service recipients' records and quality of and participation in staff training programs, linkage to a utilization of primary care and other out-of-program services, and availability of services and medications for other conditions (e.g. prenatal, tuberculosis, HIV).

(c) An assessment of the aggregate cost of services per service recipient per week for services rendered.

(d) An assessment of medication-related issues including take-home procedures, security, inventory and dosage issues.

(e) Such process shall serve to continuously monitor the Facility's compliance with the requirements set forth in these rules. Responsibility for administering and coordinating the quality improvement process shall be delegated to a staff person who has been determined to be qualified by education, training and experience to perform such tasks. The medical director shall be actively involved in the process.

(f) A Facility shall participate in additional quality improvement outcome studies as directed by the SOTA.

Notes

Tenn. Comp. R. & Regs. 0940-05-42-.22

Original rule filed September 20, 2012; effective December 19, 2012.

Authority: T.C.A. §§ 4-3-1601, 4-4-103, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, and 33-2-404.