Utah Admin. Code R432-700-19 - Quality Assurance
(1) The quality,
appropriateness, and scope of services provided shall be reviewed and evaluated
annually by the governing body to determine overall effectiveness in meeting
agency objectives.
(2) The
administrator shall conduct an annual evaluation of the licensee's overall
program and submit a written report of the findings to the governing
body.
(3) The licensee shall
demonstrate concern for cost of care by evaluating:
(a) relevance of health care
services;
(b) appropriateness of
treatment frequency;
(c) use of
less expensive, but effective resources when possible; and
(d) use of ancillary services consistent with
client needs.
(4) An
interdisciplinary quality assurance committee shall evaluate client services on
a quarterly basis. A written report of findings from each meeting shall be
submitted to the administrator and shall be available in the home health
agency.
(a) Each member of the
interdisciplinary quality assurance committee shall be appointed by the
administrator for a given term of membership.
(b) The interdisciplinary quality assurance
committee shall have a minimum of three members who represent three different
licensed or certified health care professions.
(5) The methodology for evaluation by the
interdisciplinary quality assurance committee shall include:
(a) review and evaluation of active and
closed client records to ensure that established policies and procedures are
being followed. The licensee shall ensure that the policy and procedure
determines the methods for selecting and reviewing a representative sample of
records;
(b) review and evaluation
of coordination of services through documentation of written reports, telephone
consultation, or case conferences; and
(c) review and evaluation of plans of
treatment for content, frequency of updates and whether clinical notes
correspond to goals written in the plan of care.
Notes
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