Wash. Admin. Code § 246-337-048 - Quality improvement program
The licensee must establish policies and procedures to ensure ongoing maintenance of a coordinated quality improvement program to improve the quality of care provided to residents and to identify and prevent serious or unanticipated resident and facility outcomes. The licensee must:
(1) Establish a written performance
improvement plan that is periodically evaluated.
(2) Collect, measure, and assess data on
policies and procedures, and outcomes related to resident care and the
environment including:
(a) Medication
administration errors;
(b)
Allegations of abuse;
(c)
Death;
(d) Suicide;
(e) Injuries which result in serious or
unanticipated outcomes;
(f)
Restraint or seclusion use;
(g)
Resident grievances;
(h) Security
incidents; and
(i) Disruption of
services through internal or external emergency or disaster event.
(3) Review serious or
unanticipated resident or facility outcomes as specified in subsection (2) of
this section, in a timely manner.
(4) Implement and document changes or
improvements made to prevent future occurrences of any serious or unanticipated
resident outcome specified in subsection (2) of this section.
Notes
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