It shall
be the policy of Community Care to utilize an agency-wide approach to quality
assurance by measuring, assessing, and improving performance and service
delivery.
CLIENT RECORD REVIEWS -
The Client Record
Review Process will assess:
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Any variations of planned care from that which is
delivered.
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Completeness and accuracy of records.
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Compliance with licensing regulations.
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Compliance with accepted standards of care.
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Compliance with agency policies.
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Customer participation in and satisfaction with the
process of care.
PROCEDURE:
1.
On a monthly basis, a minimum of 3 client records will be
reviewed by each area office utilizing the quality review checklist.
2.
Completed checklists will be signed by the person/s
reviewing the record submitted. The completed original record review checklist
will be given to the provider assigned to the client record that was reviewed. Copies
of the record review checklist will also be submitted to the Team Clinical
Supervisor (TCS) /Program Supervisor/Manager.
3.
Should any deficiencies exist, the team responsible for
that record will have 10 working days or 2 weeks to correct the deficiency/ies.
Once deficiencies have been corrected the original record review will be filed
by the team in the area office.
4.
TCS/Program Supervisor/Manager will compile data
submitted from each area office for evaluation of data received quarterly.
5.
Evaluation of Data will focus on:
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Whether outcome indicators were met.
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Possible improvements for existing services.
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The effectiveness and efficiency with which resources
were utilized.
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What opportunities for improvement were discovered.
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What changes or needs for new services were identified by
customer feedback.
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In what way are current services not meeting
expectations.
6.
A Team Peer Review Process will be conducted
quarterly that ensure:
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The effectiveness of
interdisciplinary team functioning.
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The efficacy and appropriateness of all treatment.
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The appropriate and efficient utilization of services and
resources.
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The safety and welfare of clients served.
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The satisfaction of our customers.
7.
TCS/Program Supervisor/Manager will send out quarterly, a
service satisfaction questionnaire to the guardian of each client record
reviewed.
8.�������� Quarterly documentation of results will
be submitted by the TCS/Program Supervisor/Manager to the area team and
management team for feedback and review.
FOSTER PARENT RECORD REVIEWS -
The Foster Parent
Record Review Process will assess:
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Completeness and accuracy of records.
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Compliance with state and federal licensing regulations.
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Compliance with agency policies.
PROCEDURE:
1. The Foster Care Developer of Maine/designee will be responsible
for the review and completeness of these records bi-annually. All foster parent
records will minimally include:
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Current license
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Current contract
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Placement agreement/s
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Current training records
2. Should
any deficiencies exist, the TCS/team responsible for that record will have 10
working days or 2 weeks to notify foster parents of the deficiencies. All
deficiencies will be corrected within 30 days of notice. Once deficiencies have
been corrected the original record review will be filed by the team in the area
office.
3. TCS/designee
will compile data submitted from each foster care developer for evaluation of
data received bi-annually. This data will then be reviewed by the area
team/foster parents and management team for feedback.
PERSONNEL RECORD REVIEWS -
The Personnel
Record Review Process will assess:
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Completeness and accuracy of records.
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Compliance with state and federal licensing regulations.
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Compliance with agency policies.
PROCEDURE:
1.
All employee personnel records will be reviewed by their
assigned supervisor at the end of the 6 month probationary period and every year
after on their anniversary date for completeness and accuracy utilizing the
Personnel Folder Review Checklist and Training Policy checklist.
2.
A copy of the completed personnel folder record review
will be submitted to the TCS/Program Supervisor/Manager and Human Resources
with a plan of correction.
3.
Human Resources will compile data quarterly and will
share that data with the supervisory structure and management teams for
feedback.
PHYSICAL BUILDING SAFETY -
The Physical Safety
of the Building Review Process will assess:
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Compliance with state and federal licensing regulations.
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Compliance with agency policies.
PROCEDURE:
1.
The Physical safety of each building occupied will be
monitored monthly for compliance utilizing the Safety Checklist.
2.
Copies of the completed building safety checklist will be
sent to the TCS/Program Supervisor/Manager and Safety Coordinator with plan of
correction.
3.
The Safety Coordinator will compile data semi-annually
and will share that data with area teams and management team for feedback.