IRTS Quality Assurance Plan

$25.00

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IRTS Quality Assurance Plan

Goal:

  • Guarantee high-quality clinical services to clients while ensuring compliance with regulations and reimbursement requirements.

Methods:

  • MHIS reporting for client outcome data.
  • Ongoing Quality Assurance process utilizing:
    • Client satisfaction surveys
    • Client support network surveys
    • Staff meetings and case consultations
    • Immediate client feedback
    • Grievances filed
    • Client outcomes
    • Critical incidents
    • Employee performance reviews
    • Regular chart and program audits

Objective:

  • Continuously improve the program based on feedback from various sources.
  • Encourage consultation between team members and management.
  • Measure and evaluate client outcomes.
  • Review critical incidents and implement changes.
  • Examine service quality and self-monitor program compliance.

Responsible Individuals:

  • Treatment Director/Clinical Supervisor
  • Program Owner
  • Registered Nurse

Client Satisfaction Surveys:

  • Sent within one week of discharge to all clients.
  • Assess satisfaction with services, staff, treatment, safety, cleanliness, discharge planning, and overall outcomes.

Client Support Network Satisfaction Surveys:

  • Sent to family members, natural supports, referral sources, and case managers.
  • Assess satisfaction with services, staff interaction, intake, discharge planning, involvement in treatment, and outcomes.

Staff Meetings and Case Consultations:

  • Formal meetings twice a week to discuss the program, clients, feedback, and suggestions.
  • Shift change meetings to communicate client updates and health/medication issues.

Immediate Client Feedback:

  • Client feedback and complaints are considered for program improvements.

Client Grievances:

  • Addressed according to the formal grievance process.

Client Outcomes:

  • Tracks successful completions, discharges, outcomes after six months, and reasons for discharge.

Critical Incidents:

  • Documented, reported, and reviewed to prevent recurrence and address related risks.

Employee Personnel Files:

  • Audited bi-annually for compliance with hiring, qualifications, orientation, and training requirements.

Employee Performance Reviews:

  • Annual reviews to discuss improvements and correct problematic behaviors.

Regular Chart and Program Audits:

  • Monthly chart audits to ensure compliance with documentation.
  • Semi-annual program audits to ensure compliance with facility and service guidelines.

Plan Updates:

  • Reviewed and updated annually based on feedback and monitoring activities.
  • Actions taken in response to feedback documented and goals set for improvement.

IRTS Quality Assurance Plan

Goal:

  • Guarantee high-quality clinical services to clients while ensuring compliance with regulations and reimbursement requirements.

Methods:

  • MHIS reporting for client outcome data.
  • Ongoing Quality Assurance process utilizing:
    • Client satisfaction surveys
    • Client support network surveys
    • Staff meetings and case consultations
    • Immediate client feedback
    • Grievances filed
    • Client outcomes
    • Critical incidents
    • Employee performance reviews
    • Regular chart and program audits

Objective:

  • Continuously improve the program based on feedback from various sources.
  • Encourage consultation between team members and management.
  • Measure and evaluate client outcomes.
  • Review critical incidents and implement changes.
  • Examine service quality and self-monitor program compliance.

Responsible Individuals:

  • Treatment Director/Clinical Supervisor
  • Program Owner
  • Registered Nurse

Client Satisfaction Surveys:

  • Sent within one week of discharge to all clients.
  • Assess satisfaction with services, staff, treatment, safety, cleanliness, discharge planning, and overall outcomes.

Client Support Network Satisfaction Surveys:

  • Sent to family members, natural supports, referral sources, and case managers.
  • Assess satisfaction with services, staff interaction, intake, discharge planning, involvement in treatment, and outcomes.

Staff Meetings and Case Consultations:

  • Formal meetings twice a week to discuss the program, clients, feedback, and suggestions.
  • Shift change meetings to communicate client updates and health/medication issues.

Immediate Client Feedback:

  • Client feedback and complaints are considered for program improvements.

Client Grievances:

  • Addressed according to the formal grievance process.

Client Outcomes:

  • Tracks successful completions, discharges, outcomes after six months, and reasons for discharge.

Critical Incidents:

  • Documented, reported, and reviewed to prevent recurrence and address related risks.

Employee Personnel Files:

  • Audited bi-annually for compliance with hiring, qualifications, orientation, and training requirements.

Employee Performance Reviews:

  • Annual reviews to discuss improvements and correct problematic behaviors.

Regular Chart and Program Audits:

  • Monthly chart audits to ensure compliance with documentation.
  • Semi-annual program audits to ensure compliance with facility and service guidelines.

Plan Updates:

  • Reviewed and updated annually based on feedback and monitoring activities.
  • Actions taken in response to feedback documented and goals set for improvement.