Section 22-A6309. QUALITY IMPROVEMENT  


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    6309.1  Each provider shall establish and adhere to policies and procedures governing quality improvement (Quality Improvement Policy).

     

    6309.2  The Quality Improvement Policy shall require the provider to adopt a written quality improvement (QI) plan describing the objectives and scope of its QI program and requiring provider staff, client, and family involvement in the QI program.

     

    6309.3  The Department shall review and approve each provider's QI program at a minimum as part of the certification and recertification process. The QI program shall submit data to the Department, upon request.

     

    6309.4  The QI program shall be operational and shall measure and ensure at least the following:

     

    (a) Easy and timely access and availability of services;

     

    (b) Treatment and prevention of acute and chronic conditions;

     

    (c) Close monitoring of high volume services, clients with high risk conditions, and services for children and youth;

     

    (d) Coordination of care across behavioral health treatment and primary care treatment settings;

     

    (e) Compliance with all certification standards;

     

    (f) Adequacy, appropriateness, and quality of care for clients;

     

    (g) Efficient utilization of resources;

     

    (h) Client and family satisfaction with services;

     

    (i) Quarterly random samplings of client outcomes, including but not limited to biological markers such as drug/alcohol screening results, in a format approved by the Department; and

     

    (j) Any other indicators that are part of the Department QI program for the larger system.

     

    6309.5  When a significant problem or quality of service issue is identified, the program shall notify the Department, act to correct the problem or improve the effectiveness of service delivery, or both, and shall assess corrective or supportive actions through continued monitoring. 

     

authority

Sections 5113, 5115, 5117 and 5118 of the Department of Behavioral Health Establishment Act of 2013, effective December 24, 2013 (D.C. Law 20-61; D.C. Official Code §§ 7-1141.02, 7-1141-04, 7-1141.06 and 7-1141.07 (2012 Repl.)).

source

Final Rulemaking published at 62 DCR 12056 (September 4, 2015).