Subchapter H. QUALITY ENHANCEMENT POLICY
Sec.
6000.621. County policy.
6000.622. Procedures.
6000.623. Action plan.
6000.624. The Office of Mental Retardation direct and independent review of county quality enhancement process.§ 6000.621. County policy.
A county policy statement should contain the following elements:
(1) A statement of philosophy embracing the concept of quality in services for persons with mental retardation.
(2) A statement of methodology to be used by the county to conduct self-assessment. This methodology should support the consumer-oriented principles and practices and include involvement by family, friends, advocates and interested citizens.
(3) A description of the responsibility of providers, including staff and board, in enhancing quality in programs provided.
(4) A statement that the county and each of its providers will work cooperatively and within standards adopted by the county to develop the provider’s policy on assessment of quality.
(5) A statement addressing the incorporation of appropriate components of the definition of quality into the contracts drawn between the county and the providers of the service.
(6) A provision that orientation to the concept of quality enhancement be incorporated into staff development programs.
(7) A provision to update and refine both county and provider policy on quality enhancement and a mechanism as a result of ongoing feedback from the implementation.
Source The provisions of this § 6000.621 adopted November 11, 1989, effective July 1, 1990, 19 Pa.B. 4879.
§ 6000.622. Procedures.
A county should formulate a separate procedures statement that utilizes its quality enhancement policy. Procedures should ensure that the process is consumer-centered. Procedures should address the methods the county will use to determine whether programs are having a positive effect on people’s lives. At a minimum, these methods should address consumer growth and development and consumer satisfaction. These procedures should contain the following:
(1) Methods for conducting annual self-assessments that measure individual consumer concern including growth, development and satisfaction.
(2) Methods for conducting an annual self-assessment that measures the availability of services in the county system as a whole. This includes addressing not only the availability of existing services but the need for additional services.
(3) Methods for contract monitoring to assure that quality enhancement provisions are being met.
Source The provisions of this § 6000.622 adopted November 11, 1989, effective July 1, 1990, 19 Pa.B. 4879.
§ 6000.623. Action plan.
Elements in the county action plan should include:
(1) Identification of persons responsible for quality enhancement activities.
(2) Establishment of priorities for implementation and the respective roles identified for members of the partnership.
(3) A schedule for county and provider self-assessment, how that self-assessment is to be accomplished and the basis for the assessment. This assessment should include the County Mental Health and Mental Retardation Board and the members of the partnership, as well as provider staff and boards.
(4) Time frames for implementation which detail all levels of involvement.
(5) Strategy for utilizing the results of the self-assessment.
(6) Identification of ways to continually improve the quality of service delivery.
(7) Identification of the sources and recipients of technical assistance and training activities.
Source The provisions of this § 6000.623 adopted November 11, 1989, effective July 1, 1990, 19 Pa.B. 4879.
§ 6000.624. The Office of Mental Retardation direct and independent review of county quality enhancement process.
(a) Direct and independent review should include:
(1) A review of the county quality enhancement policy statement, county procedures to implement the policy and the county’s most recent action plan.
(2) A review of the most recent county self-assessment.
(3) Application of the county self-assessment methodology with a sample of consumers including record review and program observation.
(4) Verification of the contract provisions addressing quality and reports resulting from contract monitoring by the county.
(b) The Office of Mental Retardation will issue a written report in a timely manner as a result of the independent and direct review.
Source The provisions of this § 6000.624 adopted November 11, 1989, effective July 1, 1990, 19 Pa.B. 4879.
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