La. Admin. Code tit. 50 § XXIII-705
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXIII-705 - Minimum RequirementsA. A PACE organization's quality assessment and performance improvement program shall include, but is not limited to, the use of objective measures to demonstrate improved performance with regard to: 1. utilization of PACE services, such as decreased inpatient hospitalizations and emergency room visits;2. caregiver and participant satisfaction;3. outcome measures that are derived from data collected during assessments, including data on the following:a. physiological wellbeing;d. social/behavioral functioning; ande. quality of life of participants;4. effectiveness and safety of staff-provided and contracted services, including: a. competency of clinical staff;b. promptness of service delivery; and c. achievement of treatment goals and measurable outcomes;5. nonclinical areas, such as grievances and appeals, transportation services, meals, life safety, and environmental issues.B. Outcome measures must be based on current clinical practice guidelines and professional practice standards applicable to the care of PACE participants.C. The PACE organization must meet or exceed minimum levels of performance, established by CMS and the state administering agency, on standardized quality measures, such as influenza immunization rates, which are specified in the PACE program agreement.D. The PACE organization must ensure that all data used for outcome monitoring are accurate and complete.La. Admin. Code tit. 50, § XXIII-705
Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:248 (February 2004), Amended by the Department of Health, Bureau of Health Services Financing and the Office of Aging and Adult Services, LR 50402 (3/1/2024).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254, Title XIX of the Social Security Act, and 42 CFR 460 et seq.