Section 404-4-004 - QUALITY ASSURANCE AND QUALITY IMPROVEMENT (QA/QI)The provider must have a quality assurance and quality improvement (QA/QI) process. This process must include:
(1) Ongoing proactive internal review of the quality and individualization of services;(2) Continuous quality review of the services provided; and(3) The provider must provide evidence that participants served and their families are involved in the quality assurance and quality improvement (QA/QI) process.004.01QUALITY ASSURANCE AND QUALITY IMPROVEMENT (QA/QI) STRUCTURAL COMPONENTS. The provider must create the structural components of the quality assurance and quality improvement (QA/QI) process. The process must be applied on a provider-wide basis and include:(A) Areas of services to be monitored and evaluated to determine the quality of these services through identification of patterns and trends of the provider services; and(B) Provisions for reviewing quality assurance and quality improvement (QA/QI) policies and procedures at least annually and revising as needed.004.02QUALITY ASSURANCE AND QUALITY IMPROVEMENT (QA/QI) ACTIVITIES. The quality assurance and quality improvement (QA/QI) activities must result in: (A) Identification and correction of problems and noncompliance with applicable requirements in a timely manner and on a provider-wide basis; and(B) Use of information from reviews, results, and recommendations to correct problems, improve services to participants served, and revise policies and procedures, if necessary.004.03DOCUMENTATION OF QUALITY ASSURANCE AND QUALITY IMPROVEMENT (QA/QI) ACTIVITIES. The provider must maintain documentation of all quality assurance and quality improvement (QA/QI) activities, including the results of reviews, recommendations, action taken, effectiveness of action taken, review by the director and certified provider, and other relevant information.404 Neb. Admin. Code, ch. 4, § 004
Amended effective 11/19/2022Amended effective 9/17/2024