Utah Administrative Code (Current through November 1, 2019) |
R432. Health, Family Health and Preparedness, Licensing |
R432-151. Mental Disease Facility |
R432-151-22. Quality Assurance
-
(1) This section shall apply in addition to R432-150-11.
(2) The quality, appropriateness, and scope of services rendered shall be reviewed and evaluated on at least a quarterly basis by an interdisciplinary quality assurance committee.
(3) A written report of findings from each meeting shall be submitted to the administrator and shall be available for review by the Department.
(4) Committee composition.
(a) Members of the quality assurance committee shall be appointed by name in writing by the administrator for a given term of membership.
(b) The committee shall have a minimum of three members with representation from at least three different licensed health care professions.
(5) Methodology for evaluation includes:
(a) Review and evaluation of active and closed resident records to assure that established policies and procedures are being followed;
(b) Facility policy and procedure will determine the method(s) to be followed for selection and review of the representative sample of active and closed records;
(c) Review and evaluation whether needed services were provided;
(d) Review and evaluation of coordination of services whenever appropriate through documentation of written reports, telephone consultation, or case conferences; and
(e) Review and evaluation of the resident plans of treatment for content, frequency of updates, and whether progress notes correspond to goals stated in the resident care plan.