Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 44 - Abortion Facilities
Subchapter B - Administration and Organization
Section I-4427 - Quality Assurance and Performance Improvement Program (QAPI)
Universal Citation: LA Admin Code I-4427
Current through Register Vol. 50, No. 9, September 20, 2024
A. The outpatient abortion facility shall develop, implement, enforce, maintain, and annually review a written QAPI program subject to approval by the governing body, which puts systems in place to effectively identify issues for which quality monitoring and performance improvement activities are necessary. The QAPI program shall include plans of action to correct identified issues including, but not limited to, monitoring the effect of implemented changes and making necessary revisions to the plan of action.
1. Plans of Action. The outpatient
abortion facility shall develop and implement a QAPI plan of action designed to
effectively identify issues for which quality monitoring and performance
improvement activities are necessary.
2. The QAPI plan of action shall include on a
quarterly basis the following:
a. processes
for receiving input regarding the quality of medical and clinical services
received;
b. processes for review
of patient medical records to ensure that such are complete and
current;
c. processes for
identifying on a quarterly basis the risk factors that affect or may affect the
health and safety of the patients of the outpatient abortion facility receiving
medical and clinical services. Examples may include, but are not limited to:
i. review and resolution of patient
grievances; and
ii. review and
resolution of patient/employee incidents involving medication errors and
equipment failure;
d. a
process to review and develop action plans to resolve all system wide issues
identified as a result of the processes above.
3. The QAPI outcomes shall be documented and
reported to the administrator in writing for action, as necessary, for any
identified systemic problems.
AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2175.1 et seq.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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