Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 50 - Home and Community-Based Services Providers Licensing Standards
Subchapter F - Provider Responsibilities
Section I-5061 - Quality Enhancement Plan
Universal Citation: LA Admin Code I-5061
Current through Register Vol. 50, No. 9, September 20, 2024
A. An HCBS provider shall develop, implement and maintain a quality enhancement (QE) plan that:
1. ensures that the provider is in
compliance with federal, state, and local laws;
2. meets the needs of the provider's
client's;
3. is attaining the goals
and objectives established by the provider;
4. maintains systems to effectively identify
issues that require quality monitoring, remediation and improvement
activities;
5. improves individual
client outcomes and individual client satisfaction;
6. includes plans of action to correct
identified issues that:
a. monitor the effects
of implemented changes; and
b.
result in revisions to the action plan;
7. is updated on an ongoing basis to reflect
changes, corrections and other modifications.
B. The QE plan shall include:
1. a process for identifying on a quarterly
basis the risk factors that affect or may affect the health, safety and/or
welfare of the client's of the HCBS provider receiving services, that includes,
but is not limited to:
a. review and
resolution of complaints;
b. review
and resolution of incidents; and
c.
incidents of abuse, neglect and exploitation;
2. a process to review and resolve individual
client issues that are identified;
3. a process to review and develop action
plans to resolve all system wide issues identified as a result of the processes
above;
4. a process to correct
problems that are identified through the program that actually or potentially
affect the health and safety of the client's; and
5. a process of evaluation to identify or
trigger further opportunities for improvement in identification of individual
client care and service components.
C. The QE program shall hold bi-annual committee meetings to:
1. assess and choose
which QE plan activities are necessary and set goals for the quarter;
2. evaluate the activities of the previous
quarter; and
3. implement any
changes that protect the client's from potential harm or injury.
D. The QE plan committee shall:
1. develop and implement the QE plan;
and
2. report to the administrator
any identified systemic problems.
E. The HCBS provider shall maintain documentation of the most recent 12 months of the QE plan.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2120.1.
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