Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 404 - DEVELOPMENTAL DISABILITIES SERVICES
Chapter 4 - CERTIFICATION REQUIREMENTS FOR CERTIFIED PROVIDERS OF SERVICES
Section 404-4-004 - QUALITY ASSURANCE AND QUALITY IMPROVEMENT (QA/QI)

Current through September 17, 2024

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.

004.01 QUALITY 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.

004.02 QUALITY 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.

004.03 DOCUMENTATION 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.

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