Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 301 - LOCAL AUTHORITY RESPONSIBILITIES
Subchapter G - MENTAL HEALTH COMMUNITY SERVICES STANDARDS
Division 2 - ORGANIZATIONAL STANDARDS
Section 301.333 - Quality Management
Universal Citation: 26 TX Admin Code § 301.333
Current through Reg. 50, No. 13; March 28, 2025
(a) Quality management plan. The LMHA and MCO must develop a written quality management plan that includes:
(1) the quality management
program description and work plan;
(2) measurable objective indicators to detect
the need for improvement;
(3)
procedures and timelines for taking appropriate action when problems are
identified; and
(4) approval by the
LMHA or MCO governing body.
(b) Quality management program. The LMHA and MCO must implement a quality management program that includes:
(1) a structure that ensures the program is
implemented system-wide;
(2)
allocation of adequate resources for implementation;
(3) oversight by professionals with adequate
and appropriate experience in quality management;
(4) activities and processes that address
identified clinical and organizational problems including fidelity and data
integrity;
(5) periodic reporting
of quality management program activities to its governing body, providers and
other appropriate staff members and community stakeholders such as peer and
family organizations;
(6) processes
to systematically monitor, analyze, and improve performance of provider
services and outcomes for individuals;
(7) review of the provider's treatment to
determine:
(A) whether it is consistent with
the department's approved evidenced-based practices and the fidelity manual;
and
(B) the accuracy of assessments
and treatment planning;
(8) ongoing monitoring of the quality of
crisis services, access to services, service delivery, and continuity of
services;
(9) provision of
technical assistance to providers related to quality oversight necessary to
improve the quality and accountability of provider services;
(10) use of reports and data from the
department to inform performance improvement activities and assessment of unmet
needs of individuals, service delivery problems, and effectiveness of authority
functions for the local service area;
(11) mechanisms to measure, assess, and
reduce incidents of abuse, neglect, and exploitation;
(12) mechanisms to improve individuals'
rights protection processes;
(13)
risk management processes such as competency determinations, and the management
and reporting of incidents and deaths; and
(14) coordination of activities and
information management with the utilization management (UM) program, including
participation in UM oversight activities.
(c) The LMHA and MCO must establish an integrated system to sufficiently monitor the quality management program for effectiveness on a regular basis and update the quality management plan as needed.
Disclaimer: These regulations may not be the most recent version. Texas 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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