Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 88 - STATE LONG-TERM CARE OMBUDSMAN PROGRAM
Subchapter E - REQUIREMENTS OF A HOST AGENCY
Section 88.405 - Performance Measures

Universal Citation: 26 TX Admin Code ยง 88.405

Current through Reg. 49, No. 38; September 20, 2024

(a) The performance measures of a local ombudsman entity are described in this subsection.

(1) The number of certified ombudsmen who will, during a federal fiscal year:
(A) conduct visits at LTC facilities; and

(B) identify and investigate complaints.

(2) The percentage of complaints that will be resolved or partially resolved in a federal fiscal year.

(3) The number of visits to assisted living facilities by certified ombudsmen that will occur during a federal fiscal year, as required by the Ombudsman Policies and Procedures Manual.

(4) The number of visits to nursing facilities by certified ombudsmen that will occur during a federal fiscal year, as required by the Ombudsman Policies and Procedures Manual.

(5) Compliance with the complaint response requirements described in § 88.305(a)(3) and § 88.305(c)(2) of this chapter (relating to Complaints).

(6) Compliance with the requirement described in § 88.307(b) of this chapter (relating to Requirements Regarding LTC Facility Visits and Submitting Information to the Office).

(7) Compliance with the minimum expenditure requirement described in § 88.406(a) of this subchapter (relating to Requirements Regarding Expenditures for the Ombudsman Program).

(b) A host agency must work with the local ombudsman entity to develop projections for the performance measures described in subsection (a)(1) - (2) of this section for a federal fiscal year and submit the projections to the Office by July 31st of each year using the HHSC form "Ombudsman Performance Measure Projections." The Office reviews a form submitted by the host agency and approves the form or recommends modifications to the form. If the Office recommends modifications to the form, the host agency must submit a revised form to the Office for approval within a time period determined by the Office.

(c) A host agency must ensure that a local ombudsman entity, by the end of each federal fiscal year, meets the performance measure projections approved by the Office as described in subsection (b) of this section by:

(1) being within a variance of minus ten percent of the projections; or

(2) exceeding the projections.

(d) A host agency must ensure that a local ombudsman entity, by the end of each federal fiscal year, meets the performance measures required by subsection (a)(3) - (6) of this section by:

(1) being within a variance of minus ten percent of the measures; or

(2) exceeding the measures.

(e) A host agency must ensure that a local ombudsman entity, by the end of each federal fiscal year, meets or exceeds the performance measure required by subsection (a)(7) of this section.

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