Monitoring the Effectiveness of the QM Plan The Quality Management Plan is reviewed and updated annually. New or modified targets and outcomes for each year are established by the Executive Council and/or Quality Management Committee, based on State contracts and local goals and objectives. All available input from consumers and the public, as well as employees and pay sources, is incorporated into the Plan. Quality Management staff ensure the completeness and relevancy of the QM Plan through ongoing reviews of changes to standards, laws, Rules, regulations, licensing and/or accrediting requirements, to determine if a revision to the QM Plan is needed. The ACCESS Board of Trustees, Executive Director, and the Quality Management Committee approve the plan annually, or at each revision. The Quality Management Plan is posted on the on the “public” drive center’s computer network, which is available to all employees. The Plan is also posted on the ACCESS website. Key Quality Indicators, FY2018 Indicator Method Frequency Target Targets and measures from Reports from CARE, Quarterly or Meet State Performance MBOW, local data as indicated standards Contracts Protocols for Medicaid In-house audits Monthly 95% reimbursement Data accuracy Audits Variable 95% Direct service/billing time In-house report from local Semi-Annual >50% (service delivery & access database ,or more to services measure) often Staff Mandatory On-line Record of completion Annual 100% Training Staff Training for On-call In-house test over Prior to Passing score on on-call information needed to duties test perform on-call/crisis duties assigned Staff Training for Completion of on-line Prior to Passing score on CANS/ANSA training duties CANS/ANSA test assigned Complaints; Allegations of In-house investigations and Per Within designated time Abuse and Neglect reporting to state agencies occurrence frame TRR implementation Reports from MBOW; Variable Meet standards (service delivery measure) QM/UM oversight & audits; fidelity reviews of Evidence Based Practices Texas Resiliency & HHSC CANS/ANSA calls & Ongoing Meet required deadlines Recovery (TRR) Activities training; in-house and training requirements; monitoring of CMBHS increase integration of batching; Peer Specialist Peers into Center functions Integration
Monitoring the Effectiveness of the QM Plan The Quality Management Plan is reviewed and updated annually. New or modified targets and outcomes for each year are established by the Executive Council and/or Quality Management Committee, based on State contracts and local goals and objectives. All available input from consumers and the public, as well as employees and pay sources, is incorporated into the Plan. Quality Management staff ensure the completeness and relevancy of the QM Plan through ongoing reviews of changes to standards, laws, Rules, regulations, licensing and/or accrediting requirements, to determine if a revision to the QM Plan is needed. The ACCESS Board of Trustees, Executive Director, and the Quality Management Committee approve the plan annually, or at each revision. The Quality Management Plan is posted on the “public” drive on the center’s computer network, which is available to all employees. The Plan is also posted on the ACCESS website. Key Quality Indicators, FY2018 Indicator Method Frequency Target Targets and measures from State Performance Contracts Reports from CARE, MBOW, local data Quarterly or as indicated Meet standards Protocols for Medicaid reimbursement In-house audits Monthly 95% Data accuracy Audits Variable 95% Direct service/billing time (service delivery & access to services measure) In-house report from local database Semi-Annual ,or more often >50% Staff Mandatory On-line Training Record of completion Annual 100% Staff Training for On-call In-house test over information needed to perform on-call/crisis duties Prior to duties assigned Passing score on on-call test Staff Training for CANS/ANSA Completion of on-line training Prior to duties assigned Passing score on CANS/ANSA test Complaints; Allegations of Abuse and Neglect In-house investigations and reporting to state agencies Per occurrence Within designated time frame TRR implementation (service delivery measure) Reports from MBOW; QM/UM oversight & audits; fidelity reviews of Evidence Based Practices Variable Meet standards Texas Resiliency & Recovery (TRR) Activities HHSC CANS/ANSA calls & training; in-house monitoring of CMBHS batching; Peer Specialist Integration Ongoing Meet required deadlines and training requirements; increase integration of Peers into Center functions
ACCESS-FY18-QM-UM-Plan.docx