6 Colo. Code Regs. § 1011-4, pt. 10

Current through Register Vol. 47, No. 17, September 10, 2024

Part 10 - QUALITY MANAGEMENT PROGRAM (QMP)

10.1 The county shall require each secure transportation service operating within its jurisdiction to have an ongoing quality management program (QMP) that is appropriate to the size and type of the service. The program shall incorporate a plan that evaluates the quality of client care and safety and has the following policies and procedures including, at a minimum:

(A) The incorporation of the substantiated findings of any complaint into its QMP for the purpose of evaluating and implementing systematic changes where needed;

(B) The general description of the types of cases, problems, or risks to be reviewed and criteria for identifying potential risks;

(C) Identification of the staff members responsible for coordinating quality management activities;

(D) A description of the method(s) for:

(1) Investigating and analyzing the frequency and causes of individual problems and patterns of problems;

(2) Taking corrective action to address the problems, including prevention and minimizing problems or risks;

(3) Evaluating corrective action(s) to determine the effectiveness of such action(s); and

(4) Coordinating all pertinent case, problem, or risk review information with other applicable quality assurance and/or risk management activities, such as review of client care; review of staff conduct; the client complaint system outlined in Part 4 of these rules; and education and training programs;

(E) Documentation of required quality management activities, including cases, problems, or risks identified for review; findings of investigations; and any actions taken to address problems or risks;

(F) A schedule for program implementation not to exceed ninety (90) days after the date of the issuance of the secure transportation service license;

(G) A schedule for program evaluation to periodically assess the effectiveness of services and review the clinical and operational protocols and compliance with such protocols;

(H) The utilization or application of data collected pursuant to Part 6.2 to inform the quality management plan; and

(I) A written disciplinary policy that addresses a process for staff quality improvement.

10.2 The secure transportation service shall make available the quality management plan to the county in which it seeks to be licensed during the initial and renewal licensure applications.

10.3 The county, Department, or any other appropriate regulatory agency having jurisdiction for disciplinary or licensing sanctions shall have access to any records, reports, and other information of the quality management program.

6 CCR 1011-4, pt. 10

45 CR 14, July 25, 2022, effective 8/14/2022