16 Del. Admin. Code § 3365-13.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 3365-13.0 - Quality Improvement

13.1 Each facility shall develop and implement a documented ongoing quality improvement program. The program shall include at a minimum:

13.1.1 An internal monitoring process that tracks performance measures;

13.1.2 A review of the program's goals and objectives at least annually;

13.1.3 A review of the grievance/complaint process;

13.1.4 A review of all major adverse incidents;

13.1.5 A review of actions taken to address identified issues; and

13.1.6 A process to monitor the satisfaction of the patients with the services of the facility.

16 Del. Admin. Code § 3365-13.0

12 DE Reg. 235 (08/01/08)
25 DE Reg. 777( 2/1/2022) (Final)