Kan. Admin. Regs. § 26-52-29

Current through Register Vol. 43, No. 40, October 3, 2024

Section 26-52-29 - Quality improvement program

(a) Each licensee shall establish a written quality improvement program that provides effective self-assessment and implementation of changes designed to improve the care and services of any health care provider who is a staff member or volunteer at the crisis intervention center pursuant to K.S.A. 65-4921 through K.S.A. 65-4930, and amendments thereto.

(1) "Health care provider" shall have the meaning specified in K.S.A. 65-4921, and amendments thereto.

(2) "Reportable incident" shall have the meaning specified in K.S.A. 65-4921, and amendments thereto.

(b) The written quality improvement program for health care providers shall meet the following requirements:

(1) Establish desired outcomes and the criteria by which policy and procedure effectiveness for health care providers is regularly, systematically, and objectively accomplished;

(2) identify, evaluate, and determine the causes of any deviation by a health care provider from the desired outcomes;

(3) identify the action taken to correct deviations by a health care provider and prevent future deviation and the persons at the center responsible for implementation of these actions;

(4) analyze the appropriateness of individual plans of care and the necessity of care and services rendered by a health care provider;

(5) analyze all reportable incidents committed by a health care provider;

(6) analyze any infection, epidemic outbreaks, or other unusual occurrences that threaten the health, safety, or well-being of the patients; and

(7) establish a systematic method of obtaining feedback from patients and other interested persons that is annually reviewed.

(c) Each licensee shall complete an investigation of a reportable incident committed by a health care provider and submit a written report of each reportable incident to the appropriate licensing agency that issued the license to the health care provider who is the subject of the report. The written report shall be submitted to the appropriate licensing agency within five days after the occurrence or discovery of any reportable incident, or completion of the investigation of each reportable incident, whichever is earlier. Documentation of investigation and reporting of reportable incidents committed by health care providers shall be kept on file at the center.

Kan. Admin. Regs. § 26-52-29

Authorized by and implementing K.S.A. 39-2004; effective, T-26-2-16-24, Feb. 16, 2024; effective, T-26-6-10-24, June 10, 2024; adopted by Kansas Register Volume 43, No. 24; effective 6/28/2024.