185 Neb. Admin. Code, ch. 1, § 011

Current through September 17, 2024

Section 185-1-011 - PERFORMANCE IMPROVEMENT PROGRAM

The standards for a performance improvement program are set out below.

011.01ELEMENTS OF PERFORMANCE IMPROVEMENT PROGRAM. Performance improvement program activities must have the following components and be implemented:

(A) A flexible list of performance improvement indicators spanning all age groups that are applicable to the designated center and may include indicators determined by the region or state to reduce unnecessary variations in care and prevent adverse events;

(B) Methods through which the designated center consistently monitors and evaluates the performance improvement indicators;

(C) Methods to implement a corrective action plan and re-evaluate trauma care when problems are identified to demonstrate loop closure;

(D) Methods through which the designated center identifies and remedies lapses in their quality of trauma care; and

(E) Methods to evaluate all trauma mortalities.

011.02METHODS OF PERFORMANCE IMPROVEMENT PROGRAM. Performance improvement program must describe methods designed to ensure that the designated center:

(A) React rapidly and correctly when providing trauma care;

(B) Are informed of the development of best practices in other regions, states, and countries;

(C) Identify and remedy resource challenges in their personnel, equipment, supportive services, or organization; and

(D) Share best practices information with other facilities in their region and in the state.

185 Neb. Admin. Code, ch. 1, § 011

Adopted effective 5/17/2022