Section 206-4-002 - ACCREDITATION DEVELOPMENT PLANThose providers that do not have documentation of official award of national accreditation approved by the Director must submit an accreditation development plan for progressively bringing the provider into national accreditation status during a period not to exceed two years from approval. During the time a provider is working toward national accreditation under an accreditation development plan, the provider must meet the standards for behavioral health services. The accreditation development plan must demonstrate a systematic approach toward achieving national accreditation and must include:
(A) Policies and procedures to be followed during the accreditation development plan period including policies and procedures for protecting the life, safety, and rights of consumers served;(B) A quality improvement program which follows the standards set by the national accreditation body which is being sought by the provider;(C) A separate written plan submitted to the Division for accomplishing the national accreditation. The plan must include: the type of national accreditation being sought that is appropriate to the provider's mission and includes goals; measurable objectives; target dates; contact information for the person responsible; and deadlines for making application for national accreditation and for scheduling the national accreditation survey; and(D) A report on the results of a self-administered survey following the standards set by the national accreditation body which is being sought by the provider. 002.01PROGRESS REPORTS. The provider must submit to the Region a semi-annual written progress report on the implementation of the accreditation development plan.002.02ANNUAL REVISIONS. The provider must revise the accreditation development plan on an annual basis to reflect its present situation.002.03ACCREDITATION MONITORING. The Region must monitor the provider's progress until accreditation is granted.206 Neb. Admin. Code, ch. 4, § 002
Amended effective 6/27/2021