N.J. Admin. Code § 10:37I-5.11

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:37I-5.11 - Quality assurance

(a) The PA shall comply with the quality assurance and licensure requirements as promulgated at N.J.A.C. 10:37-9 and 8:121, Licensure Standards for Mental Health Programs, respectively.

(b) The PA shall comply with the client complaint/agency ombuds procedure as promulgated in 10:37-4.6.

(c) The PA shall collect information on family satisfaction with services.

1. The PA shall attempt to collect information on satisfaction with services annually for all families who have received IFSS services in the past year, and at the closing of a family's case file. The PA shall document these attempts in the family record.

2. The PA shall use a Division approved instrument.

3. The PA shall assure that findings from satisfaction with services surveys remain confidential and separate from the family's treatment record.

(d) The PA shall collect information on each family's level of concern.

1. Level of concern information shall be obtained at intake, at six months, one year from that six-month date, and annually thereafter. Level of concern information shall also be collected when a family's case file is closed.

2. The PA shall use a Division approved instrument.

3. The PA shall review increases and decreases in family level of concern as part of its quality assurance process.

(e) The PA shall make aggregated reports on family satisfaction, level of concern and types of services provided available to the Division upon request but no more than quarterly.

(f) The PA shall annually review aggregated information on referral sources of family members to its IFSS program.

(g) The PA shall meet at least twice each year with an advisory group, consisting of members of local NAMI affiliates, families served by the program and other family support and self-help organizations, where available. The intent of these meetings shall be to dialogue and obtain feedback on how well activities of the PA are meeting the needs of families and how well the activities of the family support organizations are coordinated. Feedback shall be made a part of the quality assurance process.

1. There shall be documented evidence that the feedback has been incorporated into the Quality Assurance Plan.

(h) The PA shall also monitor and evaluate utilization of IFSS resources.

1. At a minimum, the following data shall be routinely collected and analyzed:

i. The number of people who attend individual psychoeducational sessions or educational workshops;

ii. The number of families who request and receive respite services and the amount of time spent providing respite services;

iii. Wait for service data, including:

(1) The length of time from referral to intake interview;

(2) The length of time from intake interview to initiation of services; and

(3) Monthly number of clients on the waiting list, if applicable;

iv. Caseload size, which is the number of families, per family support staff member; and

v. The total number of face-to-face visits including the number of off-site face-to-face visits and the number of agency based face-to-face visits.

N.J. Admin. Code § 10:37I-5.11

Recodified from N.J.A.C. 10:37I-5.12 and amended by R.2003 d.475, effective 12/15/2003.
See: 35 N.J.R. 3011(a), 35 N.J.R. 5553(b).
Rewrote the section. Former N.J.A.C. 10:37I-5.11, Training, recodified to N.J.A.C. 10:37I-5.10.
Administrative change.
See: 39 N.J.R. 455(a).
Amended by R.2009 d.186, effective 6/15/2009.
See: 40 N.J.R. 6898(b), 41 N.J.R. 2476(a).
In (a), inserted ", respectively"; rewrote (c)1; in (d)1, substituted "one year from that six-month date," for "12 months" and "a family's case file is closed" for "families are placed on inactive status"; and in the introductory paragraph of (g), substituted "twice each year" for "biannually", and deleted a comma following "program".

Amended by 55 N.J.R. 1475(a), effective 7/17/2023