N.J. Admin. Code § 8:39-33.2

Current through Register Vol. 56, No. 17, September 3, 2024

Section 8:39-33.2 - Mandatory quality assessment and/or quality improvement policies and procedures

(a) The quality assessment and/or quality improvement program shall identify problems in the care and services provided to the residents and shall include the audit of medical records.

(b) The quality assessment and/or quality improvement program shall monitor the performance of each service.

(c) The quality assessment and/or quality improvement program shall monitor trends in the following:

1. The prevalence of pressure sores and skin breakdowns;

2. Psychoactive drug use;

3. Transfers to hospitals;

4. Medication errors;

5. Catheterization rates and catheterization care;

6. Weight loss and fluid intake;

7. Infection rates in all residents;

8. Resident depression;

9. Restoration of function following specific types of events, such as hip fractures;

10. Use of restraints;

11. Resident falls resulting in injury;

12. Incidents of abuse, neglect or misappropriation of resident property; and

13. Other possible indicators of level of quality care not listed in this subchapter.

(d) The quality assessment and/or quality improvement program shall develop and implement a system to measure the effectiveness of the reassessment process with respect to frequency, comprehensiveness, accuracy, implementation, and interdisciplinary approach.

N.J. Admin. Code § 8:39-33.2