N.J. Admin. Code § 8:42-14.2

Current through Register Vol. 56, No. 9, May 6, 2024

Section 8:42-14.2 - Quality assurance policies and procedures

(a) The quality assurance plan shall be reviewed at least annually and revised as necessary.

1. Responsibility for reviewing and revising the plan shall be designated in the plan itself.

(b) The quality assurance program shall include regularly collecting and analyzing data to help identify health-service problems and their extent, and recommending, implementing and monitoring corrective actions on the basis of these data.

(c) The quality assurance plan shall designate the frequency of data collection to ensure regular monitoring of patient care activities.

(d) The ongoing quality assurance activities shall include, but not be limited to:

1. Incident review;

2. Evaluation of patient care services and statistics;

3. Monitoring of infection prevention and control;

4. Evaluation of staffing patterns and staff qualifications and credentials;

5. Evaluation of clinical competence of all clinical practitioners;

6. Evaluation of staff orientation and staff education;

7. Evaluation by patients and their families of care and services provided by the agency; and

8. Audit, at least quarterly, of patient medical/health records (including those of both active and discharged patients) to determine if care has conformed to criteria established by each patient care service for the maintenance of quality of care.

(e) The results of the quality assurance program shall be submitted to the governing authority at least annually, and shall include at least deficiencies found and recommendations for corrections or improvements.

1. The administrator, with the approval of the governing authority, shall implement measures to ensure that corrections or improvements are made.

N.J. Admin. Code § 8:42-14.2

Amended by 48 N.J.R. 1445(a), effective 7/18/2016

Amended by 55 N.J.R. 2546(a), effective 12/18/2023