S.C. Code Regs. § ch. 61, 61-78, 61-78.1500

Current through Register Vol. 48, No. 10, October 25, 2024

Section 61-78.1500 - QUALITY IMPROVEMENT PROGRAM (II)

A. There shall be a written, implemented quality improvement program that provides effective self-assessment and implementation of changes designed to improve the care, treatment, and services provided by the Hospice.

B. The quality improvement program, at a minimum, shall:

1. Establish desired outcomes and the criteria by which policy and procedure effectiveness is regularly, systematically, and objectively accomplished;

2. Identify, evaluate, and determine the causes of any deviation from the desired outcomes;

3. Identify the action taken to correct deviations and prevent future deviation, and the person(s) responsible for implementation of these actions;

4. Establish ways to measure the quality of patient care and staff performance as well as the degree to which the policies and procedures are followed;

5. Analyze the appropriateness of the POC and the necessity of care, treatment, and services rendered;

6. Analyze the effectiveness of the fire plan (hospice facility only);

7. Analyze all accidents and incidents, to include all medication errors and unexpected patient deaths;

8. Analyze any infection, epidemic outbreaks, or other unusual occurrences which threaten the health, safety, or well-being of the patients.

C. A Hospice shall establish a method of obtaining feedback from patients, families, and other interested persons regarding the level of satisfaction with services, treatment, and care provided by the Hospice.

S.C. Code Regs. ch. 61, 61-78, 61-78.1500

Replaced and amended by State Register Volume 40, Issue No. 04, eff. 4/22/2016.