Utah Admin. Code 432-700-19

Current through Bulletin No. 2024-21, November 1, 2024

Section R432-700-19 - Quality Assurance

(1) The quality, appropriateness, and scope of services provided shall be reviewed and evaluated annually by the governing body to determine overall effectiveness in meeting agency objectives.

(2) The administrator shall conduct an annual evaluation of the licensee's overall program and submit a written report of the findings to the governing body.

(3) The licensee shall demonstrate concern for cost of care by evaluating:

(a) relevance of health care services;

(b) appropriateness of treatment frequency;

(c) use of less expensive, but effective resources when possible; and

(d) use of ancillary services consistent with client needs.

(4) An interdisciplinary quality assurance committee shall evaluate client services on a quarterly basis. A written report of findings from each meeting shall be submitted to the administrator and shall be available in the home health agency.

(a) Each member of the interdisciplinary quality assurance committee shall be appointed by the administrator for a given term of membership.

(b) The interdisciplinary quality assurance committee shall have a minimum of three members who represent three different licensed or certified health care professions.

(5) The methodology for evaluation by the interdisciplinary quality assurance committee shall include:

(a) review and evaluation of active and closed client records to ensure that established policies and procedures are being followed. The licensee shall ensure that the policy and procedure determines the methods for selecting and reviewing a representative sample of records;

(b) review and evaluation of coordination of services through documentation of written reports, telephone consultation, or case conferences; and

(c) review and evaluation of plans of treatment for content, frequency of updates and whether clinical notes correspond to goals written in the plan of care.

Utah Admin. Code R432-700-19

Amended by Utah State Bulletin Number 2022-05, effective 2/14/2022

Amended by Utah State Bulletin Number 2023-14, effective 7/6/2023