Section DHS 10.24 - Department responsibilities for monitoring resource center quality and operations(1) MONITORING. The department shall monitor the performance and operations of the resource center in all of the following areas:(a) Providing information about long-term care options to persons who could benefit from the information and linking persons to needed services, including family care, when eligible.(b) Respecting individuals' rights and dignity and giving consumers a strong role in program and policy development.(c) Providing early intervention and prevention services.(2) INDICATORS. In order to monitor the performance of the resource center, the department shall develop and use indicators to measure and assess the performance of the resource center in the areas specified in sub. (1). The department shall use indicators to compare performance both within and across resource centers and against other programs in order to enable resource centers to improve the quality of their services. Where possible, the department shall measure indicators against available or created benchmarks and evaluate the resource centers' performance. (3) MEASUREMENT INDICATORS. The department shall measure at least the following indicators: (a) Information and assistance contacts and follow-ups:(b) Persons who have received enrollment counseling who subsequently enroll in family care or who subsequently receive non-family care medical assistance-funded long-term care services.(c) Referrals for, and timeliness of, pre-admission consultation under s. 46.283(4) (g), Stats., and the functional screening.(d) Referrals for medical assistance, supplemental security income, including the increased or exceptional payments, and food stamps.(e) Referrals for emergency help, protective services, and other long-term care services.(f) Grievances, appeals and fair hearings and their disposition.(4) ASSESSMENT INDICATORS. The department shall use the following indicators to assess the performance of the resource center: (b) Consumer satisfaction.(c) Consumer involvement in the planning and governance of the resource center.(d) Collaborative arrangements with community agencies whose services are focused on preventing loss of health or the capacity to function independently in performing activities of daily living.(5) COST-EFFECTIVENESS. The department shall measure resource center cost-effectiveness in carrying out its program responsibilities.(6) REQUIRED REFERRALS. The department shall measure compliance with requirements for referrals to the resource center under subch. VII.(7) FUNCTIONAL SCREENING ACCURACY AND RELIABILITY. The department shall measure the accuracy and reliability of functional screenings, including whether screens result in payment of appropriate rates to CMOs.Wis. Admin. Code Department of Health Services DHS 10.24
Cr. Register, October, 2000, No. 538, eff. 11-1-00; CR 04-040: am. (3) (c) and (f) and (7) Register November 2004 No. 587, eff. 12-1-04.