{"ref":"LA-HC-QE-01","title":"Quality Enhancement Plan","category":"Quality","summary":"Sets out the Agency’s quality enhancement (QE) plan under LAC 48:I.5061: a QE committee that meets every quarter (the rule requires at least bi-annual meetings), a quarterly review of the risk factors that affect client health, safety and welfare (complaints, incidents, and abuse, neglect and exploitation), action plans for individual and system-wide issues, reporting to the Administrator and governing body, and keeping at least 12 months of QE records.","inShort":["Every quarter the Agency reviews complaints, incidents and abuse reports to find risks to clients.","Your reports, visit records and EVV entries are the data the quality committee uses, so make them accurate.","Problems that affect client health or safety are fixed at once, not at the next meeting.","Tell your supervisor about anything that could be done better; good ideas go to the committee."],"primaryCitation":"LAC 48:I.5061","citations":["LAC 48:I.5061","LAC 48:I.5029.A.4","LAC 48:I.5027.B.1","LAC 48:I.5055.M.3","LAC 48:I.5055.M.5"],"federalCitations":[],"surveyorAsks":["Show me your quality enhancement plan and the minutes of the last two QE committee meetings.","How do you identify risk factors each quarter? Show me the review of complaints, incidents and abuse allegations."],"forms":[{"ref":"LA-HC-QE-01-A","title":"Quarterly Risk Factor Review and QE Committee Minutes"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5061)","5. The QE Committee","6. Quarterly Risk-Factor Review","7. Individual Client Issues","8. System-Wide Issues and Action Plans","9. Correcting Health and Safety Problems at Once","10. Evaluation and Improvement","11. Reporting","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}