{"ref":"PA-HC-QM-01","title":"Quality Management Plan","category":"Quality","summary":"Sets up the Agency’s quality management plan: measurable goals and data-driven outcomes on the things Pennsylvania rules require (background checks, competency and annual reviews, tuberculosis updates, information packets, incident and abuse reporting, complaints, visits delivered), a quarterly review of the data, actions when a goal is missed, and an annual update approved by the governing body. Required by 55 Pa. Code §52.24 for waiver providers and followed by the Agency for all consumers.","inShort":["The Agency checks its own records every quarter to see whether it is meeting its goals.","Keep logs, visit notes and checklists accurate and on time: they are the data.","When a goal is missed, the Agency finds the cause and assigns actions. Do your part on time.","The plan is updated and approved by the governing body every year."],"primaryCitation":"55 Pa. Code §52.24","citations":["55 Pa. Code §52.24","55 Pa. Code §52.17(f)","55 Pa. Code §52.18(d)","55 Pa. Code §52.21(d)(5)","55 Pa. Code §52.23","35 P.S. §448.806d(b)","28 Pa. Code §611.55(e)","28 Pa. Code §611.56(b)","28 Pa. Code §611.57(c)","28 Pa. Code §611.57(d)"],"federalCitations":[],"surveyorAsks":["Show me your quality management plan and the last two quarterly reviews.","What goals did you miss last quarter, and what did you do about it?"],"forms":[{"ref":"PA-HC-QM-01-A","title":"Quality Management Plan and Quarterly Review"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (55 Pa. Code §52.24)","5. Measures and Goals","6. Quarterly Review","7. Required Additions to the Plan","8. Annual Update","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","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}}