{"ref":"TX-QA-01","title":"Quality Assessment and Performance Improvement","category":"Quality","summary":"The Agency runs a written quality assessment and performance improvement program led by a committee that meets at least twice a year, measures negative client outcomes, staff misconduct complaints, infection control, medication errors, and the appropriateness of complaint responses, and corrects any threat to safety immediately.","inShort":["Report incidents, near misses, and safety concerns the same day you notice them.","The goal is to fix the system, not to blame you for one mistake.","If something threatens a client’s or your own safety, tell Pat Sample right away, don’t wait for a meeting.","Take part in a quality improvement project if you are asked. Your feedback helps fix real problems.","Never put a client’s name on quality papers. Use the client number instead."],"primaryCitation":"26 TAC §558.287","citations":["26 TAC §558.287","26 TAC §558.250","26 TAC §558.282","26 TAC §558.285","26 TAC §558.243","26 TAC §558.251"],"federalCitations":["42 CFR §484.65"],"surveyorAsks":["Show me the minutes of your last two QAPI Committee meetings and the dates.","Which measures do you track, and where is the data for the last period?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.287)","5. Procedure","6. Measures and Data Sources","7. Responsibilities","7.1 Staff Training","8. Records","8.1 Compliance Monitoring","9. References","10. Related Documents","11. Approval","12. Revision History"],"version":"1.1","sample":false,"pack":"tx-pas","state":"Texas","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Home Care Agency","legalName":"Sample Home Care Agency, LLC","logo":null}}