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Annual Program Evaluation and Quarterly Clinical Record Review

Carries out Georgia’s two evaluation duties: an overall evaluation of the Agency’s total program at least once a year, by the group of professional personnel (or a committee of it), Agency staff, and consumers, reported to the governing body and kept as an administrative record; and a review, at least quarterly, of a sample of active and closed clinical records by health professionals representing the scope of the program, documented by dated minutes.

Preview: full text with a package
About this policy
Policy number
GA-HH-QA-01
Version
1.0
Main rule
Ga. Comp. R. & Regs. 111-8-31-.07(8)
Library
Georgia home health · 56 policies
Category
Quality
Sections
23

In short

  • Every quarter, our nurses and therapists review a sample of patient records to check that we follow our own policies.
  • Every year, the group of professional personnel, staff, and patients or families evaluate our whole program and report to the governing body.
  • Your records may be chosen for review. Write complete, same-day notes so they show the care you gave.
  • If a review finds a gap in your practice, your supervisor will go over it with you. Problems that put a patient at risk are fixed the same day.

What's inside

23 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (Ga. Comp. R. & Regs. 111-8-31-.07(8))
  • 5. Quarterly Clinical Record Review
  • 5.1 Reviewers
  • 5.2 Sample
  • 5.3 What Is Checked
  • 5.4 Minutes and Follow-Up
  • 6. Data Collection
  • 7. Annual Program Evaluation
  • 7.1 Who Takes Part
  • 7.2 Timing
  • 7.3 What the Evaluation Covers
  • 7.4 Report and Records
  • 8. Responsibilities
  • 9. Records and Compliance Monitoring
  • 10. Staff Training
  • 11. References
  • 12. Related Policies and Forms
  • 13. Approval
  • 14. Revision History

An inspector may ask

  • Show me your last annual program evaluation. Who took part, including consumers, and when was it reported to the governing body?
  • Show me the dated minutes of your clinical record reviews for the last four quarters. Did they include both active and closed records and services under arrangement?

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