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Annual Evaluation and Quality Improvement

The governing body's annual review and evaluation of all policies and procedures under 22-B DCMR §9906.2(c) to (e): the client feedback sample (ten percent of District clients or 40 District clients, whichever is less), the review of all complaints and incidents, the written report with recommendations, and the governing body's documented action. Also sets the quarterly quality indicators the Agency tracks as its own standard throughout the year.

Preview: full text with a package
About this policy
Policy number
DC-HC-QA-01
Version
1.0
Main rule
22-B DCMR §9906.2(c)
Library
Washington, DC home care · 50 policies
Category
Quality
Sections
19

In short

  • Every year the governing body reviews all of the Agency's policies to make sure services are appropriate, adequate, effective and efficient.
  • The review includes feedback from clients and every complaint and incident from the year.
  • Encourage clients to fill in the feedback survey. Pass any problem a client raises to the office as a complaint.
  • Each quarter the Agency checks key measures, such as 90-day nurse visits and on-time complaint responses.
  • The governing body acts on the yearly report, and DC Health can review what it decided.

What's inside

19 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 (22-B DCMR §9906.2(c))
  • 5. The Annual Cycle
  • 6. Client Feedback
  • 7. Review of All Complaints and Incidents
  • 8. Review of All Policies and Procedures
  • 9. Quarterly Quality Indicators
  • 10. The Written Report
  • 11. Governing Body Action
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Show me last year's annual evaluation report and the governing body's action on it.
  • How many clients' feedback did you review, and how did you choose them?

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