3701-19-22 Quality assessment and performance improvement.

(A) Each hospice care program governing body shall conduct an ongoing, comprehensive, integrated, self-assessment of the quality and appropriateness of care provided by the program, including inpatient care, home care, and care provided under contracts with other persons or public agencies.

Interpretive guideline: This assessment should include all services that were indicated and provided, and the patients' and caregivers' response or outcome to those services.

(B) The hospice care program shall designate an individual or individuals to be responsible for the quality assessment and performance improvement program. The designee or designees shall implement and report on activities and mechanisms for monitoring the quality of care, identify and resolve problems, and make suggestions for improving care. The designee or designees shall provide their reports to the governing body of the program.

(C) The hospice care program shall use the findings of the quality assessment and performance improvement program to correct identified problems and to revise hospice care program policies if necessary.

Effective: 08/23/2009
R.C. 119.032 review dates: 05/19/2009 and 08/15/2014
Promulgated Under: 119.03
Statutory Authority: 3712.03
Rule Amplifies: 3712.01 , 3712.03 , 3712.06
Prior Effective Dates: 12/31/1990, 1/1/05