Performance Improvement Plan and Activities

The CSU and any associated CSC and/or Temp Obs functions shall develop a quality assurance plan and update it annually: 1. The quality assurance plan shall address and ensure a comprehensive integrated review of all services and practices which shall include, but shall not be limited to the following: a. | High-risk situations and special cases (such as suicide, death, serious injury, violence and abuse of any individual) are reviewed within twenty-four (24) hours; b. | Medical emergencies; c. | Medication variance; d. | Infection control; e. | Emergency safety interventions including any instances of seclusion or restraint; and f. | Environmental safety and maintenance, including an environmental scan which self-assesses risk for individuals served by or working in the facility and identified strategies and subsequent plans for mitigating those risks. 2. | The quality assurance plan shall use performance measures and data collection that continually assess and improve the quality of the services being delivered; 3. | The quality assurance committee shall submit a quarterly report to the nursing administrator, medical director, agency CEO, and governing body for their review and appropriate action; 4. | The CEO and governing body shall evaluate the facility's effectiveness in improving performance. Authority: O.C.G.A. Sec. 37-1-29 . History. Original Rule entitled "Confidentiality" adopted. F. Jun. 30, 2011; eff. July 20, 2011. Repealed: New Rule entitled "Performance Improvement Plan and Activities" adopted. F. Mar. 9, 2015; eff. Mar. 29, 2015.