11.001 - Quality Assurance
QUALITY ASSURANCE
Assuring quality delivery of services at Recovery Works is of the utmost importance. An ongoing quality assurance process is hereby established and is to be implemented.
The purpose of Quality Assurance is to:
Identify areas of treatment problems to be addressed on an immediate and long term basis,
Establish and monitor criteria by which the quality and appropriateness of treatment are to be measured,
Analyze the outcomes,
Make recommendations for change as needed and
Monitor changes to ensure problem resolution.
Quality Assurance, for Recovery Works falls under two categories.
The first is immediate quality control issues (or index cases). These issues are to be identified in the weekly Quality Assurance meeting. This meeting is attended by staff members, who through their position, have knowledge of specific situations with clients that need to be addressed.
Any issues that are preventing a student from progressing through their program at optimum speed are identified and assigned to the appropriate staff member for resolution.
The second category of Quality Assurance is longer term and is done for the purpose of collecting data in order to determine norms. Establishing a baseline will allow for staff members to recognize indicators which may signal a problem in student service and care. These situations are called “outliers”. An example of an outlier would be extended program length for one or more students compared to an average.
The following indicators are to be monitored and assessed by the Quality Assurance program:
Total number of students on the program
Number of monthly admits
Percentage of students who complete and graduate program
Number of elopements
Number of students who leave against professional advice
Graduate follow-up includes monitoring the following;
Percentage of students who successfully return to their school, job and family
Percentage of students with reduced involvement in the judicial system
Percentage of students reporting sobriety at 30 days, 90 days, 6 months and 1 year
Upon review of this data recommendations will be made to the board of directors regarding changes in policy and additional staff training. Resulting changes to the polices and procedures will be recorded in the Quality Assurance log.
Client REcords
Staff Records
Keep records
Update to polices to reflect emr
Prepare file audit and keep statistics on corrected actions