Quality

Does the service and care delivery of the organization reflect person-centered care resulting in enhanced participant outcomes and quality of life?

Community Person-Centered Care

4.1 – How does the organization align participant goals of care with care delivery?
4.2 – How does the organization evaluate the effectiveness of its care planning processes?

Quality Improvement

4.3 – How does the organization develop, implement, and leverage a data management and analysis system that promotes continuous quality improvement and a culture of quality?
4.4 – How does the organization engage stakeholders in quality improvement program activities and inform them of program results?
4.5 – How does the organization leverage a performance evaluation process inclusive of performance measurement and benchmarking to inform on performance improvement priorities?

Regulatory and Accreditation

4.6 – How does the organization communicate compliance program expectations to all staff and contractors to promote a culture of compliance?
4.7 – How does the organization leverage external accreditation, certification and other recognition programs to enhance its quality of care and services?

Participant Engagement and Satisfaction

4.8 – How does the organization solicit feedback from participants and leverage related data to improve care and services?

Clinical Effectiveness

4.9 – How does the organization ensure clinical practices and care delivery are current and evidence-based?
4.10 – How does the organization evaluate the effectiveness of care delivery?

Culture of Safety

4.11 – How does the organization implement a fair and just culture to improve patient safety and promote a culture of safety?
4.12 – How does the organization assess and respond to actual and potential adverse events?