Ga. Comp. R. & Regs. 82-3-1-.20

Current through Rules and Regulations filed through August 27, 2024

Rule 82-3-1-.20 - 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.

Ga. Comp. R. & Regs. R. 82-3-1-.20

O.C.G.A. Sec. 37-1-29.

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Repealed: New Rule entitled "Performance Improvement Plan and Activities" adopted.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.