(a) The Partial Hospitalization Program shall have an ongoing performance improvement program designed to objectively and systematically monitor, evaluate and improve the quality of client care.
(b) The Performance improvement program shall also address the fiscal management of the organization.
(c) There shall be an annual written plan for performance improvement activities. The plan shall include, but not be limited to:
(1) Outcomes management processes specific to each program component minimally measuring:
(2) A quarterly record review to minimally assess:
(A) quality of services delivered;
(B) appropriateness of services;
(C) patterns of service utilization;
(D) clients, relevant to:
i. their orientation to the Partial Hospitalization Program and services being provided; and
ii. their active involvement in making informed choices regarding the services they receive;
(E) the client assessment information thoroughness, timeliness and completeness;
(F) treatment goals and objectives are based on:
i. assessment findings; and
(G) services provided were related to the goals and objectives;
(H) services are documented as prescribed by policy;
(I) the treatment plan is reviewed and updated as prescribed by policy
(3) Clinical privileging;
(4) Fiscal management and planning, which shall include:
(A) an annual budget that is approved by the governing authority and reviewed at least annually;
(B) the organization's capacity to generate needed revenue to produce desired client and other outcomes;
(C) monitoring client records to ensure documented dates of services provided coincide with billed service encounters; and,
(5) Review of critical incident reports and client grievances or complaints.
(d) The Partial Hospitalization Program shall monitor the implementation of the performance improvement plan on an ongoing basis and makes adjustments as needed.
(e) Performance improvement findings shall be communicated and made available to, among others:
(1) the governing authority;
(2) Partial Hospitalization Program staff; and
(3) DHS if and when requested.
Credits
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.23.4-156.000, AR ADC 016.23.4-156.000
