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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 450. Department of Mental Health and Substance Abuse Services |
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Chapter 18. Standards and Criteria for Substance Related and Addictive Disorder Treatment Services |
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Subchapter 5. Organizational and Facility Management |
SECTION 450:18-5-2.2. Information analysis and planning
Latest version.
- (a) The facility shall have a defined and written plan for conducting an organizational needs assessment which specifies the methods and data to be collected to include, but not limited to, information from:(1) Consumers;(2) Governing Authority;(3) Staff;(4) Stakeholders;(5) Outcomes management processes;(6) Quality record review; and(7) Self-assessment tools to determine progress toward co-occurring, recovery oriented, trauma informed, and consumer driven capability.(b) The facility shall have a defined ongoing system to collect data and information on a quarterly basis to manage the organization.(c) Information collected shall be analyzed to improve consumer services and organizational performance.(d) The facility shall prepare an end of year management report which shall include, but not be limited to:(1) An analysis of the needs assessment process;(2) Performance improvement program findings; and(3) Claims and accomplishments by facilities, including but not limited to consumer count and success rates, which may be verified by the ODMHSAS Board.(e) The management report shall be communicated and made available to, among others:(1) Governing authority;(2) Facility staff; and(3) ODMHSAS, as requested.(f) Compliance with OAC 450:18-5-2.2 shall be determined by a review of the written program evaluation plans; written annual program evaluations; special or interim program evaluations; program goals and objectives; and other supporting documentation provided.