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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 60. Standards and Criteria for Certified Eating Disorder Treatment Programs |
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Subchapter 15. Performance Improvement and Quality Management |
SECTION 450:60-15-1. Performance improvement program
Latest version.
- (a) The CEDT shall have an ongoing performance improvement program designed to objectively and systematically monitor, evaluate and improve the quality of consumer care.(b) The Performance improvement program shall also address the fiscal management of the organization.(c) The facility shall have an annual written plan for performance improvement activities. The plan shall include but not be limited to:(1) Outcomes management specific to each program component which minimally measures:(A) efficiency(B) effectiveness, and(C) consumer satisfaction.(2) A quarterly quality consumer record review to evaluate and ensure, among others(A) the quality of services delivered;(B) the appropriateness of services;(C) patterns of service utilization;(D) consumers are provided an orientation to services, and actively involved in making informed choices regarding the services they receive,(E) assessments are thorough, timely and complete;(F) treatment goals and objectives are based on, at a minimum:(i) assessment findings, and(ii) consumer input;(G) services provided are related to the treatment plan goals and objectives;(H) services are documented as prescribed by policy; and(I) the treatment plan is reviewed and updated as prescribed by policy.(3) Clinical privileging; and(4) Review of critical and unusual incidents and consumer grievances(d) The CEDT shall monitor the implementation of the performance improvement plan on an ongoing basis and make adjustments as needed.(e) Performance improvement findings shall be communicated and made available to, among others:(1) the governing authority(2) facility staff, and(3) ODMHSAS if and when requested.