SECTION 450:65-7-7. Information analysis and planning  


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  • (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; and
    (6)   Quality record review.
    (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 program 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; and
    (2)   performance improvement program findings.
    (e)   The management report shall be communicated and made available to, among others:
    (1)   the governing authority;
    (2)   facility staff; and
    (3)   ODMHSAS, as requested.
    (f)   Compliance with 450:65-7-7 may be determined by a review of:
    (1)   policy and procedures;
    (2)   performance improvement program documents and reports;
    (3)   staff interviews; and
    (4)   any other relevant documentation of the facility.
[Source: Added at 24 Ok Reg 2623, eff 7-12-07]