LAC 48:I.5061. Quality Enhancement Plan

A. An HCBS provider shall develop, implement and maintain a quality enhancement (QE) plan that: 1. ensures that the provider is in compliance with federal, state, and local laws; 2. meets the needs of the provider’s clients; 3. is attaining the goals and objectives established by the provider; 4. maintains systems to effectively identify issues that require quality monitoring, remediation and improvement activities; 5. improves individual client outcomes and individual client satisfaction; 6. includes plans of action to correct identified issues that: a. monitor the effects of implemented changes; and b. result in revisions to the action plan; 7. is updated on an ongoing basis to reflect changes, corrections and other modifications. B. The QE plan shall include: 1. a process for identifying on a quarterly basis the risk factors that affect or may affect the health, safety and/or welfare of the clients of the HCBS provider receiving services, that includes, but is not limited to: a. review and resolution of complaints; b. review and resolution of incidents; and c. incidents of abuse, neglect and exploitation; 2. a process to review and resolve individual client issues that are identified; 3. a process to review and develop action plans to resolve all system wide issues identified as a result of the processes above; 4. a process to correct problems that are identified through the program that actually or potentially affect the health and safety of the clients; and 5. a process of evaluation to identify or trigger further opportunities for improvement in identification of individual client care and service components. C. The QE program shall hold bi-annual committee meetings to: 1. assess and choose which QE plan activities are necessary and set goals for the quarter; 2. evaluate the activities of the previous quarter; and 3. implement any changes that protect the clients from potential harm or injury. D. The QE plan committee shall: 1. develop and implement the QE plan; and 2. report to the administrator any identified systemic problems. E. The HCBS provider shall maintain documentation of the most recent 12 months of the QE plan.