105 CMR 143.015
Evaluation of Quality
(A) Each program shall establish an organized, comprehensive quality assurance program that is
adequate to regularly review and evaluate the quality and appropriateness of care provided. The
quality assurance program shall:
(1) be defined in writing;
(2) identify an individual to be responsible for the implementation and continuityof the program;
(3) be re-evaluated at least annually; and
(4) describe the mechanisms in effect to identify and resolve problems.
(B) The findings of the program shall, as appropriate, be utilized in the revision of program policies
and procedures.
(C) The medical director and rehabilitation team members shall participate in the review process.
(D) Each program shall maintain program statistics.