105 CMR 164.038
Evaluation
The Licensed or Approved Provider shall implement an evaluation plan that enables it to
measure progress toward the achievement of its established goals and objectives. The evaluation
plan shall be prepared annually by the Licensed or Approved Provider and reviewed with the
governing body. The plan shall address methods for reviewing appropriateness of patient or
resident care, utilization of service components, methods for achieving compliance with the
federal and state disability laws, and other data and information necessary for analyzing and
improving the efficiency and effectiveness of program services. The Licensed or Approved
Provider shall designate the individual(s) responsible for completing the evaluation plan, and
shall document the application of the evaluation findings to its efforts to improve program
services.