Organization Requirements

(1) All providers shall operate in a manner that supports positive outcomes for individuals in all of the services and supports offered and shall have policies, procedures and systems that: (a) support people in reaching their goals and aspirations; (b) reflect the values expressed in the Department's Mission Statement; (c) are understood and carried out by staff; and (d) are dynamic documents that are reviewed and revised as necessary to stay current with best practice in the field. (2) All providers shall have an effective internal quality management and improvement system that: (a) regularly gathers data on program and service quality, including but not limited to, incidents, restraints, investigations and other program quality information; (b) regularly reviews the quality data gathered and information from the Department's reviews of its contract and performance based outcomes; (c) actively involves individuals and families and must include, but not be limited to, an evaluation of the individual's satisfaction with the services provided; and (d) implements service improvements to address issues identified through internal and external reviews and feedback. (3) All providers shall establish a formal mechanism such as a governing board that provides oversight to ensure the provision of quality supports to individuals and their families and that conducts an annual performance evaluation of the provider's chief executive officer. (4) All providers shall have a process for developing long range plans for the organization.