Quality Management

Quality Management A. Agency providers must put in place quality management strategies to: 1. Collect performance indicators/measures as required by DMH as applicable, based on provider type. 2. Develop and implement policies and procedures for the oversight of collection and reporting of DMH required performance indicators/measures, analysis of serious incidents, periodic analysis of DMH required client-level data collection, review of agency provider-wide Recovery and Resiliency Activities, and oversight for the development and implementation of DMH required Plans of Compliance. 3. Collect demographic data to monitor and evaluate cultural competency and the need for Limited English Proficiency services. DMH may utilize a cultural competency and linguistic check list to monitor provider compliance. 4. Ensure that IDD Services are designed to provide Person-Centered Practices which support individual rights and provide opportunity for inclusion in the greater community. Agency providers must comply with the HCBS Settings Final Rule and develop quality measures to ensure ongoing compliance. Any restriction or limitation to any requirement of the HCBS Settings Final Rule must be applied to a person, must be based on the person’s specific assessed needs, and documented in the person’s Plan of Services and Supports. B. Quality management strategies include DMH-certified providers, by provider type, as applicable, whether the provider receives funding from/through DMH. C. DMH-certified providers receiving funding from/through DMH must adhere to all grant funding requirements. D. Applicable DMH-certified providers, as indicated by DMH, must utilize a DMH-approved Consumer Satisfaction Survey. E. DMH/C providers must meet established performance indicators and report the data identified by DMH, as required for performance indicators assessment to DMH. CMHCs will be audited on these indicators on a schedule, as determined by DMH. The established indicators include, but are not limited to the following: 1. Compliance with DMH Operational Standards (site visit results). 2. Fidelity review results for required services. 3. Fiscal audit (including cash balances, DOM billing, etc.). 4. Access to Care – Key Performance Measures: (a) Unduplicated number of people served; (b) Usage of appropriate services (e.g., volume of outpatient/clinic services); (c) Hospital utilization for the region; and (d) Numbers of commitments/admissions, access to Crisis Residential Services, number of pre-affidavits/diversions, location of wait, etc.