Quality assurance

1. A program shall implement an established written system that provides for internal, professional review of the quality and appropriateness of the program of services for the client. 2. A program shall implement a written quality assurance plan and designate an employee to coordinate that plan. 3. A program shall implement a written policy that provides that peer review must occur at least quarterly and must involve a representative sampling of clients served. The review must be conducted irrespective of sources of funding for the clients and the documented results of the review must: a. Produce a documented list of areas needing improvement and actions taken; b. Be integrated into the individual planning, plan evaluation, and program management activities for the client; c. Be administratively used, in conjunction with results of consumer satisfaction surveys, in program evaluation activities, and in organizational planning; and d. Be reviewed at least annually by the program's administration.