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Local Network Monitoring Tool

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Local Network Monitoring Tool
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EASTPOINTE

SERVICE ASSESSMENT TOOL

Provider Agency: _______________ Type of Review: ____________ Service Reviewed:_____________________ Date:___________________



Time Period of Review: __________________ Name of Reviewers:_____________________________________________________





SECTION I – QUALITY MANAGEMENT



Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





1. Provider agency follows its P/P dealing with Quality Assurance and Quality

Improvement and has a written plan with evidence of implementation.



Evidence: QM plan, interview with provider management and staff, evidence of

improvements due to QI feedback, ect.







2. Provider agency submits critical incident reports, client rights tracking

form, and grievances as indicated in service contract.



Evidence: Review of data base, reports, and interview with QI Department









COMMENTS FOR SECTION I

SECTION II – PERSONNEL AND STAFF COMPETENCIES



Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





3. Providers demonstrate knowledge, skills, and abilities required by

population served by qualified professionals and paraprofessionals.



Evidence: Review of staffing and training records









4. Provider agency follows its P/P regarding Healthcare registry, driver’s

license, and criminal background checks.



Evidence: Review of Personnel Files including dates for license, criminal

background checks, and copies of healthcare registry.



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





5. For Medicaid services, staff meets standards for services provided and are

appropriately privileged/qualified.



Evidence: Review of personnel/staff records and Area Authority database.



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





6. Staff receives supervision as required per applicable guidelines.



Evidence: Review of personnel records, supervision plans, and supervision

notes/logs.



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





7. Staff training follows agency’s P/P in the areas of Prevention, Restraint,

Seclusion, and Isolation Timeout.



Evidence: Review of personnel records. Staff is trained within required time

frame for services provided as defined in P/P.

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:







COMMENTS FOR SECTION II









REVISED 3/25/04

SECTION III - ASSESSMENT AND SERVICE PLAN



Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





8. Provider agency participates in person centered planning for the

development of the service plan.

Evidence: Service Plan, Provider and Staff Interview. N/A

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:







9. Was the service plan current with the date of service rendered?

Evidence: Review of service records

N/A

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

COMMENTS FOR SECTION III









SECTION IV – SERVICES AND SUPPORTS



Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





10. Provider follows CAP-MR/DD requirements for back-up staff when

necessary.

N/A

Evidence: Family Interview



11. Provider agency adheres to ethical practice standards as addressed in their

P & P.



Evidence: Interview with family, consumer, and Area Authority staff.









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





12. Provider agency will not employ individuals who are legally responsible for

the care and support of the recipient of services as referenced in CFR

440.167 and CAP-MR/DD requirements. N/A

Evidence: Family Interview, Personnel Records, and Medical Records.





13. Is there communication between the Area Authority and Service Provider of

changes in the recipient’s situation (i.e. needs, service delivery) and needed

changes in the service plan? N/A

Evidence: Interview with Area Authority Staff and Provider Staff



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





14. Is there cooperation between the Area Authority and Service Provider when

additional information is needed?

N/A

Evidence: Interview with Area Authority Staff and Provider Staff



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





15. Provider agency bills only for services contracted and authorized/ordered.



Evidence: Review of paid claims with CAP-MR/DD service orders and service N/A

authorization for non-CAP services.

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





16. Is the documentation written and signed by the person who delivered the

services?

N/A

Evidence: Review of service records



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





17. Does the service note/log reflect the staff intervention?



Evidence: Review of service records N/A

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





18. Does the service note relate to client goals listed in the service plan?



Evidence: Review of service records N/A

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





19. Do the units billed match the duration of service?



Evidence: Review of service records N/A

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





20. Does the documentation substantiate the duration of service?



Evidence: Review of service records, Service Documentation Review Sheet, Peer N/A

Review

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





21. Provider maintains a current license for population served and each facility

subject to licensure.

N/A

Evidence: Review of Licensure



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





COMMENTS FOR SECTION IV









SECTION V - MEDICATIONS



22. A physician or other practitioner licensed to prescribe dispenses

medications only on written order.



Evidence: Review of medication orders, medication dispensing log

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet



23. Self-administered medications only when authorized in writing by the

individuals physician,



Evidence: Review of medication logs and medication dispensing log

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:







24. Medications administered only by licensed persons or by properly trained

unlicensed persons.



Evidence: Review of staff qualifications, training, and MAR

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet



25. Current MAR including consumer’s name, name, strength and quantity of

drug, instructions for administering drug, date and time drug is to be

administered, and name and initials of person administering drug.



Evidence: Review of MAR

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:







COMMENTS FOR SECTION V









REVISED 3/25/04

SECTION VI – CLIENT RIGHTS



Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





26. Provider agency reports the need for protective services of a child or

disabled adult as indicated in Contract for Services.



Evidence: Review of critical incident reports and interview with Area Authority

staff and provider staff.







27. Each individual & legally responsible person is informed of rights upon

admission or entry to service in a manner consistent with the person’s level

of comprehension and given a written summary of rights.



Evidence: Review of consent, authorization, & other rights forms with signature,

interview with consumer & family



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





28. Provider agency follows P/P for client rights meetings.



Evidence: Interview with Client rights Coordinator and minutes of provider’s

meetings



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





29. Provider adheres to the P/P that addresses disbursement and use of client’s

personal funds.



Evidence: Interview of Consumers/family/guardian/provider staff and review of

financial records.

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet



30. Atmosphere conducive to sleep and consumer has areas for personal

privacy.



Evidence: Observation, interviews with consumers & family, review of

complaints

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:







31. Individual has rights to decorate their own personal space.



Evidence: Observation, interview with consumer & family



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet





32. Individuals right to dignity, privacy and humane care for personal health,

hygiene, and grooming, including bathtubs and showers that ensure privacy

and handicap facilities if needed.

Evidence: Observation, interviews with consumers & family, review of

complaints

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:





33. Protection of individuals’ personal clothing and possessions from theft,

damage, destruction, loss & misplacement.



Evidence: Inventory forms, observation of personal space, interview with

consumer & family

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

Criteria P/P Met Not N/A Comments

Met **See also back of Sheet



34. Individuals provided with nutritious meals.



Evidence: Menus, adherence to menus &options, consumer interview to include

satisfaction with quantity & quality, food stock, review of complaints

Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:







35. Provider agency has meetings with individuals and staff to determine quality

of care as required in 10A NCAC 27D.0302.



Evidence: Consumer Interview and review of minutes



Chart #1:



Chart #2:



Chart #3:



Chart #4:



Chart #5:



Outcome for Section:









REVISED 3/25/04

COMMENTS FOR SECTION VI









Date of Next QI Review:_____________________



Other Comments: _______________________________________________









FOR QI USE ONLY:



Date Plan Submitted to Provider: ________________



Date Plan of Correction due to Area Authority: _________









REVISED 3/25/04

REVISED 3/25/04

REVISED 3/25/04

REVISED 3/25/04


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