Quality Assurance Management System

							    Quality Assurance Management
    System
                         QAMS
                    Provider Regional
                        Meetings




1
    Quality Assurance Communication
    (pg 16-18)

       Communication between the RPO and the provider
        that identifies:
        –   Questions, concerns, and praise related to quality measures
        –   Areas of growth
        –   Areas of excellence
        –   Training Opportunities
       Provide RPO, providers, and case managers an
        opportunity to share information and communicate a
        plan to improve the quality of services
       Think of it as a learning tool

2
    QAR QAC
    When an issue is identified during the agency quality assurance
      review
     Reviewer generates a quality assurance communication (QAC)


       Three types of QACs generated during a review
               QAR
               QAR Standard
               QAR Consumer

       QACs are submitted as a group




3
    QAR QACs Continued

       QAR Standard
        –   Connected to either a provider prepared standard
            or on-site standard
       QAR Consumer
        –   Connected to a consumer visit
       QAR
        –   A QAC generated during a review that is not
            associated with a standard or a consumer visit

4
    QAR QACs: Reviewer Info

       Reviewer identifies the issue or best practice
        and how it was discovered

       Reviewer references the review standard
        (when applicable)

       Reviewer references the manual (when
        applicable)

5
    QAC Provider Response

       You must enter information in the Provider
        Response boxes

        –   QAC Cause:
               Describe the cause
               Be specific to individual circumstances
               Think broadly about system issues that may have
                caused the issue



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    QAC Provider Response Cont

        –   QAC Action:
                Describe the provider follow-up action
                Address specific QAC issue
                Address prevention of future issues and assurance of program
                 compliance in the future


       Remember: You must enter text in both of these
        boxes to submit the QAC to the RPO!
       Feel free to submit additional documentation and
        material, i.e., in-service training, compliance tool,
        letter, updated service plan, etc.

7
    QAC Closure

       *Closed Resolved – Provider response is adequate
        and provides necessary action, documentation or
        follow up.
       *Closed Unresolved – Provider response does not
        meet expectation and agreement cannot be reached.
       *Closed with Follow Up QAC – Provider response
        misses intent of request or partially meets the intent.
        Follow-up QAC provides more specifics of what is
        needed from the provider.

    QAC closure is required prior to review closure
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    QAC Search (pg 18)

       Use this screen to find a QAC that an RPO
        sends you
        –   Search by QAC Number
       Use this screen to search for QACs that are
        not closed
        –   Search by Status
       Use this screen to search for QACs
        generated during a quality review
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     Trouble Shooting Tips (pg 19-20)

        Navigating Drop-down lists
        Required Fields
        If you delete text accidentally
        Use your submit buttons to finish your action
        Use your scroll bar to see all the information
         in fields


10
     QAMS Questions?

        Ask a co-worker
        Call your RPO

        Make sure to notify the RPO when a staff
         member who has access to QAMS leaves
         your agency so their system access can be
         blocked!

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