Quality Assurance
Overview
Providing quality services and effective outcomes are vital to the operation of all services. Therefore, PAIS, Inc. maintains a comprehensive Quality Assurance Program to ensure that effectiveness, efficiency, and client satisfaction is maintained in all our services.
The Quality Assurance Program consists of following components:
Client/Guardian Satisfaction Survey
Satisfaction Surveys are mailed to each client and/or guardian twice each year. Upon completion, the surveys are returned and the results summarized in a report. This report identifies areas for continued improvement in our service delivery based on the client’s and/or guardian’s comments and suggestions.
QA Review
General, as well as focused, reviews of all processes are conducted by the Quality Assurance Director at the discretion of the Quality Assurance Director and the Waiver Coordinator/Executive Director. Items and processes reviewed include Personnel Files, Client Clinical Charts, Program Charts, Progress Notes, Billing, Direct Service Delivery, and Nursing Services. The Quality Assurance Director utilizes the Title XIX tool to review each location.
Internal Review Committee
The Internal Review Committee, composed of the Executive Director, the Quality Assurance Director, the Nursing Director, and the Clinical Directors, meets monthly and reviews the following items:
QA Reviews
Reports of Abuse/Neglect and Critical Incidents
Local / Location Internal Review Committee Minutes
Staff Turnover
Staff No Calls / No Shows
Staff Disciplinary Actions
Staff Schedules and Hours Worked
Human Rights Committee Minutes / Activity
Client Grievances
Staff Grievances
Discharges
Admissions
Billing Audits
Interagency Agreements
Upon completion of the meeting, a report summarizing the review process and making recommendations is provided to each Clinical Director for corrective and/or preventative action. The progress of each Clinical Director in following up on the recommendations made in the report is then reviewed at the next monthly meeting.