SAMPLE POLICY WORK

IT and Records Management Teams • Responsibilities:

– Ensure that all data collection, reporting, and documentation systems are available, secure, and user-friendly. • Key Actions: – Manage electronic systems that track KPIs, incident reports, training records, and quality reports. – Generate automated alerts for data anomalies or system maintenance issues. – Support interdepartmental communications by providing technical expertise on digital dashboards and data visualization tools.

Compliance and Regulatory Affairs Teams • Responsibilities:

– Ensure that all QI processes, data collection, and corrective actions comply with TN.0357.R05.00, TennCare, and relevant state and federal guidelines. • Key Actions: – Conduct regular internal audits and coordinate with external regulatory agencies during inspections. – Integrate feedback from regulatory updates into our QI processes and provide targeted training on emerging requirements. – Document findings from audits and guide the development of corrective action plans. e. Procedural Guidance for Quality Improvement The Quality Improvement process is based on a structured, cyclical approach that involves careful planning, effective implementation, continuous monitoring, and iterative revision. Our framework is aligned with the widely recognized Plan-Do-Study-Act (PDSA) model.

Step 1: Plan •

Identify Improvement Areas: –

Use data collected from client satisfaction surveys, incident reports, performance audits, and feedback sessions. – Prioritize issues based on frequency, severity, and impact on quality of care. • Develop Action Plans: – Define specific, measurable objectives and targets.