SAMPLE POLICY WORK

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Internal Audits: Quarterly internal audits evaluate the accuracy, completeness, and timeliness of the PAE process. Audit findings are reviewed by the Compliance Team and executive leadership for prompt corrective action. Feedback Integration: Feedback from staff is solicited via anonymous digital forms and regular departmental meetings. Suggestions for improvement are documented and analyzed, with requisite changes incorporated during scheduled updates. Staff Training and Refresher Courses: All personnel involved in PAEs are required to attend initial and ongoing training sessions that cover protocol changes, regulatory updates, and best practices. Training attendance and assessment scores are maintained for quality monitoring purposes. Review Meetings: Bi-monthly interdepartmental meetings bring together the assessment team, compliance personnel, and supervisory staff to review recent cases, discuss challenges, and share improvements. Outcomes from these meetings are then documented and circulated among all relevant departments. Regulatory Updates: The Compliance and Regulatory Affairs Team monitors updates to TN.0357.R05.00, TennCare, and related state and federal guidelines. When relevant changes to policies are identified, the entire PAE process is reviewed, and necessary amendments are incorporated with rapid staff notifications.

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j. Integration with Overall Operational Framework The Level of Care Assessment process is integral to the broader operational framework of Simpl Care Services LLC. It interfaces directly with the eligibility determination, service planning, incident management, and quality assurance systems described in other sections of the manual. Consistent with the agency’s overall policy on maintaining transparency, accountability, and regulatory compliance, the PAE process: • Ensures that each prospective client’s care needs are thoroughly evaluated prior to admission. • Provides a documented, centralized, and auditable record of assessment outcomes that can be referenced throughout the client’s duration of service. • Facilitates communication with TennCare and other external regulatory bodies by providing a standardized submission that meets all required guidelines. • Supports interdepartmental collaboration among clinical, administrative, and IT teams to ensure continuous service improvement and adherence to evolving standards.