QUALITY ASSESSMENT AND IMPROVEMENT COMMITTEE

 

POLICY STATEMENT:

The Division of Veterans Healthcare Services requires each of the New Jersey Veterans Memorial Homes to establish manuals of policies and procedures for providing services. Procedures shall permit the organization of committees, as needed, to ensure compliance with the New Jersey Standards for Licensure of Long Term Care Facilities, and with applicable Federal and New Jersey State Administrative Codes, related laws, regulatory and licensing standards.

PROCEDURE:

A. New Jersey Veterans Memorial Homes

  1. The New Jersey Veterans Memorial Homes shall establish an interdisciplinary Quality Assessment and Improvement Committee charged with monitoring all facility services for the purpose of achieving and maintaining the highest quality/practical physical, mental, and psychosocial well being of the residing population of residents, in accordance with the comprehensive assessment and the plan of care. The Committee shall also administer the implementation of a Utilization Review Committee to ensure the appropriate and efficient utilization of facility services, auditing the documented care of residents at designated intervals.
  a. Quality Assessment and Improvement Committee and Utilization Review Committee
  1. Committee membership shall be representative of the following services:
  Quality Improvement Coordinator (Chairperson)
Administrative Departments (TBD by Chair)
Clinical Service Departments (TBD by Chair)
Support Service Departments (TBD by Chair)
(Others as necessary)
 

2. Committee membership will serve as a functional group, designated individuals charged with implementing a continuous program for monitoring services, identifying problem areas, data collection, compiling reports of findings, and pursuing corrective actions to address identified problems with care and services.

3. The Committee shall function as an advisory group, which serves as the organizational line of communication between departments and administration with respect to facility services for the purpose of assuring compliance with Federal and State regulatory and licensing requirements, ensuring the appropriate and efficient utilization of facility services, and for facilitating improvement in services.

4. The Quality Assessment and Improvement Committee shall meet at least quarterly, in accordance with applicable Federal and State rules, regulations, and standards, for the purpose of administering a quality assessment and improvement program, and for the periodic assessment of the appropriate and efficient utilization of facility services at designated intervals. Minutes of each of these meetings will be kept, and copies of the meeting minutes will be forwarded to the Director, Division of Veterans Healthcare Services/designee, for review.

 

 

Revised: July 2005

 


 

COMMUNICATIONS/COMMITTEES - 13-02-005

_

« Communications/Committees Table of Contents