Quality Assurance and Activities. Regulations for QA. What is Quality Assurance in Activities? Julie Reginek MS, ACC, EDU, CDP Ridgewater College

Transcription

1 Quality Assurance and Activities Julie Reginek MS, ACC, EDU, CDP Ridgewater College 1 Regulations for QA All facilities have a QA program F249 Qualification of Activity Director references QA; Ongoing evaluation of activity program Review and evaluate responses to programs Has developed, implemented, supervised and evaluated the activity program 2 What is Quality Assurance in Activities? A set of standards that represent commitment to quality of life Identifying problems and fixing them Proactive versus Reactive Identify things doing right Evaluating activity services by comparing them to accepted standards Continuous evaluation process 3 1

2 Quality Assurance is Process Organized, systematic, done on a regular basis Identifies areas of improvement Detects potential problem areas Design action plan for fixing issues 4 Quality Assurance is Measurable Specific outcomes as identified in criteria Data collection Conclusion is concrete evidence of what needs to be changed Usable Able to use information/results to make changes or continue with process 5 Quality Assurance is Interdisciplinary Sharing with all departments on what you did and why Evaluative Problem solving in nature and leads to change and direct resident outcome Staff efficiency 6 2

3 Quality Assurance is NOT A mission statement Summary of service, staff Surveys 7 Quality Assurance Programs Sets standards and methods for both physical and service areas Provides a measuring tool for evaluation of standards Presents result of surveys and methods for correction Includes regulatory standards (F248/249) Provides recognition of employee success when QA shows no issues 8 QA s 3 Approaches Structure Setting in which care/service is given, staff qualifications, available facilities, resources, equipment Process The way care/service is provided, frequency, methods, staff actions and behavior Outcome Concerned with end results, what actually happens as a result of care/services Most difficult to measure 9 3

4 Monitoring QA Terminology Observing, checking, gathering information Trends, patterns, potential problems identified and QA topics established from this Indicator A specific component of care that is monitored to give an accurate picture It can be related to outcome, activities, satisfaction, performance or use of resources State in form of question 10 QA Terminology cont. Criteria (Goal) Means by which achievement can be measured Stated in terms that are precise, objective, measurable, realistic, relevant and understandable Standards The desirable and realistic performance expectations- a number or percent Developed by professional organizations, regulatory agencies or other external sources 11 Step 1 Identify the Issues What needs to be studied and why How? Other elements to consider QA areas 12 4

5 Step 2 Establishing Indicator(s) A statement of what your service should look like State in form of question Is documentation being done correctly? Turn question into statement (criteria) Documentation of one to one activities will have the correct information 13 Step 3 Develop Criteria and Standard Criteria States what the issue should be Standard Desired outcome that is stated in a measurable way; number or percent 14 Step 4 Collect Data How will you collect the data? Chart audits, surveys, observations Develop data collection form to record findings 15 5

6 Step 5 Analyze Data and Take Action Review and assess the data Gaps Are there problems? What, where, how serious Determine the problem areas to work on Formulate action plan for improvement Implement the action plan- need to fix-it No problems- how to continue 16 Step 6 Re-evaluate After Steps 1-5; Did the plan work? Do problems still remain? Is there improvement? If not, return to steps 4-5 Identify new issues or continue to work on the existing Problems not solved plan a new strategy Problems solved develop new plan for other issues 17 Topic: Indicator Criteria Standard Collect Data Analyze 18 6