Regulation detail

Pa. Code 5230.81

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Pa. Code 5230.81 active

Quality improvement requirements

Jurisdiction: PA Agency: Pennsylvania Department of Human Services (OMHSAS) and Department of Drug and Alcohol Programs (DDAP)
OUTPATIENT (60%)
Plain-English summary

A Psychiatric Rehabilitation Services (PRS) agency must establish and implement a written quality improvement (QI) plan that includes an annual review of service quality, timeliness, appropriateness, outcomes, individual record reviews, and client satisfaction. The agency must document that individuals served participate in QI plan development and follow-up. A written report summarizing findings and corrective actions must be prepared and made available to the public.

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Regulation text
55 Pa. Code § 5230.81 - Quality improvement requirements 

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(a)
 A PRS agency shall establish and
 implement a written QI plan that meets the following requirements: 
 
(1)
 Provides for an annual review of the
 quality, timeliness and appropriateness of services, including the following: 
 
(i)
 Outcomes for PRS.

(ii)
 Individual record reviews.

(iii)
 Individual satisfaction.

(iv)
 Number of individuals admitted to PRS
 that did not have a diagnosis listed in §
 
5230.31
(a)(2)

 (relating to admission requirements).

(iv.1)
 Average length of duration of PRS for
 individuals who did not have a diagnosis listed in §
 
5230.31
(a)(2)
.

(v)
 Evaluation of compliance with the
 approved agency service description.

(2)
 Identifies reviewers, frequency and types
 of reviews and methodology for establishing sample size.

(b)
 A PRS agency shall document that
 individuals served participate in QI plan development and follow up.

(c)
 A PRS agency shall prepare a report that:
 
(1)
 Documents analysis of the findings of the
 annual review required under subsection (a).

(2)
 Identifies actions to address annual
 review findings.

(d)
 A PRS
 agency shall make the report available to the public.

Notes

55

 Pa. Code §
 
5230.81

Amended by
 
Pennsylvania
 Bulletin, Vol. 55, No. 03, January 18, 2025
, effective
 
1/18/2025

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