Appendix 210-B Quality Improvement Data

Georgia State Seal

Georgia Division of Aging Services
Home and Community-Based Services Manual

Chapter:

200

Effective Date:

10/26/2021

Section Title:

Quality Improvement Data

Reviewed or Updated in:

MT 2021-01

Section Number:

Appendix 210-B

Previous Update:

MT 2021-01

Quality Improvement Data

In establishing quality improvement programs, case management organizations will collect and analyze information through case reviews by supervisory or other management staff to ensure achievement of service goals as established in individual client Service Plans.

Supervisors should use the following data at a minimum in its analysis:

  • Client-specific data, such as DON-R or other assessment score

  • Comparison of client-specific desired outcomes per the Service Plans with actual results, including improvements in client knowledge or compliance with treatment, involvement in self-care, meeting goals identified in the Service Plan, or degree of empowerment

  • Quality, accuracy, and timeliness of documentation

  • Information leading to the identification of best practices in case management

Program Implementation

Aspects of client care that will contribute to the quality improvement plan may include but not be limited to:

  • Individual satisfaction with case management services

  • Number, frequency, and nature of case management related complaints, appeals, and grievances

  • Rate of achievement of case management goals as established in individual Service Plans

  • Availability and accessibility of care

  • Coordination and continuity of care

  • Record keeping

  • Standards of promptness

  • Cost and/or cost effectiveness of providing case management services

  • Evaluation of Program Outcomes described in Section 210.4B

The CMA will select the area(s) targeted for improvement, collect the data necessary to baseline performance, and obtain comparative data over time. DAS may collect comparative data among AAAs/CMAs to suggest areas for improvement. Agency leadership will provide feedback to case management staff regarding the status of improvement plans and solicit their input in all steps of the process.