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QUALITY ASSURANCE TRAINING AGENDA September 5, 2001 8:30 – 4:30 DHS, Room 304 120 N. 200 W., Salt Lake City Welcome (8:30 – 8:45)(Bob Downing, BCM)Welcome.

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Presentation on theme: "QUALITY ASSURANCE TRAINING AGENDA September 5, 2001 8:30 – 4:30 DHS, Room 304 120 N. 200 W., Salt Lake City Welcome (8:30 – 8:45)(Bob Downing, BCM)Welcome."— Presentation transcript:

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2 QUALITY ASSURANCE TRAINING AGENDA September 5, :30 – 4:30 DHS, Room N. 200 W., Salt Lake City Welcome (8:30 – 8:45)(Bob Downing, BCM)Welcome (8:30 – 8:45)(Bob Downing, BCM) BCM/QA Monitoring Plans & Forms(8:45 – 9:15)(Scott Kline andBCM/QA Monitoring Plans & Forms(8:45 – 9:15)(Scott Kline and Bob Downing, BCM) Corrective Action(9:15 – 10:15)(Stephanie Castro, BCM)Corrective Action(9:15 – 10:15)(Stephanie Castro, BCM) Break(10:15 – 10:30)Break(10:15 – 10:30) Performance Outcomes & Measures(10:30 – 12:00)(Kelly Colopy, EDO) Performance Outcomes & Measures(10:30 – 12:00)(Kelly Colopy, EDO) Lunch(12:00 – 1:00)Lunch(12:00 – 1:00) Fiscal Accountability & Trust Accounts(1:00 – 2:30)(Tom Obray, Rich Salstrom,Fiscal Accountability & Trust Accounts(1:00 – 2:30)(Tom Obray, Rich Salstrom, and Monica Fisher, BIRA) Break(2:30 – 2:45)Break(2:30 – 2:45) Licensing Responsibilities & Client Wellness(2:45 – 3:45)(Reta Oram andLicensing Responsibilities & Client Wellness(2:45 – 3:45)(Reta Oram and Alan Hayward, Licensing) Break/Room Change ( )(3:45 – 4:00)Break/Room Change ( )(3:45 – 4:00) Information Systems(4:00 – 4:30)(Leonard Johnson, OT andInformation Systems(4:00 – 4:30)(Leonard Johnson, OT and Bob Downing, BCM)

3 Bureau of Contract Management Contract UnitContract Unit ProcurementProcurement Rate Setting UnitRate Setting Unit Quality Assurance UnitQuality Assurance Unit

4 BCM Recent Activity Web Page (www.hsofo.state.ut.us/contracts.htm)Web Page (www.hsofo.state.ut.us/contracts.htm) –Manuals, Forms, Presentations, Contract Boiler Plates, Rate Book Restructure BCMRestructure BCM QA Coordinating CommitteeQA Coordinating Committee New Rate ManualNew Rate Manual Information System DevelopmentInformation System Development

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6 Quality Assurance Unit Contract monitoring plansContract monitoring plans Quality improvement data collectionQuality improvement data collection Corrective action clearinghouseCorrective action clearinghouse Monitoring validationMonitoring validation

7 Contract Monitoring Role (4 major goals) Ensure quality services are providedEnsure quality services are provided –Clear definition of performance measures and expectations Ensure objectivity and independenceEnsure objectivity and independence –Eliminate actual or potential conflicts of interest Ensure public funds are used appropriatelyEnsure public funds are used appropriately Provide Department-level leadership and oversightProvide Department-level leadership and oversight –Definition, coordination, technical assistance

8 Definition of Quality Assurance Is the service valuable?Is the service valuable? –Impact and outcomes Did we get what we paid for?Did we get what we paid for? –Appropriate costs –Services were delivered –Accurate billing and payments Just the Way it is Stuff!Just the Way it is Stuff! –Laws, regulations, etc.

9 Division Monitoring Responsibilities Development of an internal structure facilitating objective reviewDevelopment of an internal structure facilitating objective review Development of an overall plan and strategy for monitoringDevelopment of an overall plan and strategy for monitoring Generate tools for effectively assessing performanceGenerate tools for effectively assessing performance Summarize and disseminate monitoring results to appropriate stakeholdersSummarize and disseminate monitoring results to appropriate stakeholders

10 Annual Monitoring Plans Organizational structureOrganizational structure Agency monitoring activities and toolsAgency monitoring activities and tools Annual monitoring scheduleAnnual monitoring schedule Corrective action proceduresCorrective action procedures Grievance procedureGrievance procedure

11 Agency Monitoring Activities and Tools Program/Service requirementsProgram/Service requirements Client wellnessClient wellness Objective based performance measures (client and program)Objective based performance measures (client and program) Fiscal accountabilityFiscal accountability Federal assurances & standard termsFederal assurances & standard terms Additional requirementsAdditional requirements

12 Annual Monitoring Schedule Review date(s)Review date(s) Provider nameProvider name Contract NumberContract Number Federal Tax IDFederal Tax ID Contract review typeContract review type Staff responsible for reviewStaff responsible for review Monitoring status updatesMonitoring status updates

13 Corrective Action Corrective action is the process of removing the “gap” between required performance and actual performance.Corrective action is the process of removing the “gap” between required performance and actual performance.

14 Grievance Procedures Contractor complaints concerning DHS agenciesContractor complaints concerning DHS agencies Client complaints concerning the contractorClient complaints concerning the contractor Outside complaints concerning the contractorOutside complaints concerning the contractor

15 Reporting Requirements Agency RequirementsAgency Requirements –Monitoring Review Summary –Corrective Action plans and reports BCM ReportsBCM Reports –Quarterly and annual summaries of monitoring activities and corrective action


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