OAR 333-071-0440: Quality Assessment and Performance Improvement

The governing body of an SICF must ensure that there is an effective, written, facility-wide quality assessment and performance improvement program to evaluate and monitor the quality and appropriateness of patient care. (1) All organized services related to patient care, including services furnished by a contractor must be evaluated. (2) Written documentation of quality assurance activities shall be recorded at least quarterly. (3) Health care acquired infections, medication therapy, and blood and blood product transfusions must be evaluated. (4) All medical services performed in the facility must be evaluated as they relate to appropriateness of diagnosis and treatment. (5) The facility must have an ongoing plan, consistent with available community and facility resources, to provide and make available social work, psychological, and educational services to meet the medically-related needs of its patients.