3.10 – Quality Improvement (QI)

Reference:      Medicaid Tags W 148-W157

                      Licensure 5123:2-17-02 E6-11, G3, H1

Purpose

The objective of quality improvement (QI) is to provide for a planned, systematic and on-going procedure for insuring the health, safety, and quality of life of individuals served in accordance with their Individual Person Centered Plan.

Core Values

Open Door has adopted the eight (8) management principles of The International Standard for Quality Management (ISO 9001:2008) to guide the organization toward continually improving performance.

1. Customer focused organization

Organizations depend on their customers and therefore should understand current and future customer needs, should meet customer requirements and strive to exceed customer expectations; complete satisfaction surveys with all individual and families and use the data for response and strategic focus areas

2. Leadership

Leaders establish unity of purpose and direction. They should create and maintain the internal environment in which people can become fully involved in achieving the organization’s objectives.

3. Involvement with people

People at all levels are the essence of an organization and their full involvement enables their abilities to be used for the organization’s benefit.

4. Process approach

A desired result is achieved more efficiently when activities and related resources are managed as a process.

5. System approach to management

Identifying, understanding and managing a system of interrelated processes as a system contributes to the organization’s effectiveness and efficiency in achieving its objectives.

6. Continual improvement

Continual improvement of the organization’s overall performance should be a permanent objective of the organization.

7. Factual approach to decision making

Effective decisions are based on the analysis of data and information.

8. Mutually beneficial supplier relationships

An organization and its suppliers are interdependent and a mutually beneficial relationship enhances the ability of both to create value.

General Procedures

Open Door QI procedures are developed to comply with standards set by:

• Medicaid ICFIID Standards
• Ohio Department of Developmental Disabilities (DODD Waiver Audit)
• DODD Licensure Standards
• Individual and stakeholder input for strategic focus areas; analysis of all results and data

Procedural Attachments

Procedures for supervision and auditing are described on forms or reports created for each program listed below.  Forms, reports and departments will be updated as standards change and/or more efficient methods for review are identified (see revision dates listed on forms).

• Exec Com
• Scheduling
• CAC
• Technology/IT
• HR
• UCO
• Risk Mgmt
• Fleet/Transportation
• ICF
• Finance
• Medical Services
• Social Services
• SCL
• ODAS
• Facility Maintenance

For a complete list of all auditing forms and procedures used by each department, see QI Binder in the office of the Chief Executive Director (CED).

Last Revised: 5/20/22