Quality Assurance Management System

1. Quality Assurance Management System QAMS Provider Regional Meetings

2. Quality Assurance Communication (pg 16-18) • Communication between the RPO and the provider that identifies: • Questions, concerns, and praise related to quality measures • Areas of growth • Areas of excellence • Training Opportunities • Provide RPO, providers, and case managers an opportunity to share information and communicate a plan to improve the quality of services • Think of it as a learning tool

3. QAR QAC When an issue is identified during the agency quality assurance review • Reviewer generates a quality assurance communication (QAC) • Three types of QACs generated during a review • QAR • QAR Standard • QAR Consumer • QACs are submitted as a group

4. QAR QACs Continued • QAR Standard • Connected to either a provider prepared standard or on-site standard • QAR Consumer • Connected to a consumer visit • QAR • A QAC generated during a review that is not associated with a standard or a consumer visit

5. QAR QACs: Reviewer Info • Reviewer identifies the issue or best practice and how it was discovered • Reviewer references the review standard (when applicable) • Reviewer references the manual (when applicable)

6. QAC Provider Response • You must enter information in the Provider Response boxes • QAC Cause: • Describe the cause • Be specific to individual circumstances • Think broadly about system issues that may have caused the issue

7. QAC Provider Response Cont • QAC Action: • Describe the provider follow-up action • Address specific QAC issue • Address prevention of future issues and assurance of program compliance in the future • Remember: You must enter text in both of these boxes to submit the QAC to the RPO! • Feel free to submit additional documentation and material, i.e., in-service training, compliance tool, letter, updated service plan, etc.

8. QAC Closure • *Closed Resolved – Provider response is adequate and provides necessary action, documentation or follow up. • *Closed Unresolved – Provider response does not meet expectation and agreement cannot be reached. • *Closed with Follow Up QAC – Provider response misses intent of request or partially meets the intent. Follow-up QAC provides more specifics of what is needed from the provider. QAC closure is required prior to review closure

9. QAC Search (pg 18) • Use this screen to find a QAC that an RPO sends you • Search by QAC Number • Use this screen to search for QACs that are not closed • Search by Status • Use this screen to search for QACs generated during a quality review

10. Trouble Shooting Tips (pg 19-20) • Navigating Drop-down lists • Required Fields • If you delete text accidentally • Use your submit buttons to finish your action • Use your scroll bar to see all the information in fields

11. QAMS Questions? • Ask a co-worker • Call your RPO • Make sure to notify the RPO when a staff member who has access to QAMS leaves your agency so their system access can be blocked!