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Continuous Quality Improvement (CQI) and Quality Assurance (QA). Presented by Joanne Roberts, PHN, PSC Los Angeles County November 2, 2011. PSC Role in CQI/QA. Title 22 requires State MCAH to oversee CPSP
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Continuous Quality Improvement (CQI) and Quality Assurance (QA) Presented by Joanne Roberts, PHN, PSC Los Angeles County November 2, 2011
PSC Role in CQI/QA • Title 22 requires State MCAH to oversee CPSP • State gives Title V funding to Local Health Jurisdictions (LHJ) to provide CPSP oversight
PSC Role in CQI/QA • NOT an auditor! • Help providers comply with Title 22, ACOG, and other quality care guidelines
Summary of the PSC Scope of Work • Two Mechanisms for CQI/QA • Ongoing provider education: onsite training, 1:1 site visits, provider meetings, roundtables • Annual QA site visits to approved providers: “assess, maintain, or improve the quality of CPSP services and assure appropriate care”
CQI/QA Activities • Begins at first provider visit • Ongoing – at least annually (SOW)
CQI/QA Activities • Types of Visits • Content and timing varies by County • Examples: • Implementation Visit – after approval • Status Visit – quick check-in • Annual QA
CQI/QA Activities • First Visit • Insist on meeting (at least) with the supervising MD • Assess the office – What do you see? • Review the program requirements • Explain how to complete the application
Annual QA Visit • Base on Title 22 Regs • Chart Review • Written Report to Provider Summarizing Findings • Corrective Action Plan • Timeline for Correction
Annual QA Visit • Request Postpartum Charts • Determine Number of Charts to Review • Alternative Method: • Conduct side by side with staff • Each staff has one chart • Provide technical assistance while doing QA
Annual QA Visit • Sample Tools Available (Handouts) • Start Small • Components • Chart Review • “Site Evaluation” • Program requirements not found in chart • Chart indicators that are usually consistently present or absent among all charts
Written Report • Findings need to be summarized and given to provider • Cover letter – include timeline for corrective action • Attach summary of findings • Attach Corrective Action Plan template
Continuous Quality Improvement • Technical Assistance • Education/re-education as needed • Corrective action plan assistance • Ensure appropriate protocols available • Encourage provider to implement their own CQI activities
Electronic Health Records and CQI/QA • Program requirements are the same • Explain to provider what you need for QA and have them suggest what will work best with their system • Print chart or screen shots • Sit with staff as they access the information electronically • ???