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NMAC 8.370.22.39 — QUALITY IMPROVEMENT
New MexicoregulationNew Mexico Health Care Authority· effective 2024-07-01
What this rule requires your agency to do
- 1Assess the total operation of the agency, including policies and procedures, statistical data, quality improvement activity summaries, complaint resolutions, and staff utilization (B).(NMAC 8.370.22.39 — QUALITY IMPROVEMENT)
- 2Develop written quality improvement action plans responding to existing or potential problems identified (C).(NMAC 8.370.22.39 — QUALITY IMPROVEMENT)
- 3Provide quarterly activity summaries or conduct specific quality improvement studies when directed by the licensing authority (E).(NMAC 8.370.22.39 — QUALITY IMPROVEMENT)
- 4Compile quality improvement results annually in report format and have them formally reviewed and approved by the governing body and advisory group, with no more than one year between evaluations of the same part (D).(NMAC 8.370.22.39 — QUALITY IMPROVEMENT)
- 5Establish an ongoing quality improvement program to ensure adequate and effective operation, documenting quarterly activity (opening paragraph).(NMAC 8.370.22.39 — QUALITY IMPROVEMENT)
- 6Assess patient/client goals and outcomes in clinical care, including diagnoses, plan of care, services provided, and standards of care (A).(NMAC 8.370.22.39 — QUALITY IMPROVEMENT)
Applies to: personal care
Requires each agency to establish an ongoing quality improvement program that documents quarterly activity addressing clinical care, operational activities, and written action plans for identified problems. Results must be compiled annually and formally reviewed and approved by the governing body and advisory group, with no more than one year between evaluations of the same part. Framework topic: Quality Assurance / Performance Improvement.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.