Find & Ask › Virginia › this rule

12VAC5-381-250 — Quality improvement

VirginiaregulationVirginia Department of Health, Office of Licensure and Certification· effective 2006-01-01

What this rule requires your agency to do

  • 1Implement an ongoing, comprehensive, integrated self-assessment program of the quality and appropriateness of care/services provided, including contracted services, and use findings to correct problems and revise policies/practices (concentration on administrative or cost issues alone does not satisfy this) (subsection A).(12VAC5-381-250 — Quality improvement)
  • 2Implement measures to resolve identified important problems or concerns, with participation by health care practitioners (as applicable) and administrative staff (subsection D).(12VAC5-381-250 — Quality improvement)
  • 3Evaluate the enumerated data to identify unacceptable or unexpected trends: staffing patterns/performance, supervision, on-call responses, client records, client satisfaction, complaint resolution, infections, staff concerns, and appropriateness of services (subsection B).(12VAC5-381-250 — Quality improvement)
  • 4Report quality improvement results annually to the governing body and administrator, make them available in the organization, ensure the governing body and organization act on the report, and document all corrective actions (subsection E).(12VAC5-381-250 — Quality improvement)
  • 5Maintain a quality improvement committee responsible for oversight/supervision of the program with the specified membership (director of skilled services or RN, an administrative-staff member, representatives from each service including contracted services, and an individual representing client rights/concerns) (subsection C).(12VAC5-381-250 — Quality improvement)

Applies to: personal care

Requires a home care organization to run an ongoing, comprehensive self-assessment program of care quality and appropriateness (including contracted services), evaluate enumerated data to spot adverse trends, maintain a quality improvement committee with specified membership, implement corrective measures, and report results annually to the governing body and administrator with documented corrective actions. Framework topic: Governance / Quality Improvement & Oversight.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.