Georgia Quality Management System - Department of Behavioral ...

dbhdd.georgia.gov

Georgia Quality Management System - Department of Behavioral ...

GQMS Year 3 Annual ReportJuly 2010 – June 2011# ofQuestions54Table 6: Administrative Policy and Procedure ElementsAverage Percent Present July 2010 - June 2011N = 40PolicyPct MetStrong operational procedures support the organization, staff and individualsserved. 83.5%Holistic services, supports, care and treatment for the individual thatenhance the individual’s capacity for a meaningful life are available. 77.4%24 Human and civil rights are maintained. 81.8%17The personal funds of an individual are managed by the individual and areprotected. 65.1%24The services environment demonstrates respect for the persons served andis appropriate to the services provided. 78.4%2Quality improvement processes and management of risk to the individual,staff and others are a priority. 86.3%3The organization maintains an information management system thatprotects individual information and is secure, organized and confidential. 82.5%30Organizations with oversight for medications or that administer medicationsfollow federal/ state laws, rules, regulations and best practice guidelines. 74.6%14Individuals are provided services, supports, care and treatment properlylicensed, credentialed, trained and competent staff. 78.2%1 Infection control practices are evident in service settings. 80.0%124 Average Policy and Procedure Score 77.6%The Administrative Qualification and Training Checklist is used to score providers on 11 Expectationspertaining to service specific qualifications and receiving training within appropriate timeframes. EachExpectation, the number of elements/questions used to score each Expectation, and results for the 40providers reviewed this quarter are listed in Table 7. The number of records reviewed for each A Q&TExpectation varies, depending upon the number of employees working for the organization. The averagecompliance score was 59.4 percent, ranging from a low of 45.0 percent (staff receives a minimum of 16hours of annual training) to a high of 94.9 percent (professional staff is properly licensed, credentialed,experienced and competent). Results indicating providers and their staff have job descriptions in placefor all personnel and that providers with medication administration oversight follow all relevant rules andregulations are also relatively low, 55.5 percent and 54.1 percent respectively.________________________________________________________________________________________________August 31, 2011 74

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