La. Admin. Code tit. 50, § XXIII-705 - Minimum Requirements
A. A PACE
organization's quality assessment and performance improvement program shall
include, but is not limited to, the use of objective measures to demonstrate
improved performance with regard to:
1.
utilization of PACE services, such as decreased inpatient hospitalizations and
emergency room visits;
2. caregiver
and participant satisfaction;
3.
outcome measures that are derived from data collected during assessments,
including data on the following:
a.
physiological wellbeing;
b.
functional status;
c. cognitive
ability;
d. social/behavioral
functioning; and
e. quality of life
of participants;
4.
effectiveness and safety of staff-provided and contracted services, including:
a. competency of clinical staff;
b. promptness of service delivery; and
c. achievement of treatment goals
and measurable outcomes;
5. nonclinical areas, such as grievances and
appeals, transportation services, meals, life safety, and environmental
issues.
B. Outcome
measures must be based on current clinical practice guidelines and professional
practice standards applicable to the care of PACE participants.
C. The PACE organization must meet or exceed
minimum levels of performance, established by CMS and the state administering
agency, on standardized quality measures, such as influenza immunization rates,
which are specified in the PACE program agreement.
D. The PACE organization must ensure that all
data used for outcome monitoring are accurate and complete.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. A PACE organization's quality assessment and performance improvement program shall include, but is not limited to, the use of objective measures to demonstrate improved performance with regard to:
1. utilization of PACE services, such as decreased inpatient hospitalizations and emergency room visits;
2. caregiver and participant satisfaction;
3. outcome measures that are derived from data collected during assessments, including data on the following:
a. physiological wellbeing;
b. functional status;
c. cognitive ability;
d. social/behavioral functioning; and
e. quality of life of participants;
4. effectiveness and safety of staff-provided and contracted services, including:
a. competency of clinical staff;
b. promptness of service delivery; and
c. achievement of treatment goals and measurable outcomes;
5. nonclinical areas, such as grievances and appeals, transportation services, meals, life safety, and environmental issues.
B. Outcome measures must be based on current clinical practice guidelines and professional practice standards applicable to the care of PACE participants.
C. The PACE organization must meet or exceed minimum levels of performance, established by CMS and the state administering agency, on standardized quality measures, such as influenza immunization rates, which are specified in the PACE program agreement.
D. The PACE organization must ensure that all data used for outcome monitoring are accurate and complete.