TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER c: LONG-TERM CARE FACILITIES
PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE
SECTION 300.7070 QUALITY ASSESSMENT AND IMPROVEMENT
Section 300.7070 Quality Assessment and Improvement
The unit shall have a written plan that is part of the facility's overall quality assurance plan to assess residents' quality of care, quality of life, and overall well-being.
a) The licensee shall develop and implement a quality assessment and improvement program designed to meet at least the following goals:
1) Ongoing monitoring and evaluation of the quality of care and service provided at the facility, including, but not limited to:
A) Admission of residents who are appropriate to the capabilities of the facility;
B) Resident assessment;
C) Development and implementation of appropriate individualized, ability-centered treatment plans;
D) Resident satisfaction;
E) Infection control;
F) Appropriate numbers of staff; and
G) Staff turnover.
2) Identification and analysis of problems.
3) Identification and implementation of corrective action or changes in response to problems.
b) The program shall operate pursuant to a written plan that shall include, but not be limited to:
1) A detailed statement of how problems will be identified, including procedures to elicit insights from residents, residents' families, and residents' representatives;
2) The methodology and criteria that will be used to formulate action plans to address problems, which shall include the insights of residents, residents' families, and residents' representatives;
3) Procedures for evaluating the effectiveness of action plans and revising action plans to prevent reoccurrence of problems;
4) Procedures for documenting the activities of the program; and
5) Identifying the persons responsible for administering the program.
c) A copy of the plan shall be provided to residents, residents' families, or residents' representatives.
(Source: Added at 28 Ill. Reg. 14623, effective October 20, 2004)