Quality Improvement Strategy Flowchart

Standards Implementation Plan (SUP) Process

Quality Management Efficiency Team

COMET) monitors provider. Quality and
Compliance Specialist (Q&CS) monitors
the level of care and waivers.

Legend
aMETbrQ&CS
determines if
compuance wnh
standardswas
achieved and informs
BPS or BIS bfthe
results.

QMETorQ&CS QMETor Q&CS

Quality Management Efficiency
sends findings report sends findings report
Unit (QMEU) or Quality
to the provider. No to-the provider. Report
.~ Compliance Unit (QCU) monitors
further action is includes a recuest.ror
StlP progress per established
necessary. a St!P. protocols.

QMEU Coordinator
QMEU Coordinator
QMETorQ&CS orQCU Chief
or QCU Chief sends QuaJlty
sends Stlp to section analyzes.tracks,
_ monthly StIP report '" Improvement Plan
•
chief for monthly and trends 'StiPs
to the Quality ... (QIP) process
review. on a monthly
ManagementUnit begins.
basis.
(QMU).

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 Quality Improvement Strategy Flowchart
Quality Improvement Plan (QIP) Process

Monthly SUP reports

are sent to the
Other OLTL
sources identify
6 I I
Policy

potential issues

B8
Quality Management
and report them to
Unit (QMU).
the QMU

B
QMMA Director of QMMA sends
'i, System
I mprovement Plan
reviews reports and
identifies issues. QMMA
findings report to the
Yes- l»- Bureau Director. The report
No
(SIP) Process
determines if issue can includes a request for a

I
begins.
--.-----_ ..__.._------_ ..
"
be resolved within one
OLTL Bureau.
Quality Improvement Plan
(QIP).

Director of Quality

Management, Metrics and

Analytics (QMMA) sends a

.&
follow-up memo to the Bureau ""
Director and copies Deputy
Bureau
Secretaries.
irector responds
within 30
days.

BureauDirector developsand
submits alP.

Yes

SIP Process begins.

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 Quality Improvement Strategy Flowchart

System Improvement Plan (SIP) Process

MMAreview

Issue is logged and may reports and identifies

uality Managemen

receive attention at a later trends and patterns. QMMA

Division Review Team

date depending on ~ No determines if trends and pattern Yes (QMD) reviews the trend issue

administrative direction, issues can be resolved

and determines if a

budget, etc. by OLTL at

SIP is warranted.

this time.

The Director of QMMA

The Director of QMMA
shares the proposed SIP
shares the proposed SIP w_
at the Quarterly Quality
with the Quality Council I""
Management Meeting
(QC) for final approval.
(QQMM).

TheQC

determines if SIP
SIP is completed.
should be approved
Ongoing QMU
and implemented.
monitoring and
reporting will
occur.
The Director of
QMMA provides A

an update to the """­

Yes

QQMM and QC.

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