Los Angeles County Department of Mental Health

Quality and Risk Management – Quality Assurance (QA) Division Training and Operations Unit

Written QA Process For Legal Entity (LE) Contract Providers Only

Date Completed: Legal Entity Name:____________________________________________________

Revised 12/13/18

Legal Entity Number: _ _______ Provider Number(s) _________________

Name of Quality Assurance Representative: __________________________

Contact Phone Number: Email: ______

Name of Back-up Quality Assurance Representative: __________________________

Contact Phone Number: Email: ______

List all staff or committee members involved in your LE’s QA Process:

1. Describe the process for selecting staff or committee members for QA Process involvement.

NAME

DISCIPLINE/TITLE

PROVIDER NUMBER

FULL OR PART-TIME DEDICATED TO QA

FULL-TIME PART-TIME

FULL-TIME PART-TIME

FULL-TIME PART-TIME

FULL-TIME PART-TIME

FULL-TIME PART-TIME

FULL-TIME PART-TIME

FULL-TIME PART-TIME

FULL-TIME PART-TIME

QA Process Involvement/Committee

Los Angeles County Department of Mental Health

Quality and Risk Management – Quality Assurance (QA) Division Training and Operations Unit

Written QA Process For Legal Entity (LE) Contract Providers Only

Revised 12/13/18

2. What is the frequency and specific schedule (e.g. 2nd Thursday of the month) for QA Process involved staff or committee members to meet in order to participate in or discuss QA related activities?

1. What is the frequency in which client records are reviewed?

2. What is the number and percentage of client records reviewed per quarter?

3. Describe the method by which client records are chosen for review.

4. Describe the process for ensuring that an annual client treatment plan is completed at least every 365 days for all open clients.

1. Describe your process for ensuring that supervisors are applying accurate and updated criteria in evaluating the documentation of practitioners. (Include any methods used to validate findings.)

Corrective Feedback and Improvement Process

Clinical Record Reviews

Los Angeles County Department of Mental Health

Quality and Risk Management – Quality Assurance (QA) Division Training and Operations Unit

Written QA Process For Legal Entity (LE) Contract Providers Only

Revised 12/13/18

2. Describe the process for addressing documentation deficiencies that are identified through clinical record reviews and/or other evaluative mechanisms. (Include the process for the supervisor to review and discuss findings with the practitioner as well as who’s responsible for making any needed corrections.)

3. Describe the process by which QA related findings are used to improve future documentation.

Los Angeles County Department of Mental Health

Quality and Risk Management – Quality Assurance (QA) Division Training and Operations Unit

Written QA Process For Legal Entity (LE) Contract Providers Only

Revised 12/13/18

1. Describe your process for ensuring that new and existing staff receive QA/documentation related training. (If in-

house trainings are provided, please attach materials. Also, include how training needs are assessed.)

2. Describe your process for ensuring that QA Supervisors/Directors remain knowledgeable about current and

updated QA related information and criteria.

Training

Los Angeles County Department of Mental Health

Quality and Risk Management – Quality Assurance (QA) Division Training and Operations Unit

Written QA Process For Legal Entity (LE) Contract Providers Only

Revised 12/13/18

3. Describe the process by which QA Supervisors/Directors inform staff of new criteria and standards for documentation.

1. For programs that claim COS, provide a detailed description of the types of activities that are provided and claimed to COS.

COS/Indirect Service Claiming

Los Angeles County Department of Mental Health

Quality and Risk Management – Quality Assurance (QA) Division Training and Operations Unit

Written QA Process For Legal Entity (LE) Contract Providers Only

Revised 12/13/18

1. Please utilize this space to include any additional information regarding your LE’s QA process including further detail regarding previous sections.

Additional Information