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Accreditation Readiness
Medication
Administration & Health Related Activity
Training and Certification
Nurse
Quality Assessment Review
Provider Compliance Review
Quality Assurance Review
QSS Quality Service
System
Accreditation Readiness
Core Product:
Review Preparation
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Update on Accreditation Process
Changes and Standards
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Self Review Guidance
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Findings & Problem Solving
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Staff Training: Accreditation Process
& Specific Program Areas
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Document Organization and Preparation
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Document Review: Policy, Procedure,
Written Descriptions
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On-Site Review Support
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Plan of Correction Technical
Assistance
Value Added Benefits:
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Liaison (ODMRDD, ODJFS and OACBMRDD)
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Research
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Development / Revision of Policy and
Procedure
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Mock Review of Program Areas
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Staff / Board Training: Accreditation
Process
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Technical Assistance
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Law and Rule Notification
ACCREDITATION
READINESS – COMPREHENSIVE PRODUCT
DESCRIPTION
CORE
PRODUCT/ REVIEW PREPARATION:
The MEORC Office of Quality provides
Accreditation Readiness which supports
customers in preparing for and
participating in Accreditation reviews
conducted by ODMRDD.
The following
features are part of the core and may be
purchased separately a la carte. Value
added benefits are available to any
county purchasing the core.
Update on Accreditation Process
Changes and Standards
In preparation for the review, MEORC
informs the CB Superintendent and
administration of Accreditation’s
process and procedure changes since the
last review and will inform all staff,
as needed, of the same.
MEORC reviews the requirements of
applicable rule or other requirements
for a given standard with assigned
county board staff in the program areas.
The MEORC staff person will provide
information about new rule requirements,
training key staff on the requirements
and acceptable evidence for the
Accreditation review. County Boards will
be assisted with determining whether
their county processes allow them to
meet requirements and with developing
strategies for adjustment / correction
to their processes as needed.
Self - Review Guidance
MEORC evaluates the most recent
completed Self-Review for all standards.
MEORC will provide feedback to the
County Board regarding completion of the
Self-Review to ensure accurate and
meaningful responses.
Findings / Problem Solving
MEORC indentifies compliance issues and
informs the Superintendent and
department managers of areas of possible
citation. MEORC will work with county
board staff to develop adjustments and
corrections to systems and processes in
order to ensure future compliance.
Staff Training: Accreditation
Process / Specific Program Areas
MEORC prepares County Board employees
for the Accreditation Review.
Information will be provided on an
overview of the process, reviewer areas
of expertise, interview preparation,
time lines, and current standards. Key
County Board staff will be identified
and their efforts will be supported.
Document Organization and
Preparation
MEORC advises and assists the County
Board regarding ODMRDD requests to
develop the review sample. In addition,
MEORC assists with document collection
and preparation, reviewing key document
sections before submission as needed.
MEORC collaborates with key staff to
complete the interview and observation
schedule.
Document Review: Policy,
Procedure, Written Descriptions
MEORC reviews documents requested by
ODMRDD prior to submission to the
Department including; policies,
procedures and written descriptions.
Detected problem areas are conveyed to
the County Board staff.
On-Site Review Support
MEORC provides consultation and problem
solving services at the County Board
offices during the on-site review.
Plan of Correction Technical
Assistance
Provides guidance, as requested, to
develop the Plan of Correction in
response to citations received by the
County Board.
VALUE ADDED BENEFITS:
Liaison functions
MEORC communicates on behalf of the
members with: ODMRDD, ODJFS and
OACBMRDD. MEORC staff consults ODMRDD
and ODJFS on an on-going basis regarding
the review process, rule changes,
interpretation and clarification.
Research
MEORC conducts on-going research related
to requirements and “best practices” and
then reports this information to
Accreditation participants. In addition,
staff will research answers to questions
posed by county contacts or
participating county boards.
Development / Revision of Policy
and Procedure
MEORC assists with writing and editing
policies and procedures to meet rule
requirements. Proven example policies
and procedures will be provided when
available.
Mock Review of Program Areas
MEORC conducts reviews of selected
program areas using the Accreditation
Data Collection Instrument. MEORC
provides information regarding selected
individual cases and a systems analysis
of the program area with regard to
minimum compliance.
Staff / Board Training on
Accreditation Process
MEORC
staff is available to provide training
to board members and designated staff
upon request.
Technical Assistance
Customers receive the benefits of MEORC
staff specialization and expertise as
requested.
Law and Rule Notification
MEORC staff informs appropriate
customers of rule and statute changes as
well as Department interpretations.
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Medication Administration &
Health Related Activity Training and
Certification
Core Product:
Value Added
Benefits:
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Registration and
Verification of Participant Requirements
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Monitoring of ODMRDD Medication
Administration Database Record
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Curriculum Materials and Supplies
Preparation
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Training Site, Nurse Trainer and
Participant Coordination
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Verification of Attendance and
Certification Attainment
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Certificate Mailing
MEDICATION
ADMINISTRATION & HRA TRAINING AND
CERTIFICATION - COMPREHENSIVE PRODUCT
DESCRIPTION
CORE PRODUCT / INITIAL TRAINING AND
RENEWAL:
MEORC facilitates a cooperative effort
among participating county boards and
the MEORC Registered Nurse for the
ongoing training and maintenance of MRDD
personnel (provider and county board)
certification in the administration of
medications and the performance of
health related activities, per OAC
5123:2-6-03 and 5123:2-6-06.
Medication
Administration & Health Related Activity
Initial Training and Renewal
MEORC provides initial and renewal
training for medication administration
and the performance of health related
activities. This service is provided by
a MEORC Registered Nurse trainer and a
collaborative of participating county
board nurses who utilize the ODMRDD
mandated educational and testing
procedures.
VALUE ADDED
MEMBERSHIP BENEFITS:
Registration and Verification of
Participant Requirements
MEORC receives participant applications
that verify age, HS Diploma or GED,
Abuser Registry Check, Nurse Aide
Registry Check, and Criminal Background
Check and make approval for
participation.
ODMRDD Medication
Administration Database Record
MEORC registers attendees
in the ODMRDD Medication Administration
Database prior to the class to ensure
that applicants for the 14 hour course
are not already certified and that no
registrant’s certification has been
suspended or revoked.
Curriculum
Materials and Supplies Preparation
MEORC prepares curriculum packets for
all participants and maintains supplies.
This includes production of an
instructor’s training booklet, tests and
answer sheets.
Training Close to
Home
Determines need for
training based on location and needed
certifications. Trainings are scheduled
at times and locations as determined by
assessed need.
Verification of
Attendance and Certification Attainment
MEORC receives and verifies participant
testing results and ensures
collaboratively with participating
nurses or MEORC nurse that attendees who
pass the class are issued certificates.
Certificate
Mailing
All certificates are mailed to attendees
and if applicable, to their employers,
either by MEORC or by the participating
nurse trainer.
Record Keeping
MEORC maintains participant records
related to course application,
participant outcomes and certification
requirements.
Bi-Annual Nurse
Collaborative Contact Meetings
Facilitates a bi-annual nurse
collaborative meeting for county board
nurses to provide updated information
related to rule changes, best practice,
training, and health management issues.
Improvement to the process will be based
on identified customer needs.
Participating nurses provide feed back
on services and sign up to participate
in the Training and Certification
classes as needed.
Quality Outcomes
and Statistical Analysis
MEORC provides routine updated
information and statistical analysis
related to training services to assist
county board nurses with focus areas of
medical need and information related to
MRDD personnel who are currently
certified.
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Nurse Quality Assessment Review
Core Product: Nurse Quality
Assessment Review
Value Added
Benefits:
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Liaison
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Staff Specialization and Expertise
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Bi-Annual Nurse Contact Meetings
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Quality Outcomes and Statistical
Analysis
NURSE QUALITY
ASSESSMENT REVIEW – COMPREHENSIVE
PRODUCT DESCRIPTION
CORE PRODUCT/
NURSING QUALITY ASSESSMENT REVIEWS:
MEORC provides a registered nurse to
provide quality assessment reviews at
least every 3 years for each individual
receiving administration of prescribed
medications or performance of
health-related activities by MR/DD
personnel in a format prescribed by the
department in accordance with OAC
5123:2-6-07.
Standardized
Review Process
The MEORC Registered Nurse
provides external quality assessment
reviews through a protocol established
by the Department. These reviews will be
conducted for individuals receiving
services from certified HCBS waiver and
supported living providers in settings
of community living arrangements that
include not more than four individuals,
or individuals residing in residential
facilities of five or fewer beds.
Registered Nurse
Consultation and Oversight
The MEORC Registered Nurse provides
expertise which is available to the
county board nurses as circumstances
arise with individuals who receive
services from certified HCBS waiver and
supported living providers.
Written Reports
Written reports are provided to the
county board and the provider, including
any recommended steps to improve the
functioning of the trained MR/DD
personnel and to
maintain compliance. The Registered
Nurse will maintain a copy of each
quality assessment review.
VALUE ADDED
BENEFITS:
Liaison
The Registered Nurse acts as a liaison
with the Department, representing the
MEORC customers utilizing this product.
Staff
Specialization and Expertise
The Registered Nurse specializes in the
area of MR/DD personnel certification in
administration of medications and
performance of health related
activities.
Bi-annual Nurse
Collaborative Meetings
MEORC facilitates a bi-annual nurse
collaborative meeting for county board
nurses to provide updated information
related to rule changes, best practice,
and health management issues.
Improvement to the process will be based
on identified customer needs.
Quality Outcomes
and Statistical Analysis
MEORC collects and analyzes data
regarding assessment results. This
information will be utilized to educate
the county boards and providers; and to
determine future needs for product
development.
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Provider Compliance Review
Core Product:
Provider Compliance Review
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Complete Provider
Compliance Reviews in Accordance with
5123:2-9-08
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Review each Provider within a Five
Year Cycle
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Preliminary Report
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Plan of Compliance Assessment
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Final Report Submitted.
Value Added
Benefits:
PROVIDER
COMPLIANCE REVIEW - COMPREHENSIVE
PRODUCT DESCRIPTION
CORE PRODUCT/ PROVIDER COMPLIANCE
REVIEW:
MEORC conducts provider
compliance reviews of certified
providers for the purpose of determining
provider compliance with applicable
requirements in order to ensure the
health, safety, and welfare of the
individual in accordance with
5123:2-9-08 (OAC). Each provider will be
reviewed at least every five years or at
least once during the term of their
certification as assigned by the
department annually. Special provider
compliance reviews are conducted on
behalf of county boards when there is a
concern that results from a complaint
and/or unusual or major unusual
incidents.
VALUE ADDED
BENEFITS:
Staff Specialization and
Expertise
MEORC staff trained in ODMRDD protocol
specializes in provider compliance
reviews developing an expertise in this
designated product.
Liaison
The Quality Department serves as a
liaison with the ODMRDD Office of
Provider Standards and Review to
facilitate the incorporation of new
rules and protocols into the review
process, as well as communicate the
areas that need to be addressed in the
review process.
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Quality Assurance Review
Core Product: Quality
Assurance Review
Value Added Benefits:
QUALITY
ASSURANCE REVIEW – COMPREHENSIVE PRODUCT
DESCRIPTION
CORE
PRODUCT / QUALITY ASSURANCE REVIEWS:
MEORC conducts quality assurance reviews
in accordance with 5123:2-12-01 (OAC) to
ensure that individuals receiving waiver
and other supported living services are
empowered to exercise choice and enhance
the quality of their lives. These
reviews will consider the quality
indicators of choices and options,
personal income, housing, community
membership, personal satisfaction,
health, and safety. They will be
completed for each individual within a 3
year cycle.
A final written summary report is
provided to the individual, the
guardian, the superintendent of the
county board or designee, the provider,
and the person responsible for
coordinating the ISP development for the
individuals.
VALUE ADDED BENEFITS:
Standardized Interview Process
Quality Assurance Specialists conduct
standardized interviews with the
individual, family members, guardian,
providers, and other interested parties
as identified by the individual. The
purpose of these interviews is to
determine the individual’s involvement
in the ISP development process, level of
satisfaction, and receipt of services
identified on the ISP. Interviews are
completed by MEORC staff assuring an
external review process.
Review of ISP vs. Documentation
A review comparing the ISP to the
provider documentation is conducted to
assure that the choices expressed by the
individual and written in the ISP have
been implemented.
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QSS Quality Service System
Core Product:
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Use an Aligned Systems Approach to
Improving Performance
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Core Values Guide Decision Making and
Drive Improvement
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Use the Learning Cycle and Employ Key
Strategies for Improving Performance
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Establish and Measure System Outcomes
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Results; Creating Value for
Individuals and Families
Value Added Benefits:
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Products Designed to Increase
Availability of Quantitative Data
o Integrated Service Plan (In Development)
o Quality Assurance Review for all Enrollees of
the County Board
o Quality Assurance Review as Required for SL
Service Recipients
o Provider Compliance Review
o Web-Based Community Survey Tool
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Accreditation / Targeted Process
Improvement
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Liaison (ODMRDD, ODJFS and OACBMRDD)
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QSS Staff Research and Share Concepts
Regarding Quality
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Members Collaborative
QUALITY SERVICE SYSTEM –
COMPREHENSIVE PRODUCT DESCRIPTION
MEORC and county board participants in
the Quality Service System Demonstration
Project are working to become high
performing agencies through the use of
The Performance Excellence Model. The
project is designed to assist county
boards with, Strategic Leadership,
Execution Excellence and Organizational
Learning.
CORE PRODUCT/QUALITY SERVICE
SYSTEM:
The System: Using an
aligned systems approach
QSS participants enhance their
organization’s ability to improve
performance in the areas most important
to their success; ensuring that
individuals and families are better off.
A Proven
Aligned Systems Approach
is used…To Achieve Results.
The following categories are aligned to
work together to accomplish the
organizations goals.
– Leadership
– Strategic Planning
– Customer Focus
– Process Management
– Workforce Focus
– Measurement, Analysis, and Knowledge
Management
The Values: QSS
participants embrace core values that
are used to guide decision making and
drive improvement.
The Outcomes: QSS
participants collaborate
for the purposes of benchmarking
performance and getting
better. Common desired system
outcomes are agreed upon by the
membership and measured. Strategies
attributed to high performance, are
shared among participants.
The Strategies: QSS
participants use the learning cycle
throughout the system categories and to
improve key processes to become High
Performing Organizations.
Key Strategies for Improving
Performance
– Software / Technology Exploration and
Advancement
– Quality Systems Training
• The Foundation - Core Concepts and Values
• Foundations in Strategic Planning
• Use of Quality Tools
• The Learning Cycle
– Measurement, Analysis, and Knowledge
Management Training
• Increasing Data Consumer Skills
• Developing System Outcomes and Indicators
• Using Data for Process Improvement
– On-Going Facilitation, Consultation,
Tool Development
• Receive Customer-Directed Support for data
analysis, strategic planning, and key
process improvement
• On-Going Tool Refinement - Capturing
Information and Analysis
• Organizational Learning
The Results:
QSS Participants focus on results and
create value for individuals and
families (their customers) and
stakeholders. Agencies purchasing QSS
become aligned and engage in an exciting
process of continuous improvement.
VALUE ADDED BENEFITS
The Products:
QSS Participants have access to diverse,
complementary products and services that
provide access to quantitative data
about what their customers want and need
and about their organization’s
performance. – Integrated Assessment,
Planning, Documentation and Review (In
Development)
– Web-Based Community Survey Tool
– Individual and Family Survey / QAR
– Provider Compliance Reviews
Accreditation Preparation:
MEORC provides Accreditation Readiness
services focused on targeted process
improvement.
Liaison:
MEORC communicates on behalf of the
members on an on-going basis with ODMRDD
and ODJFS.
Research on Quality:
MEORC conducts on-going research related
to quality systems and quality tools.
On-Going Facilitation:
The MEORC Quality Team supports process
improvement teams at the county board
level. Use of quality tools,
measurement, analysis, and knowledge
management is facilitated.
Members Collaborative:
QSS members collaborate for the purpose
of developing sources of comparative
data, sharing innovative practices and
developing products that allow for
flexibility and innovation at the county
board level.
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