ASPIRE to Excellence
HR and Staff Training
Medication Management and
Performance Measure and Management and Performance Improvement
Health and Safety
Quality Individualized Services and Supports
100
Strategic, Risk Management, Technology, Accessibility and Cultural Competency and Diversity
What is the five written plans required by CARF
100
The areas in which personnel receive documented competency based training (8)
What is health and safety practices, identification of unsafe environmental factors, emergency procedures, evacuation procedures, identification of critical incidents, reporting of critical incidents, medication management if appropriate and reducing physical risk
100
service delivery performance indicators in: efficiency, effectiveness, service access, satisfaction and business function performance indicators
What is The areas that must have performance measures
100
fire, bomb threats, natural disasters, utility failures, medical emergencies, violent or other threatening situations
What is Written emergency procedures are required for what 6 emergencies
100
entry, transition and Exit criteria
What is What the organization documents based on the scope of each program/service provided
200
informed consent
What is: What the Person Served must give for the expenditure of funds
200
at orientation and at regular intervals
What is: When does the organization provide documented personnel training
200
at the beginning of services, at appropriate intervals during services, at the end of services and at points in time following services.
What is When the organization collects data about the persons served
200
What must be conducted annually and on each shift at each location
What is unannounced test of all emergency procedures
200
values and mission, expected results or outcomes, service availability, options for persons to direct their own services and organizational certifications
What is The information provided about the organization to the persons inquiring about services.
300
Assess the environment, set strategy, person served and other stakeholders, implement the plan, review results and effect change
What is ASPIRE
300
The areas in the ASPIRE section that require training at orientation and in regular intervals
What is Diversity, Ethical Code of Conduct, Rights of the person served and of personnel (confidentiality)
300
An annual written analysis of performance
What is analyzes performance indicators in relation to performance targets
300
prevention, reporting, documentation, remedial action and timely debriefings
What is written procedures regarding critical incidents must include:
300
the persons over all goals, specific measurable objectives, methods/techniques to be used, those responsible for implementation and how and when progress will be regularly reviewed
What is: A coordinated individualized service plan identifies
400
determines trends, areas needing improvement and actions to be taken
What is the annual written analysis of all formal complaints
400
primary sources and in all states or other jurisdictions where personnel will deliver service
what is: The credentials of all applicable personnel must verified with _____
400
what an up to date individual record of medications includes
What is name of med, the dosage, the frequency, instructions for use, potential side effects, drug interactions ,the prescribing professionals name and phone number and the dispensing pharmacy and contact information
400
annually and by a qualified external authority
What is Comprehensive health and safety inspections are conducted how often and by whom
400
assessing potential risk to each person's health in the community, assessing potential risk to each person's safety in the community, deciding whether to accept situations with inherent risk, identifying actions to be taken to minimize risk id and identifying individuals responsible for those actions
What is the person served an/or family served and/or their legal representative role in risk assessment.
500
assess performance related to objectives established in the last evaluation period and to establish measurable performance objectives for the next year
What is: Performance management is used to
500
annually
What is How often job descriptions must be reviewed and updated as needed
500
What written procedures the org that manages medications has
What is Purchase including shortages on weekends, transportation and delivery, off-site use and administration of meds
500
med errors, use of seclusion, use of restraint, incidents involving injury, communicable disease, infection control, aggression or violence, use and possession of weapons, wandering, elopement, vehicle accidents, bio hazardous accidents, unauthorized use and possession of legal or illegal sub, abuse, neglect, suicide or attempted, sexual assault, other sentinel events
What is critical incidents identified by carf
500
when positive behavioral interventions are used
What is implemented prior to the use of restrictive procedures and continues to be used in conjunction with any restrictive procedures
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