Assisted Living Rule Review – 295.2060 Quality Improvement Program

Assisted living programs are required to establish an effective quality improvement program according to the administrative rules at 295.2060. The quality improvement program must encompass oversight, monitoring, resident satisfaction, and ongoing quality improvement projects that address improved quality services. According to the rules, this program must establish benchmark (creating points of reference from which measurements are made) performance levels, be customer centered, data driven, and focus on resident satisfaction.

The rules outline that a system is required to be implemented that facilitates the detection of issues and problems to expedite the implementation of action and resolve to the problems detected. Within this, data analysis must be used to identify and implement changes that will improve performance or reduce the risk of additional events. All of these actions must be documented including how the problem was identified through analysis, the actions that were implemented, ongoing monitoring and any follow-up actions taken by the program.

Any information collected through the quality assurance process is unable to be used as evidence in any civil or criminal court proceeding and the results identified with the quality improvement program cannot be the sole basis for citing any violations.

LeadingAge Illinois has multiple tools available to aide in compliance with quality assurance processes.