er OAC 5123:2-6-07 General provisions and compliance in the administration of prescribed medications, performance of health-related activities, and performance of tube feedings,  a Quality Assurance Registered Nurse, employed by or contracted with a county board, must complete a review one time every three years for each individual as follows:

• Individuals receiving services from certified supported living providers.
• Individuals receiving residential services in a setting of not more than 4 individuals from certified home and community-based services providers.
• Individuals residing in residential facilities with 5 or fewer beds (excluding ICF/MR).

The QARN may conduct more frequent reviews if it is determined that there are issues to warrant such.

The process for Quality Assessment review is as follows:

• The RN completing the review will contact the provider to set a mutually agreed upon time to observe the provider administering medication or a health related activity in the consumer’s home.  If possible, more than one individual may be assessed on the same.
• The nurse will send a letter to the provider reiterating the date and time of the visit and observation and documents requested for the review.
• After the home visit, the RN will complete the Quality Assessment Review Tool and Quality Assessment Overview and submit the review and overview to the provider and the county board.
• The RN or the CB will provide follow-up with the provider, if necessary, regarding a plan of correction.
• The county board will maintain an on site file of assessments performed.

 
The protocol with instructions is on the ODMRDD website at  https://odmrdd.state.oh.us/health/masresources.htm#quality.  The protocol evaluates the following areas: policy and procedure, assessment for self-administration, documentation and administration, medication errors, health related activities and staff training and certification. This assessment includes:

• Observation of prescribed medication administration
• Observation of performance of health related activities
• Review of policies and procedures, MARs and documentation
• Review of all prescribed medication errors from the past 12 months
• Review of staff certification for medication administration

Upcoming Seminar

• Medication Administration and Health Related Activities Quality Assessment Review Tool
• Letter
• Protocol