(1) The program shall have a quality management committee representative of administration and staff.
(2) The quality management committee is responsible for:
(a) developing a written plan for a continuous quality improvement program organization wide;
(b) implementing the quality improvement plan and monitoring the quality and appropriateness of services;
(c) meeting at least on a quarterly basis;
(d) identifying problems, taking corrective action as indicated, and monitoring results of those actions; and
(e) at least annually, reviewing and updating the quality improvement plan.
(3) The quality improvement program must at a minimum include but not be limited to:
(a) administrative processes;
(b) fiscal processes;
(c) clinical services; and
(d) client outcomes.