Quality Assurance takes place through a variety of methods, including but not limited to:
- Monitoring network providers for contract compliance
- Investigating complaints and incident reports and monitoring for trends
- Monitoring performance and outcome measures
- Reviewing of compliance and quality elements of each provider through the Provider Report Card
- Monitoring of the network to ensure providers are transitioning to a Recovery Oriented System of Care by effectively and accurately executing evidence-based practices, emerging trends, and promising practices, such as, Integration of Primary and Behavioral Health Care, Trauma Informed Care, and Cultural and Linguistic Competence
- Evaluating network provider services of secret shoppers
Provider Incident Reporting
- The Network Provider must submit incident reports into the Incident Reporting and Analysis System (IRAS) on all reportable incidents per CFOP 215-6 and per Chapter 65D-30.004, Florida Administrative Code, Common Licensing Standards. The ME mandates that all Network Providers report all critical incidents within twenty-four (24) hours of the incident occurring. Failure to comply with the reporting requirements constitutes a lack of compliance with licensure status or contract provisions. The Network Provider may be assessed financial consequences for failure to perform pursuant to section 8., of the Standard Contract.
Certain incidents may warrant additional follow-up by the ME. Follow-up may include on-site investigations or requests for additional information or documentation. When additional information or documentation is requested, the Network Provider will submit the information requested by the ME within 24 hours unless otherwise specified in the request.
It is the responsibility of the Network Provider to maintain a monthly log listing all incidents occurring at the agency, including those submitted to the Office of the Inspector General and those not reportable in IRAS, with the following information: Individual served initials, incident report tracking number from IRAS (if applicable), incident report category, date and time of incident, and follow-up action taken.
- All designated public and private Baker Act receiving facilities, all State Mental Health Treatment Facilities, and all licensed Addictions Receiving Facilities that provide for the evaluation, diagnosis, care, treatment, training, or hospitalization of persons who appear to have a mental illness or have been diagnosed as having a mental illness must report seclusion and restraint event data in accordance with the DCF Pamphlet 155-2, Version 14, or the latest revision thereof. This chapter is posted on the Florida Department of Children and Families website at:
Managing Entities | Florida DCF (myflfamilies.com)