Quality Assurance Reviewer Best & Shared Practices

Resource Center

Webpage Keyword Search Tip!

Use the keyboard shortcuts Ctrl+F (Windows, Linux, and Chrome OS) and ⌘-F (Mac) to quickly open the find bar. Then enter your keyword or phrase in the find bar and press Enter.

Best & Shared Practices - Quality Assurance Reviewer

 

Submission date: 8/31/12
Submitted by: Robyn Tourlakis
QAR Name: Mario Arreaga
APD Area: n/a
Practice
As a QAR, Mario has made it a practice to highlight to providers and families, the QAR relationship can extend beyond the review or interview date, being available to them for questions prior to and after reviews  and explains Delmarva has an ongoing customer service representative.  When he gives the provider or family his business card, he discusses  they can visit our website for provider and family resources, and that they can also call our office and request customer service, in English or Spanish, to address any concerns or if they have any questions. He lets them know if they call our office there are managers on site to address any concerns, answer technical questions or refer them to the proper person, agency or resource.

Who benefits from this practice and how?  Providers and individuals/families benefit from this practice.  Providers benefit because they feel more comfortable knowing that the QAR is available to them for questions prior to or after the review, and that if the QAR is not available, they understand a little better that we have internal mechanisms to assist them.  Individuals and families benefit because they are pleased to know that we can be a good resource for them for information.  They feel that if they have any questions they can go to a well known and respected source for accurate information and that they can be pointed in the right direction when questions/issues arise.

How could others apply this in practice?  Just by reminding others that we are customer friendly and have systems in place to assist providers and families, helps a great deal to alleviate some stress and project to others that we are not just reviewers or auditors, but that we want them to do well and are there to assist in any areas that we can.  Mostly, this practice conveys that information is a very powerful resource.

Submission date: 10/18/06
Submitted by: Frances Young and Brenda McConnell, QIC's
Provider name: Life Concept Quest
APD Area: 7 and 23
Practice
Francie and Brenda consulted with an agency that operates in Central Florida and Tampa.  They invited an individual who was interviewed.  He gave input on his life and goals, as well as the training the staff has had.  It worked out well to include people receiving services in the closing conference.

Who Benefits? How?
Providers, individuals, quality assurance reviewers. How?  Providers benefit by getting a complete picture from the individual’s perspective and the quality assurance reviewer’s recommendations. Individual’s benefit by an added opportunity to express their opinions regarding their services and service providers. Quality assurance reviewers receive a further opportunity to gather information, and to promote the mindset that ‘individuals drive their own services’.

 

 

Skip Navigation FSQAP Home Florida Agency for Health Care Administration - AHCA Florida Agency for Persons with Disabilities - APD