|Audit Date: 10/15/2014|
2015 Agency Score: 78.3%
2015 State Average: 88.9%
4706 W. Urbana Street
Broken Arrow, OK 74012
|The minimum team members were present at the planning meeting.||**|
|The Member's specific needs and abilities were addressed in the Service Plan Goals.||**||**||60.0%|
|The Member received information on abuse, neglect, and exploitation and how to report it.||**||**||0.0%|
|The Case Manager distributed the Service Plan and Goals to the Member and the Goals to the team members.|
|The Case Manager contacted the Member within 5 days after any service implementation to verify the newly authorized service was being delivered.|
|The Case Manager revised the Member's Service Plan as needed.||**||**||100.0%||84.9%|
|The Case Manager completed a monthly home visit when a family member served as a PCA.||**||**||N/A||91.4%|
|The Case Manager completed monthly monitoring, including a quarterly home visit.|
|The Case Manager contacted the Member and the Home Health agency every week, until the Member was staffed.||**||**||N/A||53.5%|
|The Case Manager monitored delivery of services as authorized on the Service Plan each month.||**||**||80.0%|
|The Case Manager used documentation practices that were legible, factual, and signed or initialed after each entry.||**||**||67.5%|
|The Member’s Service Plan Goals included a personal goal.||**||**||100.0%||98.3%|
|The Case Manager reported abuse, neglect, and exploitation incidents to APS.||**||**||N/A||39.5%|
|The Consumer Inquiry Services phone number was provided to the Member.||**||**||100.0%||97.7%|
|The Case Manager appropriately identified the Member using the agency’s high risk policy.||**||**||100.0%||99.2%|
|The Case Manager monitored the high risk Member using the agency’s high risk policy.||**|
|The Member’s high risk indicators were included in the Member’s Service Plan Goals.||**|
|The Case Management Provider made all documents available for audit review within a reasonable time and place.||**||**||100.0%||96.2%|
|Member Perception - Service Plan Compliance|
|The Member knew the Case Manager’s name &/or phone number.|
|The Member states the Case Manager was respectful.|
|The Member states the Case Manager checks on them every month.|
|The Member was involved in planning and making decisions about their care and services.|
Score in italics indicates a follow-up audit is required. Score in bold indicates the follow-up result. For example: 55% | 89% indicates the provider initially scored 55% in a condition, requiring a follow-up audit; after which the provider scored 89%.
"NA" indicates the auditor was unable to apply the condition, or the Member had been discharged from the agency.
"NC" indicates State Average not calculated for this condition.
"*" indicates agency is not certified to provide services.
"**" indicates this condition was not applied this year.