Sample Program Integrity Tracking System

Agency

Review Date

Issue

Area

Issue

Recommendation

Action

Date

Completed

Agency X

8/15/02

Physical Plant

Poor

maintenance

at selected

homes

1. Increased monitoring for CLAs

2. Performance objectives in contract for FY 03

Monthly Site Visits Scheduled by SC and NW

FY 03 Contract

Includes Performance Objectives re: Maintenance

9/1/02

9/1/02

Training

No CPR certification at one home

1. Expedite CPR certificate for staff in Daniel CT

3 staff obtained CPR certification

9/1/02

Safety

No protocol for bedrail use

1. Immediate development of agency procedure

Protocol implemented and approved by SC and NW regions

8/15/02

Agency C

9/1/02

Training

Med cert outdated for 4 staff

NET not completed for 2 staff

1. Performance objectives for FY03

Contract monitor

9/15/02

PRC & HRC

Emergency restraint

Review reporting responsibilities with Ex. Director

Meeting scheduled

Health & clinical services

Nurses not supporting G-tube feedings

Med error rate high in 3 homes

Review nursing responsibilities w/ Exec. Director

Monitor med records on site visits

Monitoring instructions developed

Source: DMR