LHCSA CQI Board Report

LHCSA CQI Board Report
A board-ready quarterly quality and compliance report from the CQI Committee to the Governing Board, prepared to satisfy 10 NYCRR 766.9(l)(3) and mapped to the four compliance pillars at 766.9(j): complaint log summary, 15-day response compliance, the 30-day governing appeals process, and DOH escalation notification. Fourteen sections cover purpose and regulatory basis, governance and CQI oversight with a motion, second, and outcome block for board minutes, an access, growth, and workforce snapshot, clinical quality and safety outcomes, complaint trends by quarter, falls prevention, infection prevention monitoring, EVV compliance and patient satisfaction, active Performance Improvement Projects, strategic CQI priorities, a regulatory and corporate compliance summary, and a board discussion and preparation checklist. Fill-in fields and example metrics guide the agency through each data point. A branded, editable Word document ready to customize with your agency name.