Quality Assurance

Quality assurance refers to a broad spectrum of activities aimed at ensuring compliance with minimum quality standards. Quality assurance activities include the retrospective process of measuring compliance with standards (e.g., HHS guidelines, professional guidelines, service standards). Site visits and chart reviews are examples of commonly used quality assurance activities. Quality assurance is not the same as quality improvement, although the results of quality assurance activities can be used to develop quality improvement activities.

Quality assurance is part of the larger grant administration function of a recipient’s program or organization and informs the clinical quality management program, but quality assurance activities by themselves do not constitute a CQM program. Data collected as part of quality assurance processes should feed back into the CQM program to ensure improvement in patient care, health outcomes, and patient satisfaction.

Definition of Terms

HRSA-HAP Universal Standards
Title Type

HRSA Financial Management Requirements

HRSA Financial Monitoring Standards

HRSA National Monitoring Standards

Policies and Procedures
Title Type

Agency Appeal of Site Visit Report

Agency Inventory

American with Disabilities Act

Client Complaint & Grievance-RWGA (Under Revision)

Client Documentation

Client Rights

Client Rights

Confidentiality

Confidentiality

Corrective Action Plan

Determining Household Income

Eligibility Verification (RW Part A & Medicare/Medicaid)

Employee Record

Financial Management

First Aid Kit

Follow-Up Site Visit

Formal Investigation Process-RWGA (Under Revision)

LPAP & EFA-PA Eligibility for Insured Clients

Performing RWGA Site Visit

Point of Entry Agreement

Pre-Investigative RWGA Complaint-Grievance Process (Under Revision)

RWGA Policy & Procedure – Subrecipient In-House Trainings

Scanning Documents During Site Visit

Site Visit Report Review and Revision

Sample Forms
Title Download

Client Rights & Responsibilities & Complaint Procedures Posters

English Spanish

Consent for Release Single

English Spanish

Consent for Services

English Spanish

Income Affidavit by Client 60 days

English Spanish

Income Calculation Form DSHS

English Spanish

Income Support Affidavit

English Spanish

Residency & Income Support Affidavit

English Spanish

Residency Affidavit by Client 60 days

English Spanish

Site Visit Appeal Process Form

English

Site Visit Plan of Corrective Action

English

Site Visit Plan of Corrective Action Recurring Citations

English

Statement of Client Rights & Responsibilities with Signature

English Spanish

THMP Self Employment Log Form

English Spanish

Whistleblower Notice to Employees

English

Site Visit Guidelines
Title Type

Ch. 1 Requisite Guidelines

Ch. 2 Rights Protection

Ch. 3 Infection Control

Ch. 4 Client Records

Ch. 5 Safety and Sanitation

Ch. 6 Human Resources

Ch. 7 Contract Compliance

Standards of Care
Title Type

2024 – 2025

2025 – 2026