Comprehensive Geriatric Practice Quality Assurance Plan

1. Quality Objectives

Primary Goals

• Enhance patient safety and clinical outcomes
• Maintain compliance with regulatory requirements
• Optimize geriatric-specific care delivery
• Reduce adverse events and medical errors

2. Quality Metrics Assessment

Clinical Metrics

• Fall risk assessment completion rates
• Polypharmacy review compliance
• Cognitive assessment documentation
• Annual wellness visit completion rates
• Advance care planning documentation

Operational Metrics

• Patient wait times
• Appointment accessibility
• Care coordination efficiency
• Documentation completeness
• Patient satisfaction scores

3. Quality Review Process

Monthly Reviews

• Chart audits (minimum 10% of active patients)
• Medication reconciliation accuracy
• Care transition documentation
• Emergency department utilization rates

Quarterly Reviews

• Clinical outcome analysis
• Patient satisfaction survey results
• Staff performance evaluations
• Quality improvement project progress

4. Staff Requirements

Training

• Annual geriatric care updates
• Quality assurance protocol training
• Safety and emergency procedures
• Documentation requirements

Responsibilities

• Quality metric documentation
• Incident reporting
• Patient feedback collection
• Participation in quality meetings

5. Documentation Requirements

Patient Records

• Comprehensive geriatric assessment
• Care plan documentation
• Family/caregiver communication
• Advance directives

Quality Records

• Quality meeting minutes
• Audit results
• Corrective action plans
• Performance improvement tracking

6. Quality Improvement Process

PDSA Cycle Implementation

1. Plan: Identify areas for improvement
2. Do: Implement changes
3. Study: Measure results
4. Act: Adjust based on outcomes

7. Annual Review

• Comprehensive program evaluation
• Goal achievement assessment
• Policy and procedure updates
• Strategic planning for next year