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Quality & Compliance

Continued improvement & oversight ensure success

The quality assurance department is central to all other functions of the agency.

It is designed to assist individual program directors and general administrators in ensuring that Arc of Westchester runs quality programs and services to those enrolled in its day and/or residential programs.

Quality assurance provides the following services:

Quality Improvement

Corporate Compliance

HIPPA

Internal and External Audits

Incident Managements

Staff Development

Other Quality Improvement Efforts


Quality Improvement

The Quality Improvement Department is structured and focused to assist staff at all levels of the organization to ensure that the Arc of Westchester operates high quality programs that meet agency, regulatory, and professional standards.  Through both its support and leadership to all agency programs, services and departments, the Quality Improvement department identifies and prioritizes areas that require additional attention and emphasis to raise the quality and performance that are critical to supporting consumers, families, and staff.  The overall goal is to ensure each person’s health and safety and that the Arc of Westchester provides its services in a person-centered manner that promotes dignity and respect and an optimal quality of life in which everyone realizes their aspirations.

In 2013, the Arc of Westchester is partnering with the Council on Quality and Leadership (CQL). This nationally recognized organization establishes standards of practice and accredits high quality agencies. Through this collaboration, the Arc of Westchester will intensify its efforts to assist people we serve and define and realize the outcomes that are most meaningful in their lives.


Corporate Compliance

The agency has developed and implemented a Corporate Compliance program to ensure that the Arc of Westchester adheres to the highest regulatory standards throughout the organization and in the administration of its services.  We also ensure that the services provided and the use of public and private funds meets all agency, government, and professional standards.  The Board of Directors has approved and monitors the Corporate Compliance policy which includes conflict of interest statements and a system which encourages the reporting of suspected issues which may involve fraud or the misuse of funds or property or the violations of state and federal law and agency policy.
The Corporate Compliance Hotline Number is 914-495.4488


HIPAA

Arc of Westchester is committed to adhering to the federal Health Insurance Portability and Accountability Act. To that end, the agency has instituted privacy policies to ensure the confidentiality of protected health information of the consumers it serves.


Internal and External Audits

The Arc of Westchester periodically monitors its programs by conducting intensive and comprehensive surveys covering all aspects of services, care, and operations.  Programs are measured against agency policies and procedures as well as Federal and State regulations.  In addition, external audits are conducted by various State and Federal agencies as well as the agency financial auditors who review records and programs to also ensure that there is compliance with regulatory requirements.  Programs are responsible to develop and implement corrective measures that address both specific and systemic issues, if concerns are identified.


Incident Management

The Quality Improvement department assists in the review of incidents by the Board of Directors Special Review committee which consists of staff, parents/family members, and members of the Board of Directors. The goals of this work involve:

  • Ensure that each consumer lives and works in a safe and healthy environment

  • Ensure that all incidents are properly identified, classified, reported, investigated, concluded and that all appropriate clinical and administrative recommendations (both specific and systemic) are developed and implemented

  • Develop policy, procedures and protocols to prevent similar incidents in the future

The Corporate Compliance Hotline number is:  914-495-4488.


Staff Development

As an ongoing means to support and enhance the skills of our workforce, the Staff Development department organizes agency and regulatory mandated training.  This is an ongoing process that begins with each new staff person participating in an extensive orientation program which is supplemented by periodic and annual education that is program/department specific. Our goal is to ensure that each staff person has the necessary tools and competencies to be highly effective in their role supporting consumers, families and the overall organization. 


Other Quality Improvement efforts

The Quality Improvement department participates in various intra- and interagency committees to maintain knowledge of and assess the impact upon our programs of current and proposed practices and regulatory requirements and ensure that there is compliance throughout all programs and services.  QI staff often provide technical assistance and guidance when regulatory or practice issues arise.  QI staff are involved in broad-focused committees which focus on health and medical services, consumer safety, electronic records, and consumer rights.