Provider Quality/Compliance Review Scores

Each year, GHS audits our contractual providers for quality of care (QOC) indicators as well as staff Credentialing and Privileging (C&P). These scores measure quality of care across all domains of program operation and treatment provision, including assessment, treatment planning, service delivery, coordination of care, specialty service considerations, Social Determinants of Health, and discharge planning. In addition, site reviews ensure all Health and Safety aspects are addressed and staff records are reviewed to ensure continued adherence to requirements of licensure, certification, and training. Most audits are done annually, therefore are listed as routine. If another audit is needed, it would be listed as a special or focus audit. The scores achieved by each provider is listed below as a percentage which is an overall average of scores based on a sample review of 15-30 case records across all domains.

• CM/SC - Case Management/Supports Coordination

• ACT - Assertive Community Treatment

• HB - Home Based

• MST - Multisystemic Therapy

• CLS - Community Living Supports

• AFC/CLF - Adult Foster Care/Community Living Facility