Common use of Quality Improvement Clause in Contracts

Quality Improvement. Points to consider: If applicable, the QI model that will be used; How will the QI process be used to track progress; The staff members who will be responsible for overseeing these processes; How you will implement any needed changes in project implementation and/or project management; What decision-making processes will be used; When and by whom will decisions be made concerning project improvement; What are the thresholds for determining that changes need to be made; Will the Advisory Board have a role in the QI process; and How will the changes be communicated to staff and/or partners/sub-awardees. Appendix F – Biographical Sketches and Position Descriptions Include position descriptions for the Project Director and all key personnel. Position descriptions should be no longer than one page each. For staff members who have been identified, include a biographical sketch for the Project Director and other key positions. Each sketch should be two pages or less. Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and dates Recent relevant publications Title of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities SAMHSA expects recipients to utilize their data to: (1) identify the number of individuals to be served during the grant period and identify subpopulations (i.e., racial, ethnic, sexual, and gender minority groups) vulnerable to behavioral health disparities; (2) implement a quality improvement plan for the use of program data on access, use, and outcomes to support efforts to decrease the differences in access to, use, and outcomes of service activities; and (3) identify methods for the development of policies and procedures to ensure adherence to the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care.

Quality Improvement. Points 10.1. CONTRACTOR’s Quality Assurance team shall regularly assess the physical condition and cleanliness of the facility, and evaluate program requirements including, but not limited to: • Emergency disaster plan • Meal planning calendar • Daily activities schedule • Client records • Personnel records • Staff work schedule and training schedule • Policy and procedures manual • Quality and frequency of groups • Fire safety • Consumer grievance process • Random interviews of clients 10.2. CONTRACTOR shall provide each client with a consumer satisfaction survey to consider: If applicablecomplete and submit to CONTRACTOR upon discharge. Results of these surveys shall be provided to COUNTY as part of its monthly report. 10.3. CONTRACTOR shall provide results of program evaluations which may be conducted by the California Department of Health Care Services and the California Department of Social Services Community Care Licensing Division to COUNTY upon request. 10.4. CONTRACTOR shall maintain a COUNTY-approved written Quality Improvement Plan, which shall meet COUNTY and DHCS guidelines for such a program. These shall include the definition of specific levels of care for utilization review and monitoring processes to evaluate the appropriateness of patient admission, treatment and the length of stay based on the medical necessity and specified behavioral criteria for the program. The plan shall also include procedures addressing the quality of clinical records; peer review, medication monitoring, and medical care evaluation studies. CONTRACTOR agrees to on-going review of the implementation and effectiveness of the services it provides. CONTRACTOR shall maintain on file at its facilities documentation of minutes and the implementation of the Quality Improvement Plan in the form of minutes and records of all quality assurance, utilization review, and medication monitoring processes. Such records and minutes will be subject to review by COUNTY. A monthly report summarizing quality issues shall be submitted to the Mental Health Director to be presented at COUNTY Quality Assurance Oversight Committee. 10.5. CONTRACTOR shall adhere to COUNTY requirements for concurrent review for authorization to ensure the appropriateness of inpatient admissions and to determine the level of care and length of stay based on Medical Necessity. When documentation in the clinical record substantiates that the beneficiary met the medical necessity criteria, the QI model that COUNTY will be used; How will the QI process be used to track progress; The staff members who will be responsible for overseeing these processes; How you will implement any needed changes in project implementation and/or project management; What decision-making processes will be used; When and by whom will decisions be made concerning project improvement; What are the thresholds for determining that changes need to be made; Will the Advisory Board have a role in the QI process; and How will the changes be communicated to staff and/or partners/sub-awardees. Appendix F – Biographical Sketches and Position Descriptions Include position descriptions for the Project Director and all key personnel. Position descriptions should be no longer than one page each. For staff members who have been identified, include a biographical sketch for the Project Director and other key positions. Each sketch should be two pages or less. Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and dates Recent relevant publications Title of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities SAMHSA expects recipients to utilize their data to: (1) identify the number of individuals to be served during the grant period and identify subpopulations (i.e., racial, ethnic, sexual, and gender minority groups) vulnerable to behavioral health disparities; (2) implement a quality improvement plan for the use of program data on access, use, and outcomes to support efforts to decrease the differences in access to, use, and outcomes of service activities; and (3) identify methods for the development of policies and procedures to ensure adherence to the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Careauthorize payment.

Quality Improvement. Points to consider: If applicable, the QI model that will be used; How will the QI process be used to track progress; The staff members who will be responsible for overseeing these processes; How you will implement any needed changes in project implementation and/or project management; What decision-making processes will be used; When and by whom will decisions be made concerning project improvement; What are the thresholds for determining that changes need to be made; Will the Advisory Board have a role in the QI process; and How will the changes be communicated to staff and/or partners/sub-awardees. Appendix F – Biographical Sketches and Position Descriptions Include position descriptions and biographical sketches for the Project Director and all key personnelproject staff. Position descriptions should be no longer than one page each. For staff members who have been identified, include a each and biographical sketch for the Project Director and other key positions. Each sketch sketches should be two pages or less. Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and dates Recent relevant publications Title of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities SAMHSA expects recipients to utilize their submit a Disparity Impact Statement (DIS) within 60 days of receiving the grant award. The DIS is a data-driven, quality improvement effort to ensure underserved subpopulations are addressed in the grant. The DIS is built on the required GPRA data tosuch that no additional data collection is required. The DIS consists of three components: (1) identify the number of individuals to be served during the grant period and identify subpopulations subpopulation(s) (i.e., racial, ethnic, sexual, and gender minority groups) vulnerable to behavioral health disparities; (2) implement a quality improvement plan for to address subpopulation differences based on the use of program GPRA data on access, use, and outcomes to support efforts to decrease the differences in access to, use, use and outcomes of service activities; and (3) identify methods for the development of policies and procedures to ensure adherence to the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care.

Quality Improvement. Points to consider: If applicable,  The strength of the QI model corrective action processes that will be used; How will the QI process be used to track progress; The staff members who will be responsible for overseeing these processes; How you will implement to address any needed changes in project implementation and/or project management; What decision-making processes concerns regarding the quality or accuracy of products completed under this cooperative agreement. (3 points)  Organizational Information: The extent to which the application describes your current organizational mission and structure, and explains how the current organizational capabilities will contribute to your ability to meet HWRC Cooperative Agreement Program requirements. (3 points)  Resources: The extent to which your resources are sufficient to support the HWRC Cooperative Program activities. Specifically: o The extent to which: (a) the application describes the roles, responsibilities, and organizational lines of duty for the Principal Investigator and Deputy Principal Investigator to ensure that products will be used; When of high quality and by whom will decisions be made concerning project improvement; What are the thresholds for determining that changes need to be made; Will the Advisory Board have a role in the QI process; and How will the changes be communicated to staff and/or partners/sub-awardees. Appendix F – Biographical Sketches and Position Descriptions Include position descriptions for the Project Director and all key personnel. Position descriptions should be no longer than one page each. For staff members who have been identified, include a biographical sketch for the Project Director and other key positions. Each sketch should be two pages or less. Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and dates Recent relevant publications Title of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities SAMHSA expects recipients to utilize their data to: (1) identify the number of individuals to be served during the grant period and identify subpopulations (i.e., racial, ethnic, sexual, and gender minority groups) vulnerable to behavioral health disparitiescompleted on schedule; (2b) implement a the staff loading chart indicates that sufficient Core Project Team staff of appropriate expertise are assigned to ensure the timely completion of high quality improvement plan for the use of program data on access, use, and outcomes to support efforts to decrease the differences in access to, use, and outcomes of service activitiesproducts; and (c) the application describes how you will have the appropriate staff (including Principal Investigator, Deputy Principal Investigator, and Core Project Team) available to respond to Rapid Response Requests that may involve short-term qualitative or quantitative analysis within five (5) to ten (10) business days. (3 points) o The extent to which you describe your demonstrated capability to conduct and disseminate complex, policy-relevant health workforce information, including the design and maintenance of a dedicated HWRC website. (2 points)  Capabilities: The extent to which the Principal Investigator, Deputy Principal Investigator, and Core Project Team are qualified by their education and experience to implement and carry out the proposed work in your Selected Topic Area. o For the Principal Investigator:  The extent to which the Principal Investigator has appropriate education and substantive experience relevant to your Selected Topic Area. Substantive experience for the Principal Investigator includes conducting and disseminating policy-relevant health workforce research, as evidenced by at least five (5) years of health workforce research work experience; publication of at least five (5) peer-reviewed journal articles related to your Selected Topic Area; preparation of health workforce policy briefs; and presentations at national health workforce conferences. (2 points)  The availability of the Principal Investigator and the extent to which the Principal Investigator will devote at least 25 percent of a full time equivalent (FTE) to work that is related to the HWRC Cooperative Agreement Program. (2 points)  The extent to the Principal Investigator: (a) has experience in managing teams of researchers and the authority to supervise the Deputy Principal Investigator and the Core Project Team, including staff located in other parts of your organization; and (b) has the responsibility and authority to review draft reports before their submission to HRSA. (2 points) o For the Deputy Principal Investigator:  The extent to which the Deputy Principal Investigator has appropriate education and substantive experience relevant to your Selected Topic Area. Substantive experience for the Deputy Principal Investigator includes conducting and disseminating policy-relevant health workforce research, as evidenced by at least three (3) identify methods years of health workforce research work experience; peer-reviewed journal articles related to your Selected Topic Area; preparation of health workforce policy briefs; and presentations at national health workforce conferences. (2 points)  The availability of the Deputy Principal Investigator and the extent to which the Deputy Principal Investigator will devote at least 20 percent of an FTE to work that is related to the HWRC Cooperative Agreement Program, as well as the extent to which the application describes a viable approach for the development Deputy Principal Investigator to manage the HWRC Cooperative Agreement Program activities when the Principal Investigator is on short-term or extended leave. (2 points) o For the Core Project team:  The extent to which the multi-disciplinary mix of policies the Core Project Team is appropriate and procedures their education and substantive experience support your Selected Topic Area. Substantive experience for the Core Project Team members includes conducting and disseminating policy-relevant health workforce research, as evidenced by publication of peer-reviewed journal articles; preparation of health workforce policy briefs; and presentations at national health workforce conferences. (2 points)  IF APPLICABLE: Applicants who submit Competing Continuation proposals will also be evaluated based on the extent to ensure adherence which you have successfully executed your previously funded HWRC Cooperative Agreement Program work, as described in Attachment 6 – Summary Progress Report/Accomplishment Report. (5 Points)  IF APPLICABLE: Applicants who submit New proposals will also be evaluated on the extent to which you have successfully executed comparable health workforce research or technical assistance. (5 points)  The reasonableness of your proposed budget for each budget year of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care.five

Quality Improvement. Points to consider: If applicable, the QI model that will be used; How will the QI process be used to track progress; The staff members who will be responsible for overseeing these processes; How you will implement any needed changes in project implementation and/or project management; What decision-making processes will be used; When and by whom will decisions be made concerning project improvement; What are the thresholds for determining that changes need to be made; Will the Advisory Board have a role in the QI process; and How will the changes be communicated to staff and/or partners/sub-awardees. Appendix F – Biographical Sketches and Position Descriptions Include position descriptions for the Project Director and all key personnel. Position descriptions should be no longer than one page each. For staff members who have been identified, include a biographical sketch for the Project Director and other key positions. Each sketch should be two pages or less. Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and dates Recent relevant publications Title of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities Standard Funding Restrictions HHS codified the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards, 45 CFR Part 75. In Subpart E, cost principles are described and allowable and unallowable expenditures for HHS recipients are delineated. 45 CFR Part 75 is available at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/grants/grants-management/policies-regulations/requirements-principles. Unless superseded by program statute or regulation, follow the cost principles in 45 CFR Part 75 and the standard funding restrictions below. You may also reference the SAMHSA expects recipients to utilize their data site for grantee guidelines on financial management requirements at ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/grants/grants-management/policies-regulations/financial-management-requirements. SAMHSA grant funds may not be used to: Pay for the purchase or construction of any building or structure to house any part of the program. (1Applicants may request up to $75,000 for renovations and alterations of existing facilities, if necessary and appropriate to the project.) identify Provide residential or outpatient treatment services when the number facility has not yet been acquired, sited, approved, and met all requirements for human habitation and services provision. (Expansion or enhancement of existing residential services is permissible.) Provide inpatient treatment or hospital-based detoxification services. Residential services are not considered to be inpatient or hospital-based services. Make direct payments to individuals to enter treatment or continue to participate in prevention or treatment services. Note: A recipient or treatment or prevention provider may provide up to $30 non-cash incentive to individuals to participate in required data collection follow up. This amount may be served during paid for participation in each required follow up interview. Meals are generally unallowable unless they are an integral part of a conference grant or specifically stated as an allowable expense in the grant period and identify subpopulations FOA. Grant funds may be used for light snacks, not to exceed $3.00 per person. Consolidated Appropriations Action, 2017 (i.e.Public Law 115-31) Division H, racialSection 520, ethnicnotwithstanding any other provision of this Act, sexualno funds appropriated in this Act shall be used to purchase sterile needles or syringes for the hypodermic injection of any illegal drug. Provided, and gender minority groups) vulnerable That such limitation does not apply to behavioral health disparities; (2) implement a quality improvement plan for the use of funds for elements of a program data on accessother than making such purchases if the relevant State or local health department, in consultation with the Centers for Disease Control and Prevention, determines that the State or local jurisdiction, as applicable, is experiencing, or is at risk for, a significant increase in hepatitis infections or an HIV outbreak due to injection drug use, and outcomes to support efforts to decrease the differences such program is operating in access toaccordance with state and local law. Pay for pharmaceuticals for HIV antiretroviral therapy, usesexually transmitted diseases (STD)/sexually transmitted illnesses (STI), tuberculosis (TB), and outcomes hepatitis B and C, or for psychotropic drugs. Appendix H – Administrative and National Policy Requirements If your application is funded, you must comply with all terms and conditions of service activities; the NoA. SAMHSA’s standard terms and (3) identify methods for conditions are available on the development of policies and procedures to ensure adherence SAMHSA website at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/grants/grants-management/notice-award-noa/standard-terms-conditions. If your application is funded, you are subject to the National Standards for Culturally requirements of the HHS Grants Policy Statement (GPS) that are applicable based on recipient type and Linguistically Appropriate Services purpose of award. This includes any requirements in Parts I and II of the HHS GPS that apply to the award. The HHS GPS is available at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/grants/grants-management/policies-regulations/hhs-grants-policy-statement. The general terms and conditions in the HHS GPS will apply as indicated unless there are statutory, regulatory, or award-specific requirements to the contrary (CLAS) as specified in Health and Health Carethe NoA).

Quality Improvement. Points to consider: If applicable, the QI model that will be used; How will the QI process be used to track progress; The staff members who will be responsible for overseeing these processes; How you will implement any needed changes in project implementation and/or project management; What decision-making processes will be used; When and by whom will decisions be made concerning project improvement; What are the thresholds for determining that changes need to be made; Will the Advisory Board have a role in the QI process; and How will the changes be communicated to staff and/or partners/sub-awardees. Appendix F – Biographical Sketches and Position Descriptions Include position descriptions for the Project Director and all key personnel. Position descriptions should be no longer than one page each. For staff members members, who have been identified, include a biographical sketch for the Project Director and other key positions. Each sketch should be two pages or less. Existing curricula vitae of project staff members may be used if they are updated and contain all items of information requested below. You may add any information items listed below to complete existing documents. For development of new curricula vitae include items below in the most suitable format: Name of staff member Educational background: school(s), location, dates attended, degrees earned (specify year), major field of study Professional experience Honors received and dates Recent relevant publications Title of position Description of duties and responsibilities Qualifications for position Supervisory relationships Skills and knowledge required Amount of travel and any other special conditions or requirements Salary range Hours per day or week Appendix G – Addressing Behavioral Health Disparities SAMHSA expects recipients to utilize their data to: (1) identify the number of individuals to be served during the grant period and identify subpopulations (i.e., racial, ethnic, sexual, and gender minority groups) vulnerable to behavioral health disparities; (2) implement a quality improvement plan for the use of program data on access, use, and outcomes to support efforts to decrease the differences in access to, use, and outcomes of service activities; and (3) identify methods for the development of policies and procedures to ensure adherence to the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care.