In California, the Department of Managed Health Care (DMHC) requires that all dentists receive yearly on-site quality assessment (QA) reviews. These reviews evaluate how the many components of your practice compare to the expectations of dental professionals, regulatory agencies, dental educators and Delta Dental.
Your QA review will focus on two parts of your practice:
The easiest way to prepare for an on-site assessment is by getting acquainted with the aspects of a QA review. Follow the checklist below to understand what will be checked during your assessment.
The structural review involves an assessment of the facility and equipment, as well as sterilization protocols.
The records review involves a review of your patient care documentation.
After your review, you’ll be notified of the findings by mail. If you fail any part of the inspection, you’ll be asked to respond to show that you’ve corrected the error. Outstanding errors or repeated failures on follow up inspections may result in a referral to Delta Dental’s Peer Review Committee (PRC).
This list highlights just a few aspects of a QA review and is a useful tool to help you review your practice through the eyes of the QA examiner. Please refer to the Quality Management section of the Delta Dental Dentist Handbook for information on the Quality Assessment process and a list of all requirements. Together with your staff, you can evaluate your office policies and procedures and be even better prepared for a future on-site QA review. For more posts about QA reviews, check out the quality assessment category.