The quality of our clinical treatment programs and the efficiency of our daily operations are supported and improved by a built-in structure of continuous measurement and evaluation. In this process, various types of data are collected from multiple sources and applied to continuous quality improvement through an organized committee structure that involves staff in review and action on needed improvements.
To support this system, all Department Heads attend “Management Academy” for advanced training in Management, Human Resources, Total Quality Management, and regulations control. All employees receive training in Total Quality Management principles and learn how to function on Quality Improvement Teams.
The sources of information and processes that are applied to quality improvement include:
- Monthly tracking of key indicators of quality
- Mini-surveys (called “probes”) of adherence to regulated standards
- Basic, quality, and billing audits of client records
- Utilization and peer review
- Consultations and reviews
- Comprehensive annual program reviews
- Client, family and agency partner satisfaction surveys
- Client and family outcome tracking
- Annual program reports focused on service outcomes
Contacting The Joint Commission Regarding Safety and/or Quality Concerns
Stars Behavioral Health Group is nationally accredited by The Joint Commission. As a Joint Commission organization, Stars Behavioral Health Group (SBHG) promotes a culture of safety and quality throughout the organization. As part of that culture of safety and quality, anyone who has concerns about the safety or quality of care provided in any SBHG program may report these concerns to The Joint Commission.
If you have any questions about how to submit your concern, you can contact The Joint Commission at the following toll free number: (800) 994-6610 (8:30 to 5 p.m. Central Time, weekdays.)
In order to report a concern regarding safety or quality of care, please contact The Joint Commission at the following:
Fax: Office of Quality Monitoring at (630) 792-5636
Mail: Office of Quality Monitoring – The Joint Commission
One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181