Review Policy and Procedure Manual Quarterly
On a quarterly basis, the Quality Assurance Administrator performs the processes in each Policy and Procedure sub-chapter, to “test” the sub-chapter, thereby ensuring that documented procedures accurately reflect completion of quality processes. “Dummy” tasks must be performed in instances where completing the actual task would be detrimental to
F/EA operations. A control document is updated tracking review and update of the each Policy and Procedure sub-chapter.
The Quality Assurance Administrator compares the output produced by the procedure with the most recent output produced as part of normal processes. Any discrepancies in output are noted and researched with staff with primary responsibility for the task. Any areas of the sub-chapter that are not sufficiently documented to allow successful completion of the task are reviewed with staff with primary responsibility for the task. A corrective action plan is developed to:
- Update the Policy and Procedure Manual sub-chapter
- Train staff on updated Policies and Procedures
- Reconcile Policy and Procedure Manual sub-chapter to contract requirements
After completing each process, Quality Assurance Administrator compares the sub-chapter to the relevant sections of the contract between Program Administrator and
F/EA, as well as any addenda to the contract or other guidance as provided by Program Manager. Any discrepancies between the Policy or Procedure and the contract are noted and solutions integrated into the corrective action plan.
As changes to policy or procedure are implemented, the Quality Assurance Administrator will be fully informed. The Quality Assurance Administrator is in attendance at relevant meetings where policies and procedures are discussed and receives copies of applicable correspondence and documentation of policy or process changes. The Quality Assurance Administrator works with assigned staff to understand changes to the policy or process. The Quality Assurance Administrator updates the manual accordingly on an ongoing basis.
- On a quarterly basis, Quality Assurance Administrator will use each sub-chapter to perform the process described in the manual.
- Quality Assurance Administrator opens Policy and Procedure Manual Review Control Sheet YYYY saved at:
- For each sub-chapter tested, Quality Assurance Administrator updates the following fields:
Sub-Chapter Number
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Review Date
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Reviewer Initials
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Process Completed
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Process Discrepancies Identified
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Output Produced
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Output Reviewed by Primary Staff
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Output Discrepancies Identified
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Compared to Contract
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Contract Comparison Discrepancies Identified
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Sub-Chapter Updated per Discrepancies
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- Quality Assurance Administrator selects a sub-chapter from the manual
- Quality Assurance Administrator performs the process outlined in the Policy and Procedure Manual sub-chapter
- Quality Assurance Administrator highlights any areas that are not sufficient to perform the process
- After completing process, Quality Assurance Administrator compares output to the output produced by staff with primary responsibility for the task as part of normal processes
- Quality Assurance Administrator’s output should be identical (or appropriately similar, depending on the process) to the output produced as part of normal operations
- Staff with primary responsibility for the task reviews Quality Assurance Administrator’s output and notes any discrepancies
- Quality Assurance Administrator compares sub-chapter to relevant parts of the contract, contract addenda and other guidance issued by workers Program Manager
- Discrepancies are noted and reviewed with <<Staff Title>> or other assigned staff as applicable
- Any discrepancies in Policy and Procedure Manual sub-chapter are corrected
- After reviewing all Policy and Procedure sub-chapters, Quality Assurance Administrator compares reviewed sub-chapters listed in Policy and Procedure Manual Control Document to Table of Contents
- Quality Assurance Administrator cross references to ensure that all Policy and Procedure Manual sub-chapters have been reviewed and updated
- Quality Assurance Administrator prints Policy and Procedure Manual Control Document
- Quality Assurance Administrator signs and dates next to “Prepared By:”
- <<Staff Title>> reviews Policy and Procedure Manual Control Document
- <<Staff Title>> signs and dates next to “Reviewed By”
- Policy and Procedure Manual Control Document is scanned as saved to H:\Policies and Procedures\Review Control Sheets
- The scanned file is saved with the quarter and year in the file name