Standards for private organizations

2020 Edition

Network Administration (NET) 4: Network Services

Implementation of the standard is minimal or there is no evidence of implementation at all.
2020 Edition

Currently viewing: NETWORK ADMINISTRATION (NET)

VIEW THE STANDARDS

Purpose

Network services are delivered to a defined population through an integrated network of providers with the goal of ensuring optimal access, quality of care, and consumer satisfaction.
1
The organization's practices fully meet the standard, as indicated by full implementation of the practices outlined in the NET 4 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the NET 4 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the NET 4 Practice standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the NET 4 Practice standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Service coordination procedures
  • Admissions procedures
  • Eligibility criteria
  • Level of care procedures
No On-Site Evidence
  • Interviews may include:
    1. Network Commissioner/Executive management
    2. Provider Clinical management/supervisors and independent practitioners
    3. Persons served/community stakeholders

 

NET 4.01

Network service recipients:
  1. are provided with a choice of service providers, to the extent possible given available resources and service requirements; and
  2. can move readily between programs or levels of care as service needs change or progress is made.

Interpretation

Regarding element (a), when resource limitations make this impossible (for example, the funding body will fund only one provider of a particular service in a region), then the network needs to assure that the sole organization offering a particular service provides consumers choices of service times and practitioners.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 

NET 4.02

Network services are coordinated, such that:
  1. current eligibility information is maintained for the entire covered population to minimize administrative barriers to prompt service delivery; and
  2. case records follow persons served to facilitate maximum benefit and continuity of care.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 

NET 4.03

Least restrictive and most appropriate services that meet consumer needs and preferences is achieved through flexible, responsive admissions and utilization management criteria for persons with multiple or chronic needs.
Examples: Relevant needs can include:
  1. substance use disorders;
  2. serious and persistent mental illness or serious emotional disturbance;
  3. substantial developmental and physical disability; and
  4. severe, chronic family and individual problems with multiple, or interacting causes.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 

NET 4.04

The network management entity develops a mechanism and strategy for implementation of best, promising, and evidence-based service practices.
Examples: While the introduction of research-based services cannot be done in a single year contract cycle, effective network management entities can develop realistic targets for importing research findings into service offerings. Their annual and strategic plans can identify goals and objectives for importing and using research-based practices that are supported by such activities as training, service and capacity development, and the introduction of service requirements that meet recognized fidelity scales.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.