Standards for private organizations

2020 Edition

Network Administration (NET) 5: Access to Network Services

The network's service delivery system is characterized by triage of need and timely access to services.
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 5 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the NET 5 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the NET 5 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 5 Practice standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Access procedures 
  • Procedures for providing emergency services 
  • Procedures for responding to emergency and urgent care needs
  • Triage and critical care criteria
  • Publicly available information on how to access network services
  • Interviews may include:
    1. Clinical management/supervisors
    2. Provider Clinical management/supervisors and independent practitioners
    3. Persons served/community stakeholders
  • Review:
    1. Client records
    2. Utilization management data/reports
  • Observe 24/7 crisis response capability

 


 

NET 5.01

Information about how to access network services is available to the public and is included in information provided to clients at intake.
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 5.02

The network management entity, as appropriate to the service requested:
  1. accepts referrals through established access points or another functionally equivalent approach to providing accessible care;
  2. establishes access guidelines that result in prompt telephone response and low telephone abandonment rates; and
  3. responds to non-urgent requests for services with an offer of an appointment within a week of the initial call.
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 5.03

Network management entities that provide emergency services:
  1. maintain cost-free telephone accessibility 24 hours-a-day, seven days-a-week;
  2. provide intake, assessment, and admission or referral 24 hours-a-day, seven days-a-week; and
  3. have mobile capability and can send practitioners or teams into the home, school, emergency room, or police department for purposes of immediate evaluation and crisis intervention, when necessary.
NA The network management entity does not provide emergency services.
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 5.04

Access to emergency and crisis intervention services is available 24 hours-a-day, seven days-a-week, and:
  1. emergency care is available immediately, within six hours or less of an initial call; and
  2. urgent care is available within 24 to 72 hours of the initial call.
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 5.05

Triage and critical care decision-making are carried out by, or under the direct supervision of, experienced and/or licensed personnel.
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.