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BHRS Quality Management


Behavioral Health & Recovery Services Quality Management

BHRS Quality Management Program

Quality Management is the act of overseeing all activities and tasks needed to maintain a desired level of excellence.

Quality Management DescriptionQuality Improvement Committee

Policy Management, Development, and Approval Process

Quality Improvement Work Plan QI Work Plan 17-18 | FY16-17QI Work Plan 15-16

End of Year Review- Quality Improvement Work Plan Work Plan Year End Review 15-16Work Plan Year End Review 14-15Work Plan Year End Review 16-17

QM Resources

New Progress Notes with Face to Face, video (10 min)How to Guide
New Diagnosis Fields in Avatar & Crosswalks
My Avatar Update 2013 – Make sure to open your browser up to the full screen. The training takes 10 minutes.
Assessment video/training. The training takes 25 minutes and will tell you how to use the new assessment forms. Adult Initial Assessment Worksheet Adult Annual/Update Assessment Worksheet

QM Contact Information

Quality Management | Behavioral Health & Recovery Services

(650) 573-3431
or if unable to reach anyone at the QM office, call the BHRS Program Office at (650) 573-2541 and ask for any available Quality Management staff.
Fax: (650) 525-1762
Address: 1950 Alameda de las Pulgas, Suite 157, San Mateo, CA 94403

QM Team
Jeannine Mealey LMFT, 
If you are unable to contact Jeannine by phone please email her at
Kathy Koeppen LMFT, Unit Chief

Assistance with critical incident management. ** Please send all incident reports to QM (not Program Office).**

Breach reporting questions

Documentation/coding questions

Site certification questions

QM Program Specialist


QM Training Coordinator

Assistance with Avatar, coding, and documentation questions for clinical staff.

Subpoena and release of information questions ** Send all subpoenas and court orders directly to QM – do not respond without QM consultation.**

Eleanor Valdes Dwyer LCSW

(650) 573-2717

QM Contractor

Site certification questions

Amber Ortiz, QM Medical Office Specialist
Staff Credentialing

Getting Avatar Access

Online Training Tracking

Holly Severson RN, QM Nurse

Hospital Reviews

Help finding BHRS Policies

Quality Improvement Committee (QIC) Questions

Marcy Fraser RN, QM Nurse

Review of Medication Rooms

Drug Medi-Cal QM Support

Institutional Review Board (IRB) Chair

Norma Trabucco, Administrative Assistant

Norma can help find an available QM staff person to help you.

Nicola Freeman, Office Assistant

Send QM Reports to Teams

Meeting Scheduling for QM