(a) Each service setting will have in place policies and procedures that address standards monitoring and related procedures for quality management of provision of psychoactive medication related services.(b) At a minimum, psychoactive medication utilization in each service setting must be reviewed and evaluated at least semiannually and strategies for improvement identified using accepted guidelines.(c) Required areas of review include:(1) appropriateness of prescribing (including choice of medication, dose, and route);(2) documentation;(3) polypharmacy;(4) emergency use of psychoactive medication;(5) PRN use;(6) medication errors;(7) adverse drug reactions; and(8) frequency of medication monitoring.(d) Medication utilization will be reviewed by the medical staff and necessary strategies for improvement approved by the medical staff for implementation.