Each CDDO is charged with ensuring that services provided by authorized service providers in the 18 county region are provided as specified and in a manner that is responsive to the person-centered support plan, offers opportunities of choice to the person served, and ensures that all person's rights are observed and protected. DSNWK CDDO believes that it is the responsibility of each community service provider to develop, implement, and demonstrate their own processes for quality assurance and enhancement. DSNWK CDDO recognizes that most community service providers already have procedures in place to address these areas.

The CDDO QA/QE utilizes a monitoring system that measures the quality of services of each Community Service Provider throughout the DSNWK/CDDO area. The Performance Indicator System, compromised of 15 quality indicators, has been operational since September 1998. This system functions with two groups of persons involved in the review process.

DSNWK CDDO's Council of Community Members is the acting Quality Assurance Committee and a QA/QE Team, operating under contract, conducts the review process and reports their findings to the Council of Community Members/Quality Assurance Committee.

A Mission Statement for the QA/QE Team is as follows:

"Through a reasonable and equitable approach, the QA/QE Team shall monitor and report on the quality of services throughout the CDDO region, verifying compliance with applicable standards through an outcome based, continuous improvement process. Communication through the review process shall occur which will affect the highest level of improvement while holding providers of service accountable to the established quality standards."