Common use of Hospital and Specialty Services Clause in Contracts

Hospital and Specialty Services. Contractor shall provide adequate, timely and appropriate access to specialty and Hospital services. Contractor’s service agreements with specialty and Hospital Providers shall address the coordinating role of patient- centered primary care; shall specify processes for requesting Hospital admission or specialty services; and shall establish performance expectations for communication and medical records sharing for specialty treatments, at the time of Hospital admission or discharge, for after‐Hospital follow up appointments. Contractor shall demonstrate how Hospitals and specialty service providers are accountable for achieving successful transitions of care. Contractor shall ensure that primary care teams transition Members out of Hospital settings into the most appropriate, independent, and integrated care settings, including home and community-based as well as Hospice and other palliative care settings.

Appears in 3 contracts

Samples: Health Plan Services Contract, Oregon Health Plan, Health Plan Services Contract

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Hospital and Specialty Services. Contractor shall provide adequate, timely and appropriate access to specialty and Hospital hospital services. Contractor’s service agreements with specialty and Hospital Providers hospital providers shall address the coordinating role of patient- centered primary care; shall specify processes for requesting Hospital hospital admission or specialty services; and shall establish performance expectations for communication and medical records sharing for specialty treatments, at the time of Hospital hospital admission or discharge, for after‐Hospital afterhospital follow up appointments. Contractor shall demonstrate how Hospitals hospitals and specialty service providers are accountable for achieving successful transitions of care. Contractor shall ensure that primary care teams transition Members out of Hospital hospital settings into the most appropriate, independent, and integrated care settings, including home and community-based as well as Hospice and other palliative care settings.

Appears in 1 contract

Samples: Oregon Health Plan Health Plan Services Contract

Hospital and Specialty Services. Contractor shall provide adequate, timely and appropriate access to specialty and Hospital services. Contractor’s service agreements with specialty and Hospital Providers shall address the coordinating role of patient- patient-centered primary care; shall specify processes for requesting Hospital admission or specialty services; and shall establish performance expectations for communication and medical records sharing for specialty treatments, at the time of Hospital admission or discharge, for after‐Hospital after-Hospital follow up appointments. Contractor shall demonstrate how Hospitals and specialty service providers are accountable for achieving successful transitions of care. Contractor shall ensure that primary care teams transition Members out of Hospital settings into the most appropriate, independent, and integrated care settings, including home and community-based as well as Hospice and other palliative care settings.

Appears in 1 contract

Samples: Health Plan Services Contract

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Hospital and Specialty Services. Contractor shall provide adequate, timely and appropriate access to specialty and Hospital hospital services. Contractor’s service agreements with specialty and Hospital Providers hospital providers shall address the coordinating role of patient- centered primary care; shall specify processes for requesting Hospital hospital admission or specialty services; and shall establish performance expectations for communication and medical records sharing for specialty treatments, at the time of Hospital hospital admission or discharge, for after‐Hospital after-hospital follow up appointments. Contractor shall demonstrate how Hospitals hospitals and specialty service providers are accountable for achieving successful transitions of care. Contractor shall ensure that primary care teams transition Members out of Hospital hospital settings into the most appropriate, independent, and integrated care settings, including home and community-based as well as Hospice and other palliative care settings.

Appears in 1 contract

Samples: Oregon Health Plan Health Plan Services Contract

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