Hospital Quality Oversight. Contractor agrees to develop and implement oversight programs (if not already in place by January 1, 2015) targeting the following areas related to hospital-based services, as outlined by the Center for Medicare and Medicaid Services (CMS) Hospital Compare Program, including: (a) Deaths and readmissions; (b) Serious complications related to specific conditions; (c) Hospital acquired conditions; and (d) Healthcare associated infections. These oversight programs should be consistent with Medicare performance areas whenever possible and should reflect the overall performance of the hospital. Contractor agrees to provide/submit regular reporting of program(s) results from Contractor. Standard reporting requirements, including format, frequency and other technical specifications will be mutually agreed upon between the Exchange and Contractor.
Appears in 4 contracts
Samples: Qualified Health Plan Contract, Qualified Health Plan Contract, Qualified Health Plan Contract
