Common use of NORTHERN CALIFORNIA Clause in Contracts

NORTHERN CALIFORNIA. Purpose Purpose of our Regional Non-Physician Practitioner Scope of Practice Advisory Committee: The Non-Physician Practitioner Scope of Practice Advisory Committee is established to evaluate non-physician practitioner scope of practice issues that exist at Xxxxxx Permanente and to advise on implementation plans to address these issues. The work of the committee and workgroups includes identifying sources of SoP issues, prioritizing risk of each issue, identifying system gaps, proposing action plans when needed, recommending implementation plans that encompass KP’s 7 Element Compliance Template, assigning accountabilities for actions to be taken and advising on the development of an infrastructure for ongoing identification and resolution of SoP issues. Region SOP Committee Structure and Process Summary NORTHERN CALIFORNIA Membership Membership includes representation from: » Patient Care Services locally and regionally » Medical Group Administration locally and regionally » Regional Compliance » Program Office Legal Department » Accreditation, Regulation & Licensing » Regional Credentialing & Privileging » Local Assistant Administrator for Quality » APIC for Risk » Pharmacy Operations » Patient Business Services Ad hoc members » TPMG Legal » TPMG Human Resources » Continuing Care Leader » Human Resources Compliance » Program Office Legal » Work group: Includes labor representation of roles being addressed (2–3) Reporting This group reports regularly to the Executive Compliance Committee and will report any quality of care issues to the Quality Oversight Committee SOUTHERN CALIFORNIA Purpose SCOPE AND AUTHORITY: » Identify areas of risk, facilitate resolution and implementation of actions and monitor Scope of Practice across all care venues Membership CO-CHAIRS [names deleted]: » AMD, SCPMG » SVP & XXX, KFH/HP Region SOP Committee Structure and Process Summary SOUTHERN CALIFORNIA Membership (continued) MEMBERSHIP: » Vice President, Quality and Risk Management, KFH/KFHP » Executive Consultant, Quality and Risk Management, KFHP/KFHP » Executive Director, Patient Care Services, Operations, KFHP » Manager, SCPMG Nursing Administration, SCPMG » Medical Group Administrator, Bellflower, SCPMG » Medical Group Administrator, South Bay, SCPMG » Counsel, KFHP » Senior Consultant, AR&L » Labor Coalition Representative » Xxx Xxxxxxxx, Director of Health Care Compliance, NCO » Project Support: Management Consulting Reporting » Southern California Regional Compliance Leadership Committee » Southern California Quality Committee SCQC » Southern California President and Regional SCPMG Medical Director NORTHWEST Purpose To address regional scope of practice issues for both licensed and unlicensed clinical and support staff in order to identify and address areas for improvement in compliance, patient safety and operational efficiencies. Membership REPRESENTATION The committee shall consist of: Management Representatives: » Integrity, Compliance and Ethics Manager(s) (stakeholder) » NW Permanente Physician (stakeholder) » Health Plan Legal Counsel (consultant) » Human Resource Manager (consultant) » Director, Ambulatory Nursing (stakeholder) » Pharmacy Manager (consultant) » KP HealthConnect Representative (consultant) » Medical Office Managers (stakeholder) » NW Perm & PDA General Counsel & Compliance (consultant) » Laboratory Services (consultant) Region SOP Committee Structure and Process Summary NORTHWEST Membership (continued) Labor Representatives: » OFN Health Professional (stakeholder) » OFN – RN (stakeholder) » SEIU – LPN (stakeholder) » SEIU – MA (stakeholder) Staff Support Reporting This committee will have a reporting relationship to ROG and Compliance Department and also have access to MOLT (when decisions need to be worked out). Specific senior leaders who have been identified are: [names deleted]. Exhibit 1.C.4.(2) 2005 SCOPE OF PRACTICE BTG REPORT, PAGES 9–11 SECTION VI: EDUCATION PLAN

NORTHERN CALIFORNIA. Purpose Purpose of our Regional Non-Physician Practitioner Scope of Practice Advisory Committee: The Non-Physician Practitioner Scope of Practice Advisory Committee is established to evaluate non-physician practitioner scope of practice issues that exist at Xxxxxx Permanente and to advise on implementation plans to address these issues. The work of the committee and workgroups includes identifying sources of SoP issues, prioritizing risk of each issue, identifying system gaps, proposing action plans when needed, recommending implementation plans that encompass KP’s 7 Element Compliance Template, assigning accountabilities for actions to be taken and advising on the development of an infrastructure for ongoing identification and resolution of SoP issues. Region SOP Committee Structure and Process Summary NORTHERN CALIFORNIA Membership Membership includes representation from: » Patient Care Services locally and regionally » Medical Group Administration locally and regionally » Regional Compliance » Program Office Legal Department » Accreditation, Regulation & Licensing » Regional Credentialing & Privileging » Local Assistant Administrator for Quality » APIC for Risk » Pharmacy Operations » Patient Business Services Ad hoc members » TPMG Legal » TPMG Human Resources » Continuing Care Leader » Human Resources Compliance » Program Office Legal » Work group: Includes labor representation of roles being addressed (2–3) Reporting This group reports regularly to the Executive Compliance Committee and will report any quality of care issues to the Quality Oversight Committee SOUTHERN CALIFORNIA Purpose SCOPE AND AUTHORITY: » Identify areas of risk, facilitate resolution and implementation of actions and monitor Scope of Practice across all care venues Membership CO-CHAIRS [names deleted]: » AMD, SCPMG » SVP & XXX, KFH/HP Region SOP Committee Structure and Process Summary SOUTHERN CALIFORNIA Membership (continued) MEMBERSHIP: » Vice President, Quality and Risk Management, KFH/KFHP » Executive Consultant, Quality and Risk Management, KFHP/KFHP » Executive Director, Patient Care Services, Operations, KFHP » Manager, SCPMG Nursing Administration, SCPMG » Medical Group Administrator, Bellflower, SCPMG » Medical Group Administrator, South Bay, SCPMG » Counsel, KFHP » Senior Consultant, AR&L » Labor Coalition Representative » Xxx Xxxxxxxx, Director of Health Care Compliance, NCO » Project Support: Management Consulting Reporting » » » Southern California Regional Compliance Leadership Committee » Southern California Quality Committee SCQC » Southern California President and Regional SCPMG Medical Director NORTHWEST Purpose To address regional scope of practice issues for both licensed and unlicensed clinical and support staff in order to identify and address areas for improvement in compliance, patient safety and operational efficiencies. Membership REPRESENTATION The committee shall consist of: Management Representatives: » Integrity, Compliance and Ethics Manager(s) (stakeholder) » NW Permanente Physician (stakeholder) » Health Plan Legal Counsel (consultant) » Human Resource Manager (consultant) » Director, Ambulatory Nursing (stakeholder) » Pharmacy Manager (consultant) » KP HealthConnect Representative (consultant) » Medical Office Managers (stakeholder) » NW Perm & PDA General Counsel & Compliance (consultant) » Laboratory Services (consultant) Region SOP Committee Structure and Process Summary NORTHWEST Membership (continued) Labor Representatives: » OFN Health Professional (stakeholder) » OFN – RN (stakeholder) » SEIU – LPN (stakeholder) » SEIU – MA (stakeholder) Staff Support Reporting This committee will have a reporting relationship to ROG and Compliance Department and also have access to MOLT (when decisions need to be worked out). Specific senior leaders who have been identified are: [names deleted]. Exhibit 1.C.4.(2) 2005 SCOPE OF PRACTICE BTG REPORT, PAGES 9–11 SECTION VI: EDUCATION PLAN

NORTHERN CALIFORNIA. Purpose Purpose of our Regional Non-Physician Practitioner Scope of Practice Advisory Committee: The Non-Physician Practitioner Scope of Practice Advisory Committee is established to evaluate non-physician practitioner scope of practice issues that exist at Xxxxxx Permanente and to advise on implementation plans to address these issues. The work of the committee and workgroups includes identifying sources of SoP issues, prioritizing risk of each issue, identifying system gaps, proposing action plans when needed, recommending implementation plans that encompass KP’s 7 Element Compliance Template, assigning accountabilities for actions to be taken and advising on the development of an infrastructure for ongoing identification and resolution of SoP issues. Region SOP Committee Structure and Process Summary NORTHERN CALIFORNIA Membership Membership includes representation from: » Patient Care Services locally and regionally » Medical Group Administration locally and regionally » Regional Compliance » Program Office Legal Department » Accreditation, Regulation & Licensing » Regional Credentialing & Privileging » Local Assistant Administrator for Quality » APIC for Risk » Pharmacy Operations » Patient Business Services Ad hoc members » TPMG Legal » TPMG Human Resources » Continuing Care Leader » Human Resources Compliance » Program Office Legal » Work group: Includes labor representation of roles being addressed (2–3) Reporting This group reports regularly to the Executive Compliance Committee and will report any quality of care issues to the Quality Oversight Committee SOUTHERN CALIFORNIA Purpose SCOPE AND AUTHORITY: » Identify areas of risk, facilitate resolution and implementation of actions and monitor Scope of Practice across all care venues Membership CO-CHAIRS [names deleted]: » AMD, SCPMG » SVP & XXX, KFH/HP Region SOP Committee Structure and Process Summary SOUTHERN CALIFORNIA Membership (continued) MEMBERSHIP: » Vice President, Quality and Risk Management, KFH/KFHP » Executive Consultant, Quality and Risk Management, KFHP/KFHP » Executive Director, Patient Care Services, Operations, KFHP » Manager, SCPMG Nursing Administration, SCPMG » Medical Group Administrator, Bellflower, SCPMG » Medical Group Administrator, South Bay, SCPMG » Counsel, KFHP » Senior Consultant, AR&L » Labor Coalition Alliance Representative » Xxx Xxxxxxxx, Director of Health Care Compliance, NCO » Project Support: Management Consulting Reporting » Southern California Regional Compliance Leadership Committee » Southern California Quality Committee SCQC » Southern California President and Regional SCPMG Medical Director NORTHWEST Purpose To address regional scope of practice issues for both licensed and unlicensed clinical and support staff in order to identify and address areas for improvement in compliance, patient safety and operational efficiencies. Membership REPRESENTATION The committee shall consist of: Management Representatives: » Integrity, Compliance and Ethics Manager(s) (stakeholder) » NW Permanente Physician (stakeholder) » Health Plan Legal Counsel (consultant) » Human Resource Manager (consultant) » Director, Ambulatory Nursing (stakeholder) » Pharmacy Manager (consultant) » KP HealthConnect Representative (consultant) » Medical Office Managers (stakeholder) » NW Perm & PDA General Counsel & Compliance (consultant) » Laboratory Services (consultant) Region SOP Committee Structure and Process Summary NORTHWEST Membership (continued) Labor Representatives: » OFN Health Professional (stakeholder) » OFN – RN (stakeholder) » SEIU – LPN (stakeholder) » SEIU – MA (stakeholder) Staff Support Reporting This committee will have a reporting relationship to ROG and Compliance Department and also have access to MOLT (when decisions need to be worked out). Specific senior leaders who have been identified are: [names deleted]. Exhibit 1.C.4.(2) 2005 SCOPE OF PRACTICE BTG REPORT, PAGES 9–11 SECTION VI: EDUCATION PLAN