Performance Improvement Projects. 4.12.6.1 As part of its QAPI program, the Contractor shall conduct clinical and non-clinical performance improvement projects in accordance with DCH and federal protocols. In designing its performance improvement projects, the Contractor shall: · Show that the selected area of study is based on a demonstration of need and is expected to achieve measurable benefit to the Member (rationale); · Establish clear, defined and measurable goals and objectives that the Contractor shall achieve in each year of the project; · Measure performance using Quality indicators that are objective, measurable, clearly defined and that allow tracking of performance and improvement over time; · Implement interventions designed to achieve Quality improvements; · Evaluate the effectiveness of the interventions; · Establish standardized performance measures (such as HEDIS or another similarly standardized product); · Plan and initiate activities for increasing or sustaining improvement; and · Document the data collection methodology used (including sources) and steps taken to assure data is valid and reliable.
Appears in 3 contracts
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Centene Corp), Business Associate Agreement (Centene Corp)
Performance Improvement Projects. 4.12.6.1 As part of its QAPI program, the Contractor shall conduct clinical and non-clinical performance improvement projects in accordance with DCH and federal protocols. In designing its performance improvement projects, the Contractor shall: · • Show that the selected area of study is based on a demonstration of need and is expected to achieve measurable benefit to the Member (rationale); · • Establish clear, defined and measurable goals and objectives that the Contractor shall achieve in each year of the project; · • Measure performance using Quality indicators that are objective, measurable, clearly defined and that allow tracking of performance and improvement over time; · • Implement interventions designed to achieve Quality improvements; · • Evaluate the effectiveness of the interventions; · • Establish standardized performance measures (such as HEDIS or another similarly standardized product); · • Plan and initiate activities for increasing or sustaining improvement; and · • Document the data collection methodology used (including sources) and steps taken to assure data is valid and reliable.
Appears in 1 contract
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)
Performance Improvement Projects. 4.12.6.1 As part of its QAPI program, the Contractor shall conduct clinical and non-clinical performance improvement projects in accordance with DCH and federal protocols. In designing its performance improvement projects, the Contractor shall: · Show that the selected area of study is based on a demonstration of need and is expected to achieve measurable benefit to the Member (rationale); · Establish clear, defined and measurable goals and objectives that the Contractor shall achieve in each year of the project; · Measure performance using Quality indicators that are objective, measurable, clearly defined and that allow tracking of performance and improvement over time; · Implement interventions designed to achieve Quality improvements; · Evaluate the effectiveness of the interventions; 130 · Establish standardized performance measures (such as HEDIS or another similarly standardized product); · Plan and initiate activities for increasing or sustaining improvement; and · Document the data collection methodology used (including sources) and steps taken to assure data is valid and reliable.
Appears in 1 contract
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)