Common use of Quality Assessment and Performance Improvement Clause in Contracts

Quality Assessment and Performance Improvement. The MCO must provide for the delivery of quality care with the primary goal of improving the health status of Members and, where the Member’s condition is not amenable to improvement, maintain the Member’s current health status by implementing measures to prevent any further decline in condition or deterioration of health status. The MCO must work in collaboration with Providers to actively improve the quality of care provided to Members, consistent with the Quality Improvement Goals and all other requirements of the Contract. The MCO must provide mechanisms for Members and Providers to offer input into the MCO’s quality improvement activities.

Quality Assessment and Performance Improvement. a. The MCO must is required to provide a quality level of care for the delivery of quality care with the primary goal of improving the health status of Members andall services, where the Member’s condition is not amenable which it provides and for which it contracts. These services are expected to improvement, maintain the Member’s current health status be medically necessary and may be provided by implementing measures to prevent any further decline in condition or deterioration of health statusparticipating providers. The MCO must work in collaboration with Providers to actively improve the quality of care provided to Members, consistent with the shall implement a Quality Improvement Goals Assessment and all other requirements of the Contract. The MCO must provide mechanisms for Members and Providers to offer input into the MCO’s quality improvement activities.Performance