Quality Improvement Activities. ADRCs shall engage in and document continuous quality improvement activities utilizing Department approved methods and documentation. At least one focused performance improvement project is required annually to improve ADRC quality and customer satisfaction.
Quality Improvement Activities. The CSB shall, to the extent practicable, incorporate specific language in its subcontracts regarding the quality improvement activities of subcontractors. Each vendor that subcontracts with the CSB should have its own quality improvement system in place or participate in the CSB’s quality improvement program.
Quality Improvement Activities. Physician agrees to cooperate with Humana’s quality improvement activities and, upon request by Humana, to participate in Humana’s quality improvement activities as they are developed and implemented.
Quality Improvement Activities. AVAHS and ATHP agree to continue to work cooperatively to improve the quality of care that is provided to Eligible Veterans. AVAHS and ATHP therefore agree to the following activities:
7.2.1 joint review of selected and agreed upon clinical outcome performance measures/monitors/targets; and,
7.2.2 collaboration on improving underperforming measures/monitors/targets.
Quality Improvement Activities. If subcontractor or Downstream Entity takes on quality improvement activities, the subcontractor agreement or Downstream Entity agreement must include those provisions stipulated in the DHCS Medi-Cal Managed Care Contract, Subsection “Subcontractor and Downstream Entity QI Activities.”
Quality Improvement Activities. Physician agrees to cooperate with Humana’s quality improvement activities and, upon request by Humana, to participate in Humana’s quality improvement activities as they are developed and implemented. WHEREAS Humana Health Care Plans of Austin, Inc., PCA Health Plans of Texas, Inc., and their affiliates (hereinafter referred to as “HUMANA”) and WhiteGlove Health, Inc. (hereinafter referred to as “GROUP”) entered into an Agreement effective as of May 1, 2008 (hereinafter referred to as “Agreement”)
Quality Improvement Activities. Required:
i.) Sub-recipient will be required to document Quality Improvement activities.
ii.) Quality Improvement activities should be related to the Quality Management Plan, and may reflect improvements documented in the sub-recipient Improvement, or Implementation Plan(s)
iii.) Updates on Quality Improvement activities will be submitted to XXXX, or designee, on a minimum of quarterly basis.
Quality Improvement Activities. (section subject to change pending type of contract)
A. Medi-Cal Certification:
1. If the Contractor has Medi-Cal claiming programs, then Contractor will meet and maintain standards outlined on the most up-to-date DHCS Certification Protocols, as well as any standards added by the County through the most recent Behavioral Health Division policy.
2. Contractor shall inform County of any changes in Contractor status, including changes to ownership, site location, organizational and/or corporate structure, program scope and/or services provided, Clinical Head of Service.
a. Contractor will communicate any such changes within 60 days to County Quality Improvement, utilizing the most up-to-date version of the Xxxxxx County Behavioral Health Division Medi-Cal Certification Update Form.
3. Per DHCS requirements, Contractor shall establish hours of operation to serve Medi- Cal consumers that are the same as those hours for serving non-Medi-Cal clients.
Quality Improvement Activities. Medical providers shall participate in quality improvement and the implementation of La Clinica’s strategic and health care plans by: Assisting in the development of practice guidelines Participating in peer review, departmental and committee meetings Contributing to quality improvement endeavors at the site and agency-wide levels
1. Productivity Standards, based on previous years’ actual performance and departmental goals, will be established for each department every fiscal year. The Productivity Standards for medical providers will be the basis for annual budgeting and forecasting of provider FTEs needed by each clinic and department for the following year.
2. Productivity of individual medical providers will be calculated and shared quarterly with each provider by the Associate Medical Director of that service.
3. In managing work loads and assessing performance against productivity standards, the employer will consider the following factors;
a. Quality of Care
b. Specialty/provider classification
c. Productivity and budgetary goals
d. Patient satisfaction
e. Capacity requirements
f. Provider well being
g. Temporary/significant staff shortages
h. Supervision of new employees, training, students
i. Federal guidelines, grant requirements, and other contractual obligations (i.e. managed care contracts)
4. The employer will make every effort to maintain an adequate pool of providers and substitute providers to carry out the duties of the clinic and in the hospital.
5. When a physician is providing clinical supervision to two or more NP/PA/students, his/her schedule will be reduced by approximately 1 patient appointment slot per day.
Quality Improvement Activities. As part of the overall Quality Performance Improvement activities of DHS, Contractor shall cooperate and participate in County’s DHS system-wide Quality Performance Improvement activities. Contractor shall cooperate with Director in active and effective quality improvement functions to monitor quality of care provided to Participants to ensure that services are: accessible, necessary and appropriate, focused on continuity of care, effective, efficient, patient-focused, provided in a safe care environment, provided in a timely manner, and accurately and completely recorded in the medical record. Contractor shall monitor and evaluate the quality of patient care provided at Contractor’s facility, as applicable, on an ongoing basis in accordance with a written Quality of Care Plan. Contractor shall make available for review by Director any monitoring reports issued as a result of State or Federal review for compliance. Contractor shall conduct peer review activities for professional Staff (including review of mid- level practitioners), maintain written documentation thereof, and review practice patterns. Contractor shall document any performance problems identified, institute appropriate corrective action, and follow the notification process to be delineated in the Provider Information Notices. Contractor shall take corrective action on any deficiencies identified through any such site review performed either by Director staff or by a qualified review agency representing County under contract. If services have not commenced under this Agreement, such corrective action shall be accomplished before services commence. For services currently being provided under this Agreement, such corrective action shall be completed within sixty (60) calendar days of Contractor’s receipt of a site deficiencies notice, except that if the deficiencies compromise the quality of patient care delivered under this Agreement, Director may immediately suspend or recommend termination of this Agreement pursuant to the TERMINATION OF AGREEMENT Paragraph in the body of this Agreement. Contractor, if a Federally Qualified Health Center (FQHC), shall make available for review by Director any monitoring reports issued as a result of State or Federal review for compliance with FQHC regulations and standards.
