Quality Improvement (QI Sample Clauses
Quality Improvement (QI. The process of monitoring and assuring that the delivery of health care services are available, accessible, timely, Medically Necessary, and provided in sufficient quantity, of acceptable Quality, within established standards of excellence, and appropriate for meeting the needs of the Enrollees.
Quality Improvement (QI. Program
A. The monitoring of accessibility of services outlined in the Quality Improvement Plan will at a minimum include:
1) Timeliness of first initial contact to face-to-face appointment “frequency of follow-up appointments in accordance with individualized treatment plans”
2) Timeliness of services of the first dose of NTP services
3) Access to after-hours care
4) Responsiveness of the beneficiary access line
5) Strategies to reduce avoidable hospitalizations
6) Coordination of physical and mental health services with waiver services at the provider level
7) Assessment of the beneficiaries’ experiences
8) Telephone access line and services in the prevalent non-English languages.
B. The Contractor’s QI program shall monitor the Contractor’s service delivery system with the aim of improving the processes of providing care and better meeting the needs of its beneficiaries. The QI Program shall be accountable to the Contractor’s Director.
C. The Contractor shall establish a QI Committee to review the quality of SUD treatment services provided to beneficiaries. The QI Committee shall recommend policy decisions; review and evaluate the results of QI activities, including performance improvement projects; institute needed QI actions; ensure follow-up of QI processes; and document QI Committee meeting minutes regarding decisions and actions taken. The QI committee shall recommend policy decisions; review and evaluate the results of QI activities; institute needed QI actions, ensure follow-up of QI process and document QI committee minutes regarding decisions and actions taken.
D. Each Contractor’ s QI Committee shall review the following data at a minimum on a quarterly basis since external quality review (EQR) site reviews will begin after county implementation. These data elements shall be incorporated into the EQRO protocol:
1) Number of days to first DMC-ODS service at appropriate level of care after referral
2) Existence of a 24/7 telephone access line with prevalent non-English language(s)
3) Access to DMC-ODS services with translation services in the prevalent E. Operation of the QI program shall include substantial involvement by a licensed SUD staff person.
Quality Improvement (QI. The process of monitoring that the delivery of health care services is available, accessible, timely, and medically necessary. The Health Plan must have a quality improvement program (QI program) that includes standards of excellence. It also must have a written quality improvement plan (QI plan) that draws on its quality monitoring to improve health care outcomes for enrollees.
Quality Improvement (QI. The process of monitoring that the delivery of health care services is available, accessible, timely, and medically necessary. The Managed Care Plan must have a quality improvement program (QI program) that includes standards of excellence. It also must have a written quality improvement plan (QI plan) that draws on its quality monitoring to improve health care outcomes for enrollees. Region — The designated geographical area within which the Managed Care Plan is authorized by the Contract to furnish covered services to enrollees. The Managed Care Plan must serve all counties in the Region(s) for which it is contracted. The 67 Florida counties are divided into 11 regions pursuant to s. 409.966(2), F.S. May also be referred to as “service area.”
Quality Improvement (QI. The effort to assess and improve the performance of a program or organization. Quality improvement includes quality assessment and implementation of corrective actions to address any deficiencies identified. Quality Management (QM) – The ongoing process of assuring that the delivery of covered services is appropriate, timely, accessible, available, and medically necessary and in keeping with established guidelines and standards and reflective of the current state of medical and behavioral health knowledge. Recovery – A consumer driven process in which consumers are able to work, learn and participate fully in their communities. Recovery is the ability to live a fulfilling and productive life despite a disability.
Quality Improvement (QI. The ongoing process of responding to data gathered through quality monitoring efforts, in such a way as to improve the quality of health care delivered to individuals. This process necessarily involves follow-up studies of the measures taken to effect change in order to demonstrate that the desired change has occurred.
Quality Improvement (QI. The effort to assess and improve the performance of a program or organization. Quality Improvement includes quality assessment and implementation of corrective actions to address any deficiencies identified. The ongoing process of responding to data gathered through quality monitoring efforts, in such a way as to improve the quality of health care delivered to individuals. This process necessarily involves follow-up studies of the measures taken to effect change in order to demonstrate that the desired change has occurred.
Quality Improvement (QI. Program
A. The monitoring of accessibility of services outlined in the Quality Improvement Plan will
