QUALITY IMPROVEMENT REPORTS. 12.10.1 HMO must conduct health Focused Studies in well child and pregnancy, and a study chosen by HMO that may be performed in the areas of behavioral health care, asthma, or other chronic conditions. Well child and pregnancy studies shall be conducted and data collected using criteria and methods developed by TDH. The following format shall be utilized:
QUALITY IMPROVEMENT REPORTS. (A) Annually, the Contractor shall submit to the Department the following documents:
(1) the Contractor’s quality improvement program description for the current State Fiscal Year or calendar year,
(2) the Contractor’s quality improvement work plan for the current State Fiscal Year or calendar year, and
(3) the Contractor’s quality improvement work plan evaluation for the previous State Fiscal Year or calendar year.
(B) These reports shall be in a format developed by the Department and be signed by the Contractor.
(C) The reports listed in Article 14.2.1 shall be due on August 31 of each year.
QUALITY IMPROVEMENT REPORTS. From the Data received into Program Registry, AHA has arranged for the AHA Third Party Vendor to compile Data received and create reports that Program Participants can access in order to compare the Program Participant’s level of adherence to guidelines, data comparisons to national and regional benchmarks and other standard data points, where feasible according to the Data submitted. Program Participant shall have the ability to obtain reports through the technology platform provided by the AHA Third Party Vendor.
QUALITY IMPROVEMENT REPORTS. 12.10.1 HMO must conduct health Focused Studies in pregnancy and prenatal care, THSteps, asthma (or another chronic disease as required by TDH). HMO will be required to conduct no more than two Focused Studies, as instructed by TDH. These studies shall be conducted and data collected using criteria and methods developed by TDH. The following format shall be utilized:
QUALITY IMPROVEMENT REPORTS. 12.10.1 HMO must conduct health Focused Studies in well child and pregnancy, and a study chosen by HMO that may be performed in the areas of behavioral health care, asthma, or other chronic conditions. Well child and pregnancy studies shall be conducted and data collected using criteria and methods developed by TDH. The following format shall be utilized: 1999 Renewal Contract Bexar Service Area August 9, 1999
(1) Executive Summary.
(2) Definition of the population and health areas of concern.
(3) Clinical guidelines/standards, quality indicators, and audit tools.
(4) Sources of information and data collection methodology.
(5) Data analysis and information/results.
(6) Corrective actions if any, implementation, and follow-up plans including monitoring, assessment of effectiveness, and methods for provider feedback.
QUALITY IMPROVEMENT REPORTS. 12.11.1 The HMO must conduct at a minimum, three focused studies. One study will be specified by TDHS, the second will be selected by the HMO and approved by TDHS, and the third study will be a behavioral study specified by TDHS. These studies shall be conducted and data collected using criteria, methods and reporting format developed by the state.
12.11.2 Focused study reports must be submitted to the state according to due dates established by the State.
QUALITY IMPROVEMENT REPORTS. 12.10.2 Annual Focused Studies. Focused Studies on well child, pregnancy, and a study chosen by the plan must be submitted to TDH according to due dates established by TDH.
QUALITY IMPROVEMENT REPORTS. 55 Section 2.56 Modification of Section 12.12, HUB Quarterly Reports......................................... 55 Section 2.57 Modification of Section 11.13
QUALITY IMPROVEMENT REPORTS. 12.10.1 Not applicable to STAR+PLUS
12.10.2 Not applicable to STAR+PLUS
QUALITY IMPROVEMENT REPORTS. Section 12.11, Quality Improvement Reports is replaced with 12.11, HUB Reports, to be consistent with the STAR contract.
