Quality Management Committee. The Contractor must operate under a formal organizational structure for the implementation and oversight of the internal quality management program. The formal organizational structure must include at a minimum, the following:
a. Established parameters of operation including specifics regarding role, function and structure;
b. A designated health care practitioner, qualified by training and experience, to serve as the QM director;
c. A committee Enrolleeship which includes representatives from the provider groups as well as clinical and non-clinical areas of the organization;
d. A senior executive who is responsible for program implementation;
e. Substantial involvement in QM activities by the Contractor's Medical Director;
f. QM activities must be distinctly separate from the Utilization Review activities and that distinction must be well defined;
g. The QM committee must meet on a regular basis with specified frequency to oversee QM activities. This frequency will be sufficient to demonstrate that the committee is following up on all findings and required actions, but in no case are such meetings to be less frequent than quarterly;
h. Records that document the committee's activities, findings, recommendations, actions, and results; and
i. Accountability to the governing body of the organization to which it reports on activities, findings, recommendations, actions, and results on a scheduled basis.
Quality Management Committee. Contractor shall establish the Quality Management Committee (QMC) within one‐hundred eighty (180) days after the Effective Date of this Contract. The QMC shall establish an ongoing mechanism for reviewing and ensuring continuous quality improvement.
5.40.10.1 The QMC shall be chaired by Contractor’s Quality Management Coordinator and a member of the Family Leadership Council.
5.40.10.2 Contractor may initially designate the Contractor’s Medical Director as a QMC co‐chair, for a period to last no longer than one‐ hundred eighty (180) days, while the FLC is being developed.
5.40.10.3 Contractor’s executive team shall nominate prospective QMC members for approval by the FLC to establish the membership of the QMC.
5.40.10.4 Contractor will seek to include on the QMC at least one Enrollee or parent/guardian of an Enrollee from each of the counties in the Coverage Area.
Quality Management Committee. The Quality Management Committee (QMC) meets monthly to review quality indicators including incidents, grievances, infections, wounds, falls and results of monthly auditing and monitoring activities. These meetings also review recommendations to improve quality, review deaths and disenrollment information, and utilization data. The QMC includes, but is not limited to: · Center Manager · Director of Quality Improvement · Director of Clinical Services or liaison · Executive Director · Marketing Director · Medical Director, Co-chair · Infection Control representative (e.g., clinical manager) AllCare PACE will use CDC criteria for definitions of infectious diseases as they pertain to community acquired, health care institution acquired, and health care related infections. Whenever indicated information regarding infections is gleaned from the CDC website. The following processes and procedures will be used to track, trend, and analyze infections in AllCare PACE participants to determine any unexplained increases, clusters or outbreaks of infectious diseases so that infection control procedures can be implemented to control and decrease the spread of any infections to other participants, staff, visitors and/or volunteers.
1. Any suspected and documented infections will be considered incidents and incident reports will be completed by whichever staff member reports the suspected or documented infection.
2. At each PACE center morning IDT meeting, a Quality Morning
3. Report Checklist with the following information will be recorded and forwarded to the Director of QA or QA Manager: · Emergency department visits; · Falls · Family Meetings · Grievances · Appeals · Falls, with or without injury · Xxxxx · Emergency Room Visits · Hospitalizations · Infections, both treated and resolved · All Level 2 incidents · New members · Participants out of area · Psychiatry referrals · Respite care · Wound care (monitoring) · Deaths This daily attention to infections, as reported on the incident reports and the Quality Morning Report Checklist, will allow the Infection Control representative to determine any clusters or outbreaks of MRSA, VRE, C. diff, influenza, or conjunctivitis, for example that would warrant the immediate implementation of infection control procedures and additional surveillance of participants and staff.
Quality Management Committee. 1. The Contractor shall establish and maintain throughout the Contract Term a quality management committee that reports to the Contractors’ Governing Body, as described in Section 2.8.
2. The quality management committee shall meet at least quarterly.
Quality Management Committee. 1. The Plan Advisory Committee shall establish, maintain, and provide support to a Quality Management and Utilization Review Committee, and be accountable to the Governing Body on issues addressed by the Committee.
2. The Quality Management and Utilization Review Committee shall provide guidance and assistance to support the Contractor in carrying out the following Quality Management responsibilities:
a. Developing mechanisms for collecting and evaluating information, identifying problems, formulating recommendations, disseminating information, implementing corrective actions, and evaluating the effectiveness of action taken;
b. Reviewing annually and making recommendations concerning the formulation, revision or implementation of the policies governing the scope of services offered, practice guidelines, medical supervision, ISPs, crisis intervention care, clinical records, personnel qualifications and program evaluation;
c. Providing technical advice regarding professional questions and individual service problems;
d. Participating in program evaluation including annual evaluation of the Contractor's performance;
e. Assisting in maintaining liaison with professional groups and health providers in the community;
f. Participating in the development and ongoing review of written policies, procedures, and standards of patient care and quality management;
g. Reviewing the adequacy and effectiveness of quality management and utilization activities on a quarterly basis; and
h. Developing mechanisms for evaluating responsiveness of the Complaint and Grievance processes and for collecting and analyzing information about voluntary disenrollments.
Quality Management Committee. Contractor must operate under a formal organizational structure for the implementation and oversight of the internal QM program. The formal organizational structure must include at a minimum, the following:
1. Established parameters of operation including specifics regarding role, function and structure;
2. A designated health care practitioner, qualified by training and experience, to serve as the QM Director;
Quality Management Committee. The Contractor must operate under a formal organizational structure for the implementation and oversight of the internal quality management program. The formal organizational structure must include at a minimum, the following:
a. established parameters of operation including specifics regarding role, function and structure;
b. a designated health care practitioner, qualified by training and experience, to serve as the QM director;
c. a committee Enrolleeship which includes representatives from the provider groups as well as clinical and non-clinical areas of the organization;
Quality Management Committee a. In addition to monthly engineering calls and data exchange between DPI technical-level shop representatives and Xxxxxx Operations Managers, Xxxxxx and DPI will form a Quality Management Committee, comprised of at least one Xxxxxx quality representative and one DPI quality representative and shall include technical and operations personnel as warranted.
b. The Quality Management Committee will meet on a regular basis, but no less than once per quarter and the location of the meeting shall alternate between Xxxxxx and DPI sites. At least once per year, one of the quarterly meetings will be an executive review attended by executive management of each company at DPI headquarters.
c. The Quality Management Committee will:
i. Provide and evaluate monthly Xxxxxx Blanks and/or Substrates performance;
ii. Discuss and evaluate Xxxxxx'x Xxxxxx and/or Substrates manufacturing process capabilities;
iii. Provide results of quality and process efficiency improvements on a quarterly basis;
iv. Establish quality and process efficiency goals on an annual basis;
v. Review the sufficiency of the supply chain management and make changes to the process, as such changes are deemed necessary;
vi. Closely monitor the development and qualification of New Products via fast feedback loops;
vii. Review New Product Specifications;
viii. Annually review the Blanks Technology Roadmap, gap analysis (related to the Mask Technology Roadmap impact on the Xxxxxx-DPI supply relationship), capital plan, engineering and products development plans;
ix. monitor the success of the recycling program; and
x. discuss any problems affecting the relationship between DPI and Xxxxxx.
