Common use of Reports and Requirements Clause in Contracts

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Date: 11/11/2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxxx Xxxxx, RN, BSN Date: 11/11/2016November 11, 2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxxx X Xxxxxxx, RN, M.Ed., Health Officer Date: 11/11/2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxx Xxxxxx RN, BSN Date: 11/11/2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxxx Date: 11/11/201611/10/2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxx, Director/Health Officer Date: 11/11/201611/9/2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxx Xxxxxxxxxx Date: 11/11/2016

Reports and Requirements. The Program will:  Prepare and submit patient services performance reports. Due January 31, 2018  Conduct quality assurance/performance measurement summary reports on Key Quality Indicators. Due February 28, 2018  Submit monthly CARS expense and revenue reports  Prepare and submit a Cost Analysis report using the Relative Value Unit methodology. Due August 31, 2018.  Conduct and maintain documentation of monthly internal Quality Control record audits and documentation review  Notify the XX-XX/RH Program of staff changes and enroll new staff in the HCET “On-Boarding” program  Participate in on-site XX-XX/RH program and telephone/video-conference reviews and consultation  Notify XX-XX/RH Program staff in a timely manner of operational or service delivery problems and request consultation assistance as needed  Participate in XX-XX/RH Program sponsored business and continuing educational offerings. Name of Person Submitting Application:  Xxxx Xxxxx RN Xxxxxxx Date: 11/11/2016November 11, 2016