UTILIZATION REVIEW/QUALITY ASSURANCE. A. Within forty-five (45) days of the effective date of this Agreement, representatives of ADMINISTRATOR and CONTRACTOR shall meet and develop written Operating Procedures covering Services specified in Paragraph VII of this Exhibit A-2 to the Agreement. Such Operating Procedures shall be mutually agreed to by both parties and shall address, but not be limited to, the supervision and scheduling of Radiology Technicians and other CONTRACTOR staff operating within the CHS Facilities. Said Operating Procedures shall be reviewed by both parties at least annually, as well upon the addition of any other Services to be provided by CONTRACTOR. Any subsequent changes to the Operating Procedures shall be mutually agreed upon, in writing, by both parties.
UTILIZATION REVIEW/QUALITY ASSURANCE. The Practice shall ------------------------------------- contractually bind each Physician Employee and Physician Extender Employee to cooperate with and participate in applicable programs and systems of quality of care assessment, grievance procedures, peer review and utilization review. Information developed in the course of physician quality assurance and peer review activities shall be maintained by the Practice as privileged and confidential, except where its disclosure is consented to by the Practice or is required by Applicable Law.
UTILIZATION REVIEW/QUALITY ASSURANCE. 24 A. Within forty-five (45) calendar days of the effective date of this Agreement, representatives of 25 ADMINISTRATOR and CONTRACTOR shall meet and develop written Operating Procedures
UTILIZATION REVIEW/QUALITY ASSURANCE. 31 A. Within forty-five (45) days of the effective date of this Agreement, representatives of 32 ADMINISTRATOR and CONTRACTOR shall meet and develop written Operating Procedures covering 33 Services specified in Paragraph IV and V of this Exhibit A to the Agreement. Such Operating Procedures 34 shall be mutually agreed to by both Parties and shall address, but not be limited to, the supervision and 35 scheduling of Psychiatrists and Mental Health Nurse Practitioners, and other CONTRACTOR staff 36 operating within the CHS Facilities. Said Operating Procedures shall be reviewed by both Parties at least 37 // 1 annually, as well upon the addition of any other Services to be provided by CONTRACTOR. Any 2 subsequent changes to the Operating Procedures shall be mutually agreed upon, in writing, by both Parties.
UTILIZATION REVIEW/QUALITY ASSURANCE. The Department may conduct periodic utilization review of services provided under this Agreement. All records, including minutes of Utilization Review/Quality Assurance by the Provider, shall be made available to representatives from the Department. The purpose of such review is to assure the appropriateness, the quality and the timeliness of services delivered. Findings of such reviews will be shared with the Provider and appropriate recommendations and plans for Department action will be discussed with the appropriate administrative and professional staff of the facility or Provider.
UTILIZATION REVIEW/QUALITY ASSURANCE. Ancillary Service agrees to comply with NHA's utilization review and quality assurance standards and procedures, including pre-admission certification, concurrent review, discharge planning and case management.
UTILIZATION REVIEW/QUALITY ASSURANCE. 5 A. CONTRACTOR, the CHS Medical Director and/or CHS Administrative Nurse Practitioner (or 6 designees) and Administrators Case Management Team shall collaborate regarding Utilization Review 7 and Case Management issues which are specific to Custody Patients, both hospitalized and/or in the 8 outpatient setting.
