UTILIZATION REVIEW/QUALITY ASSURANCE Sample Clauses

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. 3 B. During Period One of this Agreement, representatives of CONTRACTOR and 4 ADMINISTRATOR, which shall include the Contract Officers, shall meet at least quarterly to discuss 5 CONTRACTOR’s administrative and programmatic progress and performance. 6 C. CONTRACTOR shall participate in any CHS Utilization Review program and/or Quality 7 Assurance program for the review of all services provided pursuant to this Agreement. 8 // 9 // 10 // 11 // 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 // 1 EXHIBIT B 2 TO THE AGREEMENT FOR THE PROVISION OF 3 ON-SITE PSYCHIATRY AND TELEPSYCHIATRY SERVICES 4 FOR CORRECTIONAL HEALTH SERVICES PROGRAMS 5 BETWEEN COUNTY OF ORANGE 6 AND ORBIT HEALTH, A PROFESSIONAL CORPORATION 7 JULY 1, 2020 THROUGH JUNE 30, 2023 8
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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
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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.
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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 reviews 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.
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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. 9 B. CONTRACTOR'S Case Management personnel shall perform utilization review for both 10 Hospital/Inpatient Physician Services and Out Patient Clinic Services provided to Custody Patients 11 receiving Medical Services in conjunction with COUNTY’S Case Management staff and/or the CHS 12 Medical Director (or designee). 13 1. CONTRACTOR and ADMINISTRATOR’S Case Management staff shall discuss 14 hospitalized and/or clinic patients weekly and as necessary for continuity and appropriateness of care 15 issues. Communication will include the following: 16 a. Each Custody Patient’s medical necessity to remain on the Unit versus return to the jail 17 setting. COUNTY shall use its best efforts to discharge any patient(s) from within the Unit to the Jail 18 based on the availability of such services within the Jail system. 19 2. CONTRACTOR and ADMINISTRATOR’S Management staff shall participate in a 20 quarterly meeting between Administrator, Contractor, and Contracted Hospital for joint discussion 21 regarding patient management. Additionally, collaboration between all parties will be required as it 22 relates to coordinating statistical information and reports. 23 a. A monthly utilization report shall be produced by the CONTRACTOR regarding 24 Clinic appointments shall be submitted to the following: CHS Medical Director and Administrative 25 Team and the Administrator’s Case Management Supervisor. 26 b. The monthly utilization report shall include, when appropriate, recommendations 27 regarding reducing missed clinic appointments and analysis regarding volume trends for Clinic and
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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-1 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. B. During Period One of this Agreement, representatives of CONTRACTOR and ADMINISTRATOR, which shall include the Contract Officers, shall meet at least County of Orange, Health Care Agency File Folder: M042DR089 Page 24 of 25 Contract MA-042-18011826 quarterly to discuss CONTRACTOR’s administrative and programmatic progress and performance. C. CONTRACTOR shall participate in any CHS Utilization Review program and/or Quality Assurance program for the review of all services provided pursuant to this Agreement
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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. B. During Period One of this Agreement, representatives of CONTRACTOR and ADMINISTRATOR, which shall include the Contract Officers, shall meet at least quarterly to discuss CONTRACTOR’s administrative and programmatic progress and performance. C. CONTRACTOR shall participate in any CHS Utilization Review program and/or Quality Assurance program for the review of all services provided pursuant to this Agreement
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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.
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UTILIZATION REVIEW/QUALITY ASSURANCE. 22 A. Within forty-five (45) days of the effective date of this Agreement, representatives of 23 ADMINISTRATOR and CONTRACTOR shall meet and develop written Operating Procedures 24 covering Services specified in Paragraph IV of this Exhibit A to the Agreement. Such Operating 25 Procedures shall be mutually agreed to by both parties and shall address, but not be limited to, the 26 supervision and scheduling of Psychiatrists and Mental Health Nurse Practitioners, and other 27 CONTRACTOR staff operating within the CHS Facilities. Said Operating Procedures shall be reviewed 28 by both parties at least annually, as well upon the addition of any other Services to be provided by 29 CONTRACTOR. Any subsequent changes to the Operating Procedures shall be mutually agreed upon, 30 in writing, by both parties. 31 B. During Period One of this Agreement, representatives of CONTRACTOR and 32 ADMINISTRATOR, which shall include the Contract Officers, shall meet at least quarterly to discuss 33 CONTRACTOR’s administrative and programmatic progress and performance. 34 C. CONTRACTOR shall participate in any CHS Utilization Review program and/or Quality 35 Assurance program for the review of all services provided pursuant to this Agreement. 36 // 37 // 8 of 8 EXHIBIT A 1 EXHIBIT B 2 TO THE AGREEMENT FOR THE PROVISION OF 3 ON-SITE PSYCHIATRY AND TELEPSYCHIATRY SERVICES 4 FOR CORRECTIONAL HEALTH SERVICES PROGRAMS 5 BETWEEN COUNTY OF ORANGE 6 AND ORBIT HEALTH 7 AUGUST 26, 2019 THROUGH JUNE 30, 2020 8
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Related to UTILIZATION REVIEW/QUALITY ASSURANCE

  • Quality Assurance The parties endorse the underlying principles of the Company’s Quality Management System, which seeks to ensure that its services are provided in a manner which best conforms to the requirements of the contract with its customer. This requires the Company to establish and maintain, implement, train and continuously improve its procedures and processes, and the employees to follow the procedures, document their compliance and participate in the improvement process. In particular, this will require employees to regularly and reliably fill out documentation and checklists to signify that work has been carried out in accordance with the customer’s specific requirements. Where necessary, training will be provided in these activities.

  • Log Reviews All systems processing and/or storing PHI COUNTY discloses to 11 CONTRACTOR or CONTRACTOR creates, receives, maintains, or transmits on behalf of COUNTY 12 must have a routine procedure in place to review system logs for unauthorized access.

  • Research Analyst Independence The Company acknowledges that the Underwriters’ research analysts and research departments are required to be independent from their respective investment banking divisions and are subject to certain regulations and internal policies, and that such Underwriters’ research analysts may hold views and make statements or investment recommendations and/or publish research reports with respect to the Company and/or the offering that differ from the views of their respective investment banking divisions. The Company hereby waives and releases, to the fullest extent permitted by law, any claims that the Company may have against the Underwriters with respect to any conflict of interest that may arise from the fact that the views expressed by their independent research analysts and research departments may be different from or inconsistent with the views or advice communicated to the Company by such Underwriters’ investment banking divisions. The Company acknowledges that each of the Underwriters is a full service securities firm and as such from time to time, subject to applicable securities laws, may effect transactions for its own account or the account of its customers and hold long or short positions in debt or equity securities of the companies that may be the subject of the transactions contemplated by this Agreement.

  • Evaluation, Testing, and Monitoring 1. The System Agency may review, test, evaluate and monitor Grantee’s Products and services, as well as associated documentation and technical support for compliance with the Accessibility Standards. Review, testing, evaluation and monitoring may be conducted before and after the award of a contract. Testing and monitoring may include user acceptance testing. Neither the review, testing (including acceptance testing), evaluation or monitoring of any Product or service, nor the absence of review, testing, evaluation or monitoring, will result in a waiver of the State’s right to contest the Grantee’s assertion of compliance with the Accessibility Standards. 2. Grantee agrees to cooperate fully and provide the System Agency and its representatives timely access to Products, records, and other items and information needed to conduct such review, evaluation, testing, and monitoring.

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