UTILIZATION REVIEW/QUALITY ASSURANCE Sample Clauses

UTILIZATION REVIEW/QUALITY ASSURANCE. 13 A. Within forty-five (45) days of the effective date of this Agreement, representatives of 14 ADMINISTRATOR and CONTRACTOR shall meet and develop written Operating Procedures covering 15 Services specified in Paragraph VII of this Exhibit A to the Agreement. Such Operating Procedures shall 16 be mutually agreed to by both parties and shall address, but not be limited to, the supervision and 17 scheduling of Radiology Technicians and other CONTRACTOR staff operating within the CHS Facilities. 18 Said Operating Procedures shall be reviewed by both parties at least annually, as well upon the addition 19 of any other Services to be provided by CONTRACTOR. Any subsequent changes to the Operating 20 Procedures shall be mutually agreed upon, in writing, by both parties. 21 B. During Period One of this Agreement, representatives of CONTRACTOR and 22 ADMINISTRATOR, which shall include the Contract Officers, shall meet at least quarterly to discuss 23 CONTRACTOR’s administrative and programmatic progress and performance. 24 C. CONTRACTOR shall participate in any CHS Utilization Review program and/or Quality 25 Assurance program for the review of all services provided pursuant to this Agreement. 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 // X:\CONTRACTS - 2018 -\2018-2020\CH\SDX01 DIRECT DIGITAL RADIOLOGY SVCS FY 18-20 TB.DOC SDX01CHKK20 1 EXHIBIT B 2 TO AGREEMENT FOR THE PROVISION OF DIRECT DIGITAL RADIOLOGY SERVICES FOR 3 CORRECTIONAL HEALTH SERVICES PROGRAMS 4 BETWEEN 5 COUNTY OF ORANGE 6 AND 7 SD XRAY, LLC. 8 MAYJULY 1, 20182020 THROUGH JUNE 30, 20202021
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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 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.
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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-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. 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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Related to UTILIZATION REVIEW/QUALITY ASSURANCE

  • Quality Assurance/Quality Control Contractor shall establish and maintain a quality assurance/quality control program which shall include procedures for continuous control of all construction and comprehensive inspection and testing of all items of Work, including any Work performed by Subcontractors, so as to ensure complete conformance to the Contract with respect to materials, workmanship, construction, finish, functional performance, and identification. The program established by Contractor shall comply with any quality assurance/quality control requirements incorporated in the Contract.

  • 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.

  • Utilization Review NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

  • Quality Assurance Program An employee shall be entitled to leave of absence without loss of earnings from her or his regularly scheduled working hours for the purpose of writing examinations required by the College of Nurses of Ontario arising out of the Quality Assurance Program.

  • COUNTY’S QUALITY ASSURANCE PLAN The County or its agent will evaluate the Contractor’s performance under this Contract on not less than an annual basis. Such evaluation will include assessing the Contractor’s compliance with all Contract terms and conditions and performance standards. Contractor deficiencies which the County determines are severe or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors. The report will include improvement/corrective action measures taken by the County and the Contractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract.

  • Quality Assurance Requirements There are no special Quality Assurance requirements under this Agreement.

  • 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.

  • Department Review The parties shall resolve disputes through written submission of their dispute to the Department’s Contract Manager. The Department shall respond to the dispute in writing within ten (10) Business Days from the date that the Department’s Contract Manager receives the dispute. The Department’s decision shall be final unless a party provides the other party with written notice of the party’s disagreement with the decision within ten (10) Business Days from the date of the Department’s decision. If a party disagrees with the Department’s decision, the party may proceed to subsection (b) below.

  • Data Quality 4.1 Each party ensures that the shared Personal Data is accurate. 4.2 Parties will notify each other with undue delay if they become aware of inaccuracies in shared Personal Data.

  • 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.

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