Written Description. Contractor shall implement and maintain a written description of its QIS that shall include the following:
A. Organizational commitment to the delivery of quality health care services as evidenced by goals and objectives which are approved by Contractor’s governing body and periodically evaluated and updated.
B. Organizational chart showing the key staff and the committees and bodies responsible for quality improvement activities including reporting relationships of QIS committee(s) and staff within Contractor's organization.
C. Qualifications of staff responsible for quality improvement studies and activities, including education, experience and training.
D. A description of the system for Provider review of QIS findings, which at a minimum, demonstrates physician and other appropriate professional involvement and includes provisions for providing feedback to staff and Providers, regarding QIS study outcomes.
E. The role, structure, and function of the quality improvement committee.
F. The processes and procedures designed to ensure that all Medically Necessary Covered Services are available and accessible to all Members regardless of race, color, national origin, creed, ancestry, religion, language, age, marital status, sex, sexual orientation, gender identity, health status, physical or mental disability, or identification with any other persons or groups defined in Penal Code 422.56, and that all Covered Services are provided in a culturally and linguistically appropriate manner.
G. A description of the mechanisms used to continuously review, evaluate, and improve access to and availability of services. The description shall include methods to ensure that Members are able to obtain appointments within established standards.
H. Description of the quality of clinical care services provided, including, but not limited to, preventive services for children and adults, perinatal care, primary care, specialty, emergency, inpatient, and ancillary care services.
I. Description of the activities, including activities used by Members that are Seniors and Persons with Disabilities or persons with chronic conditions, designed to assure the provision of case management, coordination and continuity of care services. Such activities shall include, but are not limited to, those designed to assure availability and access to care, clinical services and care management.
Written Description. Contractor shall implement and maintain a written description of its QIS that shall include the following:
A. Organizational commitment to the delivery of quality health care services as evidenced by goals and objectives which are approved by Contractor’s governing body and periodically evaluated and updated.
B. Organizational chart showing the key staff and the committees and bodies responsible for quality improvement activities including reporting relationships of QIS committee(s) and staff within the Contractor's organization.
C. Qualifications of staff responsible for quality improvement studies and activities, including education, experience and training.
D. A description of the system for provider review of QIS findings, which at a minimum, demonstrates physician and other appropriate professional involvement and includes provisions for providing feedback to staff and providers, regarding QIS study outcomes.
E. The role, structure, and function of the quality improvement committee.
F. The processes and procedures designed to ensure that all Medically Necessary Covered Services are available and accessible to all Members regardless of race, color, national origin, creed, ancestry, religion, language, age, gender, marital status, sexual orientation, health status, or disability, and that all Covered Services are provided in a culturally and linguistically appropriate manner.
G. A description of the mechanisms used to continuously review, evaluate, and improve access to and availability of services. The description shall include methods to ensure that Members are able to obtain appointments within established standards.
H. Description of the quality of clinical care services provided, including, but not limited to, preventive services for children and adults, perinatal care, primary care, specialty, emergency, inpatient, and ancillary care services.
I. Description of the activities, including activities used by Members that are Seniors and Persons with Disabilities or persons with chronic conditions, designed to assure the provision of case management, coordination and continuity of care services. Such activities shall include, but are not limited to, those designed to assure availability and access to care, clinical services and care management.
Written Description. Subject to Clause 3.1, Domicilium warrants that the Services shall not be substantially different from any written description of the Services previously supplied by Domicilium to the Customer.
Written Description. Contractor shall implement and maintain a written description of its Cultural and Linguistic Services Program, which shall include at minimum the following:
1) An organizational commitment to deliver culturally and linguistically appropriate health care services.
2) Goals and objectives.
3) A timetable for implementation and accomplishment of the goals and objectives.
4) An organizational chart showing the key staff persons with overall responsibility for cultural and linguistic services and activities. A narrative shall explain the chart and describe the oversight and direction to the Community Advisory Committee, provisions for support staff, and reporting relationships. Qualifications of staff, including appropriate education, experience and training shall also be described.
5) Standards and Performance requirements for the delivery of culturally and linguistically appropriate health care services.
Written Description. Contractor shall implement and maintain a written description of its QIS that shall include the following:
A. Organizational commitment to the delivery of quality health care services as evidenced by goals and objectives which are approved by Contractor’s governing body and periodically evaluated and updated.
B. Organizational chart showing the key staff and the committees and bodies responsible for quality improvement activities including reporting relationships of QIS committee(s) and staff within Contractor's organization.
C. Qualifications of staff responsible for quality improvement studies and activities, including education, experience and training.
D. A process for sharing QIS findings with its Subcontractors and Network Providers.
E. The role, structure, and function of the quality improvement committee.
F. The processes and procedures designed to ensure that all Medically Necessary Covered Services are available and accessible to all Members regardless of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, or identification with any other persons or groups defined in Penal Code 422.56, and that all Covered Services are provided in a culturally and linguistically appropriate manner.
G. A description of the mechanisms used to continuously review, evaluate, and improve access to and availability of services. The description shall include methods to ensure that Members are able to obtain appointments within established standards for time or distance, timely access, and alternative access as defined in APL 21-006, and W&I Code Sections
H. Description of the quality of clinical care services provided, including, but not limited to, preventive services for children and adults, perinatal care, primary care, specialty, emergency, inpatient, and ancillary care services.
I. Description of the activities, including activities used by Members that are Seniors and Persons with Disabilities or persons with chronic conditions, and Members who use MLTSS in accordance with the standards set forth in 42 CFR 438.330(b)(5), designed to assure the provision of case management, coordination and continuity of care services. Such activities shall include, but are not limited to, those designed to assure availability and access to care, clinical services, and care management.
Written Description. At the outset of each engagement by Manhattan of CCFW pursuant to this Agreement, the parties shall agree in writing on the scope of the services to be delivered, the overall rate of reimbursement to be paid by Manhattan to CCFW for the services, and any other arrangements specific to that engagement.
Written Description. At the outset of each engagement by PMB of CGBAM pursuant to this Agreement, the parties shall agree in writing on the scope of the services to be delivered, the overall rate of reimbursement to be paid by PMB to CGBAM for the services, and any other arrangements specific to that engagement.
Written Description. The Contractor will implement and maintain a written description of its QIP which will include the following:
A. Organizational commitment to deliver quality health care services, goals, and objectives including accreditation of its QIP program, which are evaluated and updated annually and include a time table for implementation and accomplishment.
B. Organizational chart showing the key persons, the committees and bodies responsible for Quality Improvement, reporting relationships of QIP committees within the Contractor's organization, and provisions for support staff including reporting relationships.
C. Qualifications of staff responsible for Quality Improvement studies and activities including appropriate education, experience and training.
D. The QIP scope of review, which must include:
1. Quality of clinical care services including, but not limited to, preventive services, prenatal care, and family planning services.
2. Quality of nonclinical services including, but not limited to, availability, accessibility, coordination and continuity of care.
3. Representation of the entire range of care provided by the Contractor including all demographic groups, care settings (e.
