Quality of Care Concern definition

Quality of Care Concern or “QOC Concern” means an allegation that any aspect of care or treatment, utilization of behavioral health services, or utilization of physical health care services
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Quality of Care Concern means an allegation that any aspect of care, or treatment, utilization of behavioral health services or utilization of physical health care services, which caused or could have caused an acute medical or psychiatric condition or an exacerbation of a chronic medical or psychiatric condition, and may ultimately cause the risk of harm to a Member.
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Quality of Care Concern means an allegation that any aspect of care, or
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Examples of Quality of Care Concern in a sentence

  • The provider will be required to participate in a QCC QTAC review within thirty days from QEPR Exit Conference, regardless of the QEPR Overall score if there is an identified Quality of Care Concern or Immediate Action ItemThe provider may also request training or technical assistance through the QTAC process during the next twelve-month period.

  • The Contractor shall implement and maintain a Complaint, Quality of Care Concern, and Critical Incident Resolution and Tracking System for all Complaints and Quality of Care Concerns received.

  • Dispositions include: No Quality of Care Concern Identified, Potential Quality of Care Concern Identified, and Quality of Care Concern Identified.

  • When a provider is identified as possibly delivering substandard care, the Utilization Management Department refers that provider for a Quality of Care Concern for possible Investigation.

  • Quality of Care Concerns shall be logged by the Contractor when a Quality of Care Concern is reported, observed or noted.

  • Quality of Care Concern resolutions may be communicated back to the complainant in alignment with applicable federal and state law and regulations.

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  • Reports indicating imminent patient safety issues, which escalate the report to a potential Quality of Care Concern, will be referred on the same day to the Medical Director/Physician Reviewer and Behavioral Health Medical Director to determine necessary follow-up and action to assure the Member's safety.

  • A quality improvement plan (QIP) is requested to be submitted within 45 calendar days of this notice.aNotice of Quality of Care Concern P ttern – Care Failed to Follow Accepted Guidelines – This notice is sent to the eQHealth Quality contact and/or the attending physician (whichever is cited).

  • Quality of Care Concern: when a potential question or concern arises regarding a privileged Practitioner’s current clinical competence, and/or professional behavior, and/or the ability to safely perform any Privilege.


More Definitions of Quality of Care Concern

Quality of Care Concern means, for purposes of this policy, an allegation that any aspect of care or treatment, utilization of
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Quality of Care Concern or “QOC Concern” means an
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Related to Quality of Care Concern

  • Good Manufacturing Practices or “GMP” shall mean the then current Good Manufacturing Practices as such term is defined from time to time by the FDA or other relevant Governmental Authority having jurisdiction over the development, manufacture or sale of the Product in the Territory pursuant to its regulations, guidelines or otherwise.

  • Quality means the totality of features and characteristics of a product or service that bear on its ability to satisfy stated or implied needs;

  • Good Laboratory Practices or “GLP” means the then-current good laboratory practice standards promulgated or endorsed by the FDA, as defined in U.S. 21 C.F.R. Part 58 (or such other comparable regulatory standards in jurisdictions outside the United States, as they may be updated from time to time).

  • Standards means the British or international standards, Authority's internal policies and procedures, Government codes of practice and guidance referred to in Framework Schedule 13 (Standards) together with any other specified policies or procedures identified in Framework Schedule 13 (Standards);

  • Materials of Environmental Concern any gasoline or petroleum (including crude oil or any fraction thereof) or petroleum products or any hazardous or toxic substances, materials or wastes, defined or regulated as such in or under any Environmental Law, including asbestos, polychlorinated biphenyls and urea-formaldehyde insulation.