Basic Elements of Quality Assessment and Performance Improvement Programs Clause Samples

The "Basic Elements of Quality Assessment and Performance Improvement Programs" clause defines the foundational requirements for establishing and maintaining programs that monitor and enhance the quality of services or operations. Typically, this clause outlines the need for regular evaluation of processes, collection and analysis of performance data, and implementation of corrective actions when deficiencies are identified. For example, it may require organizations to set measurable goals, track outcomes, and document improvements over time. Its core practical function is to ensure continuous improvement and accountability, thereby addressing potential quality issues proactively and promoting higher standards of service or care.
Basic Elements of Quality Assessment and Performance Improvement Programs. (A) At minimum, the Contractor shall comply with the following requirements: (1) Conduct PIPs that are designed to achieve, through ongoing measurements and intervention, significant improvement, sustained over time, in clinical and non-clinical areas that are expected to have a favorable effect on health outcomes and Enrollee satisfaction; (2) Submit performance measurement data; (3) Have in effect mechanisms to detect both underutilization and overutilization of services; (4) Have in effect mechanisms to assess the quality and appropriateness of care furnished to Enrollees with Special Health Care Needs; and (5) Have in effect a process for evaluating the impact and effectiveness of the quality assessment and performance improvement program.
Basic Elements of Quality Assessment and Performance Improvement Programs. (A) At minimum, the Contractor shall comply with the following requirements: (1) Conduct Performance Improvement Projects (PIPs) in accordance with Article 1.1.4 that are designed to achieve, through ongoing measurements and intervention, significant improvement, sustained over time, in clinical and non-clinical areas that are expected to have a favorable effect on health outcomes and Enrollee satisfaction; (2) Collect and submit performance measurement data in accordance with Articles 1.1.3 and 1.1.4; and (3) Have in effect mechanisms to detect both underutilization and overutilization of services.

Related to Basic Elements of Quality Assessment and Performance Improvement Programs

  • The Performance Improvement Process (a) The Performance Improvement Process will focus on the risks of non- performance and problem-solving. It may include one or more of the following actions: a requirement that the HSP develop and implement an improvement plan that is acceptable to the Funder; the conduct of a Review; an amendment of the HSP’s obligations; an in-year, or year-end, adjustment to the Funding, among other possible means of responding to the Performance Factor or improving performance. (b) Any performance improvement process begun under a prior service accountability agreement that was not completed under the prior agreement will continue under this Agreement. Any performance improvement required by a Funder under a prior service accountability agreement will be deemed to be a requirement of this Agreement until fulfilled or waived by the Funder.

  • Performance Improvement Plan timely and accurate completion of key actions due within the reporting period 100 percent The Supplier will design and develop an improvement plan and agree milestones and deliverables with the Authority 3.2 The Authority may from time to time make changes to the KPIs measured as set out in paragraph 3.1 above and shall issue a replacement version to the Supplier. The Authority shall give notice In Writing of any such change to the KPIs measured and shall specify the date from which the replacement KPIs must be used for future reports. Such date shall be at least thirty (30) calendar days following the date of the notice to the Supplier.

  • Quarterly Contractor Performance Reporting Customers shall complete a Contractor Performance Survey (Exhibit I) for each Contractor on a Quarterly basis. Customers will electronically submit the completed Contractor Performance Survey(s) to the Department Contract Manager no later than the due date indicated in Contract Exhibit D, Section 17, Additional Special Contract Conditions. The completed Contractor Performance Survey(s) will be used by the Department as a performance-reporting tool to measure the performance of Contractors. The Department reserves the right to modify the Contractor Performance Survey document and introduce additional performance-reporting tools as they are developed, including online tools (e.g. tools within MyFloridaMarketPlace or on the Department's website).