Common use of Continuous Quality Improvement Clause in Contracts

Continuous Quality Improvement. The Network Provider shall maintain a program of continuing evaluation of the quality and effectiveness of each of its BH programs and services. In support of quality improvement, the Network Provider agrees to: 1. Submit data that measures effectiveness, efficiency, access to services including waiting lists, denials and referrals determined to be ineligible, satisfaction, elements from completed assessments of the persons served, service utilization, complaints, and appeals, critical incidents, financial performance and other data necessary to evaluate network and contract performance. 2. Use valid measurement tools and conduct outcomes measurement across services as identified in Section VI.D.15; 3. Monitor consumer outcomes in relationship to established targets, identified trends, and actions for improvement, for purposes of performance improvement and achieving optimal outcomes for the persons served through programs and services; 4. Participate in the analysis of aggregate data as recommended by the Regional Quality Improvement Team; 5. Participate in quality initiatives as requested including but not limited to co-occurring care, trauma informed care, and integration of primary and BH care. 6. Complete quality improvement action plans as identified by Region V Systems.

Continuous Quality Improvement. The Network Provider shall maintain a program of continuing evaluation of the quality and effectiveness of each of its BH behavioral health programs and services. In support of quality improvement, the Network Provider agrees to: 1. Submit data that measures effectiveness, efficiency, access to services including waiting lists, denials and referrals determined to be ineligible, satisfaction, elements from completed assessments of the persons served, service utilization, complaints, and appeals, critical incidents, financial performance and other data necessary to evaluate network and contract performance. 2. Use valid measurement tools and conduct outcomes measurement across services as identified in Section VI.D.15; 3. Monitor consumer outcomes in relationship to established targets, identified trends, and actions for improvement, for purposes of performance improvement and achieving optimal outcomes for the persons served through programs and services; 4. Participate in the analysis of aggregate data as recommended by the Regional Quality Improvement Team; 5. Participate in quality initiatives as requested including but not limited to co-occurring care, cluster-based planning, trauma informed care, and integration of primary and BH behavioral health care. 6. Complete quality improvement action plans as identified by Region V Systems.

Continuous Quality Improvement. The Network Provider shall maintain a program of continuing evaluation of the quality and effectiveness of each of its BH programs and services. In support of quality improvement, the Network Provider agrees to: 1. Submit data that measures effectiveness, efficiency, access to services including waiting lists, denials and referrals determined to be ineligible, satisfaction, elements from completed assessments of the persons served, service utilization, complaints, and appeals, critical incidents, financial performance and other data necessary to evaluate network and contract performance. 2. Use valid measurement tools and conduct outcomes measurement across services as identified in Section VI.D.15; 3. Monitor consumer outcomes in relationship to established targets, identified trends, and actions for improvement, for purposes of performance improvement and achieving optimal outcomes for the persons served through programs and services; 4. Participate in the analysis of aggregate data as recommended by the Regional Quality Improvement Team; 5. Participate in quality initiatives as requested including but not limited to co-occurring care, cluster-based planning, trauma informed care, and integration of primary and BH care. 6. Complete quality improvement action plans as identified by Region V Systems.