Common use of Focused Studies Clause in Contracts

Focused Studies. 4.12.7.1 Focus Studies are State required studies that examine a specific aspect of health care (such as prenatal care) for a defined point in time. These projects are usually based on information extracted from medical records or Contractor administrative data such as enrollment files and encounter/claims data. Steps to be taken by Contractor when conducting focus studies are: • Selecting the Study Topic(s) • Defining the Study Question(s) • Selecting the Study Indicator(s) • Identifying a representative and generalizable study population • Documenting sound sampling techniques utilized (if applicable) • Collecting reliable data • Analyzing data and interpreting study results 4.12.7.2 The Contractor shall also perform a minimum of two (2) focused studies each year, commencing with the second (2nd) year of operations. One (1) study shall focus on preventive care services. 4.12.7.3 The Contractor shall submit to DCH for approval the areas in which it will conduct focused studies on the first (1st) day of the third (3rd) quarter annually. Due to federal reporting requirements (e.g., Quality Strategic Plan and EQRO), the year for Focus Studies is defined as October 1 - September 30 therefore the 1st day of the 3rd quarter is April 1.

Appears in 1 contract

Sources: Contract (Wellcare Health Plans, Inc.)

Focused Studies. 4.12.7.1 Focus Studies are State required studies that examine a specific aspect of health care (such as prenatal care) for a defined point in time. These projects are usually based on information extracted from medical records or Contractor administrative data such as enrollment files and encounter/claims data. Steps to be taken by Contractor when conducting focus studies are: • Selecting the Study Topic(s) • Defining the Study Question(s) • Selecting the Study Indicator(s) • Identifying a representative and generalizable study population • Documenting sound sampling techniques utilized (if applicable) • Collecting reliable data • Analyzing data and interpreting study results 4.12.7.2 The Contractor shall also perform a minimum of two (2) focused studies each year, commencing with the second (2nd) year of operations. One (1) study shall focus on preventive care services. 4.12.7.3 The Contractor shall submit to DCH for approval the areas in which it will conduct focused studies on the first (1st) day of the third (3rd) quarter annually. Due to federal reporting requirements (e.g., Quality Strategic Plan and EQRO), the year for Focus Studies is defined as October 1 - September 30 therefore the 1st day of the 3rd quarter is April 1.

Appears in 1 contract

Sources: Contract for Provision of Services (Amerigroup Corp)