Common use of Performance Improvement Projects Clause in Contracts

Performance Improvement Projects. A. The Contractor shall conduct a minimum of two Performance Improvement Projects (PIPs) per year, including any PIPs required by DHCS or CMS. DHCS may require additional PIPs. One PIP shall focus on a clinical area and one on a non-clinical area. (42 C.F.R. § 438.330(b)(1) and (d)(1).) Each PIP shall: 1) Be designed to achieve significant improvement, sustained over time, in health outcomes and beneficiary satisfaction; 2) Include measurement of performance using objective quality indicators; 3) Include implementation of interventions to achieve improvement in the access to and quality of care; 4) Include an evaluation of the effectiveness of the interventions based on the performance measures collected as part of the PIP; and, 5) Include planning and initiation of activities for increasing or sustaining improvement. (42 C.F.R. § 438.330(d)(2).) B. The Contractor shall report the status and results of each performance improvement project to the Department as requested, but not less than once per year. (42 C.F.R. § 438.330(d)(3).)

Performance Improvement Projects. A. The Contractor shall conduct a minimum of two Performance Improvement Projects (PIPs) per year, including any PIPs required by DHCS or CMS. DHCS may require additional PIPs. One PIP shall focus on a clinical area and one on a non-clinical area. (42 C.F.R. § 438.330(b)(1) and (d)(1).) Each PIP shall: 1) Be designed to achieve significant improvement, sustained over time, in health outcomes and beneficiary satisfaction; 2) Include measurement of performance using objective quality indicators; 3) Include implementation of interventions to achieve improvement in the access to and quality of care; 4) Include an evaluation of the effectiveness of the interventions based on the performance measures collected as part of the PIP; and, 5) Include planning and initiation of activities for increasing or sustaining improvement. (42 C.F.R. § 438.330(d)(2).) B. The Contractor shall report the status and results of each performance improvement project to the Department as requested, but not less than once per year. (42 C.F.R. § 438.330(d)(3).)