QUALITY ASSURANCE AND QUALITY IMPROVEMENT Clause Samples
The Quality Assurance and Quality Improvement clause establishes the obligation for parties to maintain and enhance the standards of goods or services provided under the agreement. Typically, this clause requires regular monitoring, evaluation, and documentation of processes to ensure compliance with agreed-upon quality benchmarks, and may mandate corrective actions if deficiencies are identified. Its core function is to ensure consistent delivery of high-quality outcomes and to provide a structured mechanism for addressing and rectifying quality issues as they arise.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. Alliance shall establish a written program for Quality Assessment and Performance Improvement in accordance with 42 CFR § 438.240 that shall include Members, family members and providers through a Global Quality Assurance Committee. Provider shall participate in the compliance process and the Alliance Network continuous quality improvement process. Alliance shall also:
a. Provide Provider with a copy of the current program and any subsequent changes within thirty (30) days of changes to the Global Quality Assurance Plan.
b. Measure the performance of Provider and Member specific outcomes from service provisions based on the global CQI performance indicators. Examples include, but are not limited to, conducting peer review activities such as identification of practices that do not meet standards, recommendation of appropriate action to correct deficiencies, and monitoring of corrective action by Provider.
c. Measure Provider performance through medical record audits and clinical outcomes agreed upon by both Parties.
d. Monitor the quality and appropriateness of care furnished to Members.
e. Provide performance feedback to Providers including clinical standards and Alliance expectations.
f. Follow up with Provider concerning grievances reported to Alliance by Members.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. (a) Network Provider shall comply with any coordination required or documentation reasonably requested by ChildNet in order for ChildNet to conduct periodic external review activities to assure that quality services are achieved and maintained by Network Provider in the performance of services under this Subcontract. In accordance with Section 409.986, Florida Statutes, outcome measures are required in Department contracts and subcontracts thereunder. Network Provider shall be responsible for meeting the applicable outcomes and performance specifications set forth in Attachment I to this Subcontract and shall assist ChildNet in meeting the outcomes and performance specifications set forth in the Master Agreement.
(b) Network Provider shall submit, for review and approval by ChildNet, a Continuous Quality Improvement (“CQI”) Plan within 90 calendar days of the effective date of this Subcontract. At a minimum, the CQI Plan must provide for the review of data relating to: incidents, accidents and Client grievances; Client input and satisfactions; performance data; and peer record review data and productivity results from quality improvement projects. Upon request by ChildNet, Network Provider shall additionally participate in evaluation, quality improvement, and staff training activities conducted or coordinated by ChildNet or any other licensing or accrediting body during the term of this Subcontract.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. The LME/PIHP shall establish a written program for Quality Assessment and Performance Improvement in accordance with 42 CFR §438.240 that shall include Enrollees, family members and providers through a Global Quality Assurance Committee, and the LME/PIHP shall:
a. Provide Contractor with a copy of the current program and any subsequent changes within thirty (30) days of changes to the Global Quality Assurance Plan.
b. Measure the performance of Contractor and Enrollee specific outcomes from service provisions based on the global CQI performance indicators. Examples include, but are not limited to, conducting peer review activities such as identification of practices that do not meet standards, recommendation of appropriate action to correct deficiencies, and monitoring of corrective action by providers.
c. Measure Contractor performance through medical record audits and clinical outcomes agreed upon by both parties.
d. Monitor the quality and appropriateness of care furnished to Enrollees and assure compliance with the rules established by the Mental Health Commission, the Secretary of DHHS and G.S. 122C-142.
e. Provide performance feedback to providers including clinical standards and the LME/PIHP expectations.
f. Follow up with Contractor concerning grievances reported to LME/PIHP by Enrollees.
g. Provide data about individual Enrollees for research and study to the Contractor based on the parameters set by the LME/PIHP.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. The LME/PIHP shall establish a written program for Quality Assessment and Performance Improvement in accordance with 42 CFR §438.240 that shall include Enrollees, family members and providers through a Global Quality Assurance Committee, and the LME/PIHP shall:
a. Provide CONTRACTOR with a copy of the current program and any subsequent changes within thirty (30) days of changes to the Global Quality Assurance Plan.
b. Measure the performance of providers and Enrollee specific outcomes from service provisions based on the global CQI performance indicators. Examples include, but are not limited to, conducting peer review activities such as identification of practices that do not meet standards, recommendation of appropriate action to correct deficiencies, and monitoring of corrective action by providers.
c. Measure provider performance through medical record audits and clinical outcomes agreed upon by both parties.
d. Monitor the quality and appropriateness of care furnished to Enrollees.
e. Provide performance feedback to providers including clinical standards and the LME/PIHP expectations.
f. Follow up with CONTRACTOR concerning grievances reported to LME/PIHP by Enrollees.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. MCPs must consult regularly with LHD to develop outcome and process measures for care coordination as required by this Exhibit D for the purpose of measurable and reasonable quality assurance and improvement. 12 CDPH/CTCA Guidelines for the Assessment of Tuberculosis Patient Infectiousness and Placement into High and Lower Risk Settings, available at: ▇▇▇▇▇://▇▇▇▇.▇▇▇/wp- content/uploads/2018/11/ctcaciguidelines117_2.pdf; CDPH TB Control Branch, Resources for Local Health Departments, available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/Programs/CID/DCDC/Pages/TB-Resources-for-LHDs.aspx 13 Cal. Health & Safety Code Section 121350-121460 (standards for tuberculosis control). 14 CDC, Latent Tuberculosis Infection Resources, available at: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/tb/publications/ltbi/ltbiresources.htm
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. Sandhills Center shall establish a written program for Quality Assessment and Performance Improvement in accordance with 42 CFR § 438.330 that shall include Members, family and other supports and providers through a Global Quality Assurance Committee, and Sandhills Center shall:
3.5.1. Provide Provider with a copy of the current program and any subsequent changes within thirty (30) days of changes to the Global Quality Assurance Plan.
3.5.2. Measure the performance of providers and Member specific outcomes from service provisions based on the global CQI performance indicators. Examples include, but are not limited to, conducting peer review activities such as identification of practices that do not meet standards, recommendation of appropriate action to correct deficiencies, and monitoring of corrective action by providers.
3.5.3. Monitor the quality and appropriateness of care furnished to Members and assure compliance with the rules and State statutes under N.C. Gen. Stat. § 122C-142.
3.5.4. Provide performance feedback Provider, including clinical standards and Sandhills Center’s expectations.
3.5.5. Provide data about individual Members for research and study to the Provider based on the parameters set by Sandhills Center.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. The LME/PIHP shall establish a written program for Quality Assessment and Performance Improvement in accordance with 42 C.F.R. §438.240 that shall include Enrollees, family members and providers through a Global Quality Assurance Committee, and the LME/PIHP shall:
a. Provide LIP with a copy of the current program and any subsequent changes within thirty (30) days of changes to the Global Quality Assurance Plan.
b. Measure the performance of LIP’s and Enrollee specific outcomes from service provisions based on the global CQI performance indicators. Examples include, but are not limited to, conducting peer review activities such as identification of practices that do not meet standards, recommendation of appropriate action to correct deficiencies, and monitoring of corrective action by providers.
c. Measure LIP’s performance through medical record audits and clinical outcomes agreed upon by both parties.
d. Monitor the quality and appropriateness of care furnished to Enrollees and assure compliance with the rules established by the Mental Health Commission, the Secretary of DHHS and G.S. 122C- 142.
e. Provide performance feedback to providers including clinical standards and the LME/PIHP expectations.
f. Follow up with LIP concerning grievances reported to LME/PIHP by Enrollees.
g. Provide data about individual Enrollees for research and study to the LIP based on the parameters set by the LME/PIHP.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. MCP must consult regularly with LHD to develop outcome and process measures for care coordination as required by this Exhibit C-2 for the purpose of measurable and reasonable quality assurance and improvement.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. Describe how quality and patient safety is maintained in your facility. Describe, and attach documentation to support, the overall Quality Assurance Program, including but not limited to: Patient Concerns Process Patient Satisfaction Surveys Incident Reporting Performance Indicators Patient Outcomes Staff Training Quality Improvement Initiatives including but not limited to surgical site infection prevention and checklist implementation.
QUALITY ASSURANCE AND QUALITY IMPROVEMENT. The Parties will participate in quality assurance and quality improvement initiatives, pilot projects, and case reviews to improve patient outcomes and system design.