Quality Improvement Manager Clause Samples

The 'Quality Improvement Manager' clause designates an individual or role responsible for overseeing and implementing quality enhancement initiatives within an organization or project. This clause typically outlines the authority, duties, and reporting structure of the Quality Improvement Manager, such as monitoring compliance with quality standards, identifying areas for process improvement, and coordinating corrective actions. Its core practical function is to ensure continuous improvement in quality by assigning clear responsibility and accountability, thereby helping the organization maintain high standards and address quality-related issues proactively.
Quality Improvement Manager. The Contractor shall employ a Quality Improvement Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Quality Management Manager shall, at a minimum, be responsible for directing the activities of the Contractor’s quality improvement staff in monitoring and auditing the Contractor’s health care delivery system, including, but not limited to, internal processes and procedures, provider network(s), service quality and clinical quality. The Quality Improvement Manager shall assist the Contractor’s Compliance Officer in overseeing the activities of the Contractor’s operations to meet the State’s goal of providing health care services that improve the health status and health outcomes of Hoosier Healthwise members. For more information regarding the quality management requirements, see Section 6.0.
View SourceView Similar (14)
Quality Improvement Manager. The Contractor must employ a Quality Improvement Manager. The Quality Improvement Manager must, at a minimum, be responsible for directing the activities of the Contractor’s quality management staff, under the direct supervision of the Medical
View SourceView Similar (3)
Quality Improvement Manager. The Contractor must employ a Quality Improvement Manager who is dedicated full-time to the PathWays program. The Quality Improvement Manager shall, at a minimum, be responsible for directing the activities of the Contractor’s quality improvement staff in monitoring and auditing the Contractor’s health care delivery system, including, but not limited to, internal processes and procedures, provider network(s), service quality and clinical quality. The Quality Improvement Manager shall assist the Contractor’s Compliance Officer in overseeing the activities of the Contractor’s operations to meet the State’s goal of providing health care services that improve the health status and health outcomes of PathWays. For more information regarding the quality management requirements, see Section 7.0.
View SourceView Similar (3)
Quality Improvement Manager. The Contractor must employ a Quality Improvement Manager. The Quality Improvement Manager must, at a minimum, be responsible for directing the activities of the Contractor’s quality management staff, under the direct supervision of the Medical Director, in monitoring and auditing the Contractor’s health care delivery system, including, but not limited to, internal processes and procedures, provider network(s), service quality and clinical quality. The Quality Improvement Manager must assist the Contractor’s Compliance Officer in overseeing the activities of the Contractor’s operations to meet the State’s goal of providing health care services that improve the health status and health outcomes of Hoosier Care Connect members. For more information regarding the quality management requirements, see Section 7.1.
View SourceView Similar (3)

Related to Quality Improvement Manager

  • Quality Improvement The Parties must develop QI activities specifically for the oversight of the requirements of this MOU, including, without limitation, any applicable performance measures and QI initiatives, including those to prevent duplication of services, as well as reports that track referrals, Member engagement, and service utilization. Such QI activities must include processes to monitor the extent to which Members are able to access mental health services across SMHS and NSMHS, and Covered Service utilization. The Parties must document these QI activities in policies and procedures.

  • Contractor Project Manager The Contractor Project Manager shall serve, from the Effective Date, as the Contractor project manager and primary Contractor representative under this Agreement. The Contractor Project Manager shall (i) have overall responsibility for managing and coordinating the performance of Contractor’s obligations under this Agreement, including the performance of all Subcontractors; and (ii) be authorized to act for and bind Contractor and Subcontractors in connection with all aspects of this Agreement. The Contractor Project Manager shall respond promptly and fully to all inquiries from the JBE Project Manager.

  • Quality Management Grantee will: 1. comply with quality management requirements as directed by the System Agency. 2. develop and implement a Quality Management Plan (QMP) that conforms with 25 TAC § 448.504 and make the QMP available to System Agency upon request. The QMP must be developed no later than the end of the first quarter of the Contract term. 3. update and revise the QMP each biennium or sooner, if necessary. ▇▇▇▇▇▇▇’s governing body will review and approve the initial QMP, within the first quarter of the Contract term, and each updated and revised QMP thereafter. The QMP must describe ▇▇▇▇▇▇▇’s methods to measure, assess, and improve - i. Implementation of evidence-based practices, programs and research-based approaches to service delivery; ii. Client/participant satisfaction with the services provided by ▇▇▇▇▇▇▇; iii. Service capacity and access to services; iv. Client/participant continuum of care; and v. Accuracy of data reported to the state. 4. participate in continuous quality improvement (CQI) activities as defined and scheduled by the state including, but not limited to data verification, performing self-reviews; submitting self-review results and supporting documentation for the state’s desk reviews; and participating in the state’s onsite or desk reviews. 5. submit plan of improvement or corrective action plan and supporting documentation as requested by System Agency. 6. participate in and actively pursue CQI activities that support performance and outcomes improvement. 7. respond to consultation recommendations by System Agency, which may include, but are not limited to the following: i. Staff training; ii. Self-monitoring activities guided by System Agency, including use of quality management tools to self-identify compliance issues; and iii. Monitoring of performance reports in the System Agency electronic clinical management system.

  • County’s Project Manager Note: The written approval of substituted A-E Key Personnel is for departmental use only and shall not be used for auditing purposes outside OC Public Works or other County department.

  • School Improvement The parties do hereby mutually agree that the school improvement process currently in effect will continue. Any plan developed by the committees shall not be in conflict with the master agreement or board policy.