Common use of Quality Improvement Clause in Contracts

Quality Improvement. Providers shall comply with Health Plan’s quality improvement programs, including those designed to improve quality measure outcomes in the then current Healthcare Effectiveness Data and Information Set (HEDIS) or other quality or outcome measures. Health Plan may audit Providers periodically and upon request Providers shall provide Records to Health Plan for HEDIS or other quality reasons and risk management purposes, including Records that will enable Health Plan to perform a thorough assessment of the overall care being provided to Members.

Quality Improvement. Providers shall comply with Health Plan’s Plan quality improvement programs, including those designed to improve quality measure outcomes in the then current Healthcare Effectiveness Data and Information Set (HEDIS) or other quality or outcome measures. Health Plan may audit Providers periodically and upon request Providers shall provide Records to Health Plan for HEDIS or other quality reasons and risk management purposes, including Records that will enable . Health Plan to perform a thorough assessment of the overall care being provided to Membersdesires open communication with Providers regarding Health Plan’s quality improvement initiatives and activities.