Clinical Integration Sample Clauses
The Clinical Integration clause establishes requirements and expectations for the coordination and collaboration of healthcare providers to improve patient care quality and efficiency. It typically outlines how different medical professionals, departments, or organizations will share information, align treatment protocols, and participate in joint initiatives such as care management programs or quality improvement projects. By formalizing these collaborative efforts, the clause aims to break down silos within healthcare delivery, reduce duplication of services, and ensure that patient care is consistent and evidence-based.
Clinical Integration. Practice and each Participating Physician agrees to use commercially reasonable efforts to assist HMHP in implementing its Clinical Integration program, which includes, but is not limited to, the promotion of evidence-based medicine, the promotion of patient engagement, and the development of an infrastructure for the HMHP Providers to internally report on quality and cost metrics that will enable HMHP to monitor, provide feedback, and evaluate its HMHP Providers’ performance and to use these results to provide quality care for patients, improved outcomes, improved health for populations and lower per capita growth in expenditures for Enrollees. Practice and the Participating Physicians understand that Clinical Integration and the success of HMHP as a Clinically Integrated Network require Practice’s and the Participating Physicians’ active and ongoing participation. Practice, therefore, agrees that it and its Participating Physicians shall cooperate in the development and implementation of HMHP’s Clinical Integration program.
Clinical Integration. Physician acknowledges that PPG intends to achieve and maintain “clinical integration” (within the meaning of United States Federal Trade Commission and United State Department of Justice standards concerning physician networks). In that regard, PPG will engage in some or all of the following actions, among others (collectively, “Integration Measures”): (i) implementing quality assurance and utilization review policies and programs; (ii) conducting regular evaluations of PPG’s and the Members’ performance with respect to quality assurance, utilization review, or other performance goals; (iii) modifying PPG’s performance and assisting Members to modify their practices as necessary or appropriate to achieve desired quality assurance, utilization, or other performance goals; (iv) implementing case management programs; (v) establishing a program of advance authorization for certain services or treatments; (vi) undertaking concurrent and/or retrospective reviews of inpatient stays; (vii) developing practice standards and protocols; (viii) reviewing care in light of such standards and protocols; (ix) installing information systems for the purpose of gathering data, measuring performance against cost and quality benchmarks, and monitoring patient satisfaction;