Common use of Performance-Based Accountability Clause in Contracts

Performance-Based Accountability. A. UTMB agrees to establish and maintain a utilization review (UR) process for managing Health Care costs and ensuring consistent and appropriate clinical referrals. ▇▇▇▇ also agrees to submit to the TJJD Medical Director a UR report at the beginning of each calendar quarter that includes the number of specialist referrals by type and the current status of each referral including trends and year to date aggregated data analysis. B. UTMB agrees to have a quality improvement plan, consisting of its activities to monitor each facility at least annually and to evaluate and improve the delivery of Health Care under this Agreement according to the Standards of Care in Article V. C. ▇▇▇▇ and ▇▇▇▇ agree to establish regular meetings to promote mutual discussion and exchange of information regarding health related issues. D. ▇▇▇▇ agrees to have the health services administrator for each facility participate in at least one TJJD facility interdisciplinary management team meeting per month. E. UTMB shall provide TJJD with a written contingency plan for accessing and documenting Health Care EHR information in the event the EHR system is temporarily unavailable. UTMB shall provide Health Care regardless of the availability of the EHR system. F. ▇▇▇▇ agrees to have nursing case management services via Nurse Coordinators for Health Services for institutions to assist in the coordination of health care services, health services liaison with youth’s parent/guardian and re-entry planning for Youth and to participate in multidisciplinary meetings regarding Youth identified by UTMB as having significant medical conditions/needs. UTMB will have nurse coordinators for Health Services in a sufficient number at the Intake center to perform review of all community records received. G. ▇▇▇▇ understands that TJJD may access, inspect, and reproduce all records related to UTMB’s provision of services under this Agreement belonging to either UTMB or its subcontractors. UTMB understands that TJJD will conduct on-site inspections of facilities and interviews of persons providing health care services under this Agreement. Upon request from TJJD or upon its own initiative, UTMB shall provide corrective action, within thirty (30) days, or as otherwise agreed by TJJD. Such action shall include a Corrective Action Response with a written description of the problem, what actions UTMB has taken to remedy or ameliorate the effects of the problem, and implementation plan. Failure to provide a satisfactory Corrective Action Response within the time-frame agreed by TJJD may result in a reduction in the payment to UTMB in an amount equal to the costs TJJD actually expends to obtain alternative Health Services during the days that health care which should have been provided in accordance with the terms of this Agreement was not in compliance until such time as the corrective action is completed. H. ▇▇▇▇ agrees to cooperate with all TJJD investigations of neglect or mistreatment that are alleged by Youth or others on Youth’s behalf and to provide medical records, as requested, for the purposes of conducting alleged mistreatment investigations regarding the delivery of health care. ▇▇▇▇ agrees to report to UTMB the results of any such investigations it conducts that relate to the misconduct or performance of UTMB health care providers and to provide other information related to the investigation to the extent the information is not confidential, privileged or otherwise immune from disclosure under state or federal laws. I. ▇▇▇▇ agrees to provide a general summary report to TJJD of any peer review investigation or inquiry not conducted by TJJD that arises out of its provision of health care under this Agreement to the extent such information is not confidential, privileged or otherwise immune from disclosure under state and federal laws. J. ▇▇▇▇ agrees to report to TJJD any corrective action it takes with regard to the results of an investigation or inquiry that is conducted by ▇▇▇▇ or that arises out of the provision of health care under this Agreement to the extent such information is not confidential, privileged or otherwise immune from disclosure under state or federal laws. Corrective action will be provided in writing within 30 days of request by ▇▇▇▇. K. UTMB will submit to TJJD reports of all internal quality assurance reviews conducted by UTMB. L. UTMB agrees to provide appropriate health education for TJJD Youth and staff regarding conditions relevant to juveniles residing in a correctional health care setting. Health education shall address both preventative measures and the reporting of significant symptoms to health care staff. M. UTMB shall provide TJJD notice of any litigation as it relates to the quality of care Youth receive at TJJD facilities. N. ▇▇▇▇ agrees to make available to UTMB On-Site Health Care staff, at no cost, any pre-service topic TJJD covers with its employees necessary for UTMB staff to perform their jobs in a timely manner and in a format as agreed by both parties. TJJD shall not be responsible for any living or travel expenses not directly associated with Off-Site training unless it is specifically connected to the performance of this Agreement. Any travel or living expenses claimed from or paid by TJJD shall be limited to the same amount and types that are available to state employees travelling on state business. O. ▇▇▇▇ agrees to maintain and to provide to TJJD, documentation of the credentials of all Providers serving under this Agreement. UTMB will provide Curriculum Vitae for Providers to TJJD when requested. P. UTMB agrees to conduct a quarterly review of communicable diseases and infection control activities with clinical staff from UTMB and designated appropriate staff of TJJD. Q. The TJJD and UTMB Medical Directors will develop and/or approve all policy related to Health Care. ▇▇▇▇ and ▇▇▇▇ agree to make a good faith effort to mutually involve each other in procedure, protocol, and forms development and to solicit input regarding decisions that affect the provision of health care. ▇▇▇▇ agrees to provide electronic access to all TJJD forms, policies, and procedures related to health care. UTMB must comply with all TJJD policies and procedures related to health care, and TJJD will monitor compliance.

Performance-Based Accountability. A. UTMB ▇. ▇▇▇▇ agrees to establish and maintain a utilization review (UR) process for managing Health Care costs and ensuring consistent and appropriate clinical referrals. ▇▇▇▇ also agrees to submit to the TJJD Medical Director a UR report at the beginning of each calendar quarter that includes the number of specialist referrals by type and the current status of each referral including trends and year to date aggregated data analysis. B. UTMB agrees to have a quality improvement plan, consisting of its activities to monitor each facility at least annually and to evaluate and improve the delivery of Health Care under this Agreement according to the Standards of Care in Article V. C. ▇▇▇▇ and ▇▇▇▇ agree to establish regular meetings to promote mutual discussion and exchange of information regarding health related issues. D. ▇. ▇▇▇▇ agrees to have the health services administrator for each facility participate in at least one TJJD facility interdisciplinary management team meeting per month. E. UTMB shall provide TJJD with a written contingency plan for accessing and documenting Health Care EHR information in the event the EHR system is temporarily unavailable. UTMB shall provide Health Care regardless of the availability of the EHR system. F. ▇. ▇▇▇▇ agrees to have nursing case management services via Nurse Coordinators for Health Services for institutions to assist in the coordination of health care services, health services liaison with youth’s parent/guardian and re-entry planning for Youth and to participate in multidisciplinary meetings regarding Youth identified by UTMB ▇▇▇▇ as having significant medical conditions/needs. UTMB will have nurse coordinators for Health Services in a sufficient number at the Intake center to perform review of all community records received. G. ▇▇▇▇ UTMB understands that TJJD may access, inspect, and reproduce all records related to UTMB’s provision of services under this Agreement belonging to either UTMB or its subcontractors. UTMB understands that TJJD will conduct on-site inspections of facilities and interviews of persons providing health care services under this Agreement. Upon request from TJJD or upon its own initiative, UTMB shall provide corrective action, within thirty (30) days, or as otherwise agreed by TJJD. Such action shall include a Corrective Action Response with a written description of the problem, what actions UTMB has taken to remedy or ameliorate the effects of the problem, and implementation plan. Failure to provide a satisfactory Corrective Action Response within the time-frame agreed by TJJD may result in a reduction in the payment to UTMB in an amount equal to the costs TJJD actually expends to obtain alternative Health Services during the days that health care which should have been provided in accordance with the terms of this Agreement was not in compliance until such time as the corrective action is completed. H. ▇. ▇▇▇▇ agrees to cooperate with all TJJD investigations of neglect or mistreatment that are alleged by Youth or others on Youth’s behalf and to provide medical records, as requested, for the purposes of conducting alleged mistreatment investigations regarding the delivery of health care. ▇▇▇▇ agrees to report to UTMB the results of any such investigations it conducts that relate to the misconduct or performance of UTMB health care providers and to provide other information related to the investigation to the extent the information is not confidential, privileged or otherwise immune from disclosure under state or federal laws. I. ▇. ▇▇▇▇ agrees to provide a general summary report to TJJD of any peer review investigation or inquiry not conducted by TJJD that arises out of its provision of health care under this Agreement to the extent such information is not confidential, privileged or otherwise immune from disclosure under state and federal laws. J. ▇. ▇▇▇▇ agrees to report to TJJD any corrective action it takes with regard to the results of an investigation or inquiry that is conducted by ▇▇▇▇ TJJD or that arises out of the provision of health care under this Agreement to the extent such information is not confidential, privileged or otherwise immune from disclosure under state or federal laws. Corrective action will be provided in writing within 30 days of request by ▇▇▇▇. K. UTMB ▇. ▇▇▇▇ will submit to TJJD reports of all internal quality assurance reviews conducted by UTMB. L. UTMB agrees to provide appropriate health education for TJJD Youth and staff regarding conditions relevant to juveniles residing in a correctional health care setting. Health education shall address both preventative measures and the reporting of significant symptoms to health care staff. M. UTMB shall provide TJJD notice of any litigation as it relates to the quality of care Youth receive at TJJD facilities. N. ▇. ▇▇▇▇ agrees to make available to UTMB On-Site Health Care staff, at no cost, any pre-service topic TJJD covers with its employees necessary for UTMB staff to perform their jobs in a timely manner and in a format as agreed by both parties. TJJD shall not be responsible for any living or travel expenses not directly associated with Off-Site training unless it is specifically connected to the performance of this Agreement. Any travel or living expenses claimed from or paid by TJJD shall be limited to the same amount and types that are available to state employees travelling on state business. O. ▇. ▇▇▇▇ agrees to maintain and to provide to TJJD, documentation of the credentials of all Providers serving under this Agreement. UTMB will provide Curriculum Vitae for Providers to TJJD when requested. P. UTMB ▇. ▇▇▇▇ agrees to conduct a quarterly review of communicable diseases and infection control activities with clinical staff from UTMB and designated appropriate staff of TJJD. Q. The TJJD and UTMB Medical Directors will develop and/or approve all policy related to Health Care. ▇▇▇▇ and ▇▇▇▇ agree to make a good faith effort to mutually involve each other in procedure, protocol, and forms development and to solicit input regarding decisions that affect the provision of health care. ▇▇▇▇ agrees to provide electronic access to all TJJD forms, policies, and procedures related to health care. UTMB must comply with all TJJD policies and procedures related to health care, and TJJD will monitor compliance.