Performance Improvement Projects. A. The Contractor shall conduct a minimum of two Performance Improvement Projects (PIPs) per year, including any PIPs required by DHCS or CMS. DHCS may require additional PIPs. One PIP shall focus on a clinical area and one on a non-clinical area. (42 C.F.R. § 438.330(b)(1) and (d)(1).) Each PIP shall:
Performance Improvement Projects a. The Contractor shall conduct performance improvement projects, including any performance improvement projects required by CMS that focus on both clinical and nonclinical areas.
Performance Improvement Projects. Each MCP must conduct performance improvement projects (PIPs), including those specified by ODJFS. PIPs must achieve, through periodic measurements and intervention, significant and sustained improvement in clinical and non-clinical areas which are expected to have a favorable effect on health outcomes and satisfaction. MCPs must adhere to ODJFS PIP content and format specifications. All ODJFS-specified PIPs must be prior-approved by ODJFS. As part of the external quality review organization (EQRO) process, the EQRO will assist MCPs with conducting PIPs by providing technical assistance and will annually validate the PIPs. In addition, the MCP must annually submit to ODJFS the status and results of each PIP. MCPs must initiate the following PIPs:
Performance Improvement Projects. (PIPs) The purpose of health care quality performance improvement projects (PIPs) is to assess and improve processes, and thereby outcomes, of care for Enrollees. For these projects to achieve real improvements and for interested parties to have confidence in the reported improvements, the Contractor shall follow CMS protocol when designing, conducting, and reporting on PIPs in a methodologically sound manner. The Contractor shall comply with 42 C.F.R. 438.330(d) to conduct PIPs which focus on both clinical and non-clinical areas. PIPs focused on clinical areas as designated by the Department may address preventive and chronic health care needs of the whole Enrollee population and subpopulations, including, but not limited to Medicaid eligibility category, type of disability or special health care needs, race, ethnicity, gender and age. PIPs focused on non-clinical areas as designated by the Department may address issues such as improving the quality, availability, and accessibility of services provided by the Contractor to Enrollees and Providers. Such aspects of service should include, but not be limited to availability, accessibility, cultural competency of services, and complaints, grievances, and Appeals. The Department and its contracted EQRO shall determine PIP focus areas, and the Contractor shall implement PIPs as follows to achieve significant improvements that are sustained over time, in health outcomes and Enrollee satisfaction:
Performance Improvement Projects. Each MCP must conduct performance improvement projects (PIPs), including those specified by ODJFS. PIPs must achieve, through periodic measurements and intervention, significant and sustained improvement in clinical and non-clinical areas which are expected to have a favorable effect on health outcomes and satisfaction. MCPs must adhere to ODJFS PIP content and format specifications. All ODJFS-specified PIPs must be prior-approved by ODJFS. As part of the external quality review organization (EQRO) process, the EQRO will assist MCPs with conducting PIPs by providing technical assistance and will annually validate the PIPs. In addition, the MCP must annually submit to ODJFS the status and results of each PIP. ODJFS will identify the clinical and/or non-clinical study topics for the SFY 2009 Provider Agreement. Initiation of the PIPs will begin in the second year of participation in the ABD Medicaid managed care program.
Performance Improvement Projects. 2.8.5.1. The Contractor shall have a minimum of one (1) performance improvement project (PIP) chosen by the Department, and the second PIP, if done, shall be identified by the Department at a future date.
Performance Improvement Projects. 4.12.6.1 As part of its QAPI program, the Contractor shall conduct clinical and non-clinical performance improvement projects in accordance with DCH and federal protocols. In designing its performance improvement projects, the Contractor shall: · Show that the selected area of study is based on a demonstration of need and is expected to achieve measurable benefit to the Member (rationale); · Establish clear, defined and measurable goals and objectives that the Contractor shall achieve in each year of the project; · Measure performance using Quality indicators that are objective, measurable, clearly defined and that allow tracking of performance and improvement over time; · Implement interventions designed to achieve Quality improvements; · Evaluate the effectiveness of the interventions; · Establish standardized performance measures (such as HEDIS or another similarly standardized product); · Plan and initiate activities for increasing or sustaining improvement; and · Document the data collection methodology used (including sources) and steps taken to assure data is valid and reliable.
Performance Improvement Projects. 4.12.5.1 As part of its QAPI program the Contractor shall conduct clinical and non-clinical performance improvement projects in accordance with DCH and federal protocols. In designing its performance improvement projects, the Contractor shall:
Performance Improvement Projects. 12.3.1 As part of its QAPI program the Contractor shall conduct performance improvement projects (PIPs) in accordance with ASES and, as applicable, federal protocols.
Performance Improvement Projects. Contractor shall also perform a minimum of four (4), either clinical or non-clinical Performance Improvement Projects (PIP) each year on topics prevalent and significant to the population served. PIPs shall meet all relevant CMS requirements. A PIP includes measuring the impact of the interventions or activities toward improving the quality of care and service delivery. Contractor shall:
