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. 12.3.2 The Contractor shall perform the following required PIPs ongoing for the duration of this Contract Term: 12.3.2.1 One (1) in the area of diabetes; 12.3.2.2 One (1) in the area of kidney disease; 12.3.2.3 One (1) in the area of asthma; and 12.3.2.4 One (1) in the area of cardiovascular conditions. 12.3.2.5 The Contractor shall conduct such additional PIPs as mutually agreed by the Parties. 12.3.3 In designing its PIPs, the Contractor shall: 12.3.3.1 Show that the selected area of study is based on a demonstration of need and is expected to achieve measurable benefit to Enrollee (rationale); 12.3.3.2 Establish clear, defined and measurable goals and objectives that the Contractor shall achieve in each year of the project; 12.3.3.3 Measure performance using quality indicators that are objective, measurable, clearly defined and that allow tracking of performance and improvement over time; 12.3.3.4 Implement interventions designed to achieve quality improvements; 12.3.3.5 Evaluate the effectiveness of the interventions; 12.3.3.6 Establish standardized performance measures (such as HEDIS or another similarly standardized product); 12.3.3.7 Plan and initiate activities for increasing or sustaining improvement; and 12.3.3.8 Document the data collection methodology used (including sources) and steps taken to assure data is valid and reliable. 12.3.4 The Contractor shall submit all descriptions of PIPs and program details to ASES as part of the QAPI program. 12.3.5 Each performance improvement project shall be completed in a time period to be specified by ASES to allow information on the success of the project in the aggregate to produce new information on quality of care each year. 12.3.6 When requested, the Contractor shall submit data to ASES for standardized PIPs, within specified timelines and according to the established procedures data collection and reporting. The Contractor shall collect valid and reliable data, using qualified staff and personnel to collect the data. Failure of the Contractor to follow data collection and reporting requirements may result in sanctions under this Contract.
Appears in 2 contracts
Sources: Contract for Health Services Administration (Triple-S Management Corp), Contract for Administration of Health Services (Triple-S Management Corp)
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.
12.3.2 The Contractor shall perform the following required PIPs ongoing for the duration of this Contract Term:
12.3.2.1 One (1) in the area of diabetes;
12.3.2.2 One (1) in the area of kidney disease;
12.3.2.3 One (1) in the area of asthma; and;
12.3.2.4 One (1) in the area of cardiovascular conditions.Developmental Screening for Children; and
12.3.2.5 The Contractor shall conduct such additional PIPs as mutually agreed by the Parties.
12.3.3 In designing its PIPs, the Contractor shall:
12.3.3.1 Show that the selected area of study is based on a demonstration of need and is expected to achieve measurable benefit to Enrollee (rationale);
12.3.3.2 Establish clear, defined and measurable goals and objectives that the Contractor shall achieve in each year of the project;
12.3.3.3 Measure performance using quality indicators that are objective, measurable, clearly defined and that allow tracking of performance and improvement over time;
12.3.3.4 Implement interventions designed to achieve quality improvements;
12.3.3.5 Evaluate the effectiveness of the interventions;
12.3.3.6 Establish standardized performance measures (such as HEDIS or another similarly standardized product);
12.3.3.7 Plan and initiate activities for increasing or sustaining improvement; and
12.3.3.8 Document the data collection methodology used (including sources) and steps taken to assure data is valid and reliable.
12.3.4 The Contractor shall submit all descriptions of PIPs and program details to ASES as part of the QAPI program.
12.3.5 Each performance improvement project shall be completed in a time period to be specified by ASES to allow information on the success of the project in the aggregate to produce new information on quality of care each year.
12.3.6 When requested, the Contractor shall submit data to ASES for standardized PIPs, within specified timelines and according to the established procedures data collection and reporting. The Contractor shall collect valid and reliable data, using qualified staff and personnel to collect the data. Failure of the Contractor to follow data collection and reporting requirements may result in sanctions under this Contract.
Appears in 1 contract
Sources: Contract for Health Services Administration (Triple-S Management Corp)