Prevention and Wellness Program Clause Samples
Prevention and Wellness Program. The PO’s prevention and wellness program shall include the following components:
a. Program Coordination Designated staff are responsible for the coordination and delivery of services in the program.
b. Practice Guidelines Practice guidelines are guidelines that are developed in consultation with contracting professionals to assist them to apply the current best evidence in making decisions about the care of individual members. The PO will review and update practice guidelines periodically, as appropriate. The PO shall use practice guidelines for prevention and wellness services that include member education, motivation and counseling about long- term care and health care related services. The PO must disseminate or make available the guidelines to providers for whom the guidelines apply and, upon request, to members. Practice guidelines that are condition-specific and/or disease related shall include the following elements:
i. Overview of condition/disease;
ii. Information related to anticipating, recognizing and responding to condition/disease related symptoms;
iii. Information related to best practice standards for prevention and management of condition/disease;
iv. Guidelines/process for interdisciplinary team to use regarding negotiating incorporation of condition/disease prevention and management plan with member into the MCP; and
v. Plan for quality assurance monitoring of guideline effectiveness.
Prevention and Wellness Program. The MCO’s prevention and wellness program shall include the following components:
a. Program Coordination Designated staff are responsible for the coordination and delivery of services in the program.
b. Practice Guidelines Practice guidelines are guidelines that are developed to assist health care professionals to apply the current best evidence in making decisions about the care of individual members. The MCO shall use practice guidelines for prevention and wellness services that include member education, motivation and counseling about long-term care and health care related services. The MCO must disseminate or make available the guidelines to providers for whom the guidelines apply and, upon request, to members. Practice guidelines that are condition-specific and/or disease related shall include the following elements:
i. Overview of condition/disease;
ii. Information related to anticipating, recognizing and responding to condition/disease related symptoms;
iii. Information related to best practice standards for prevention and management of condition/disease;
iv. Guidelines/process for interdisciplinary team to use regarding negotiating incorporation of condition/disease prevention and management plan with member into the MCP; and,
v. Plan for quality assurance monitoring of guideline effectiveness.
Prevention and Wellness Program. The MCO’s prevention and wellness program shall include the following components:
a. Program Coordination Designated staff are responsible for the coordination and delivery of services in the program.
b. Practice Guidelines Practice guidelines are guidelines that are developed in consultation with contracting professionals to assist them to apply the current best evidence in making decisions about the care of individual members. The MCO will review and update practice guidelines periodically, as appropriate. The MCO shall use practice guidelines for prevention and wellness services that include member education, motivation and counseling about long-term care and health care related services. The MCO must disseminate or make available the guidelines to providers for whom the guidelines apply and, upon request, to members. Practice guidelines that are condition-specific and/or disease related shall include the following elements:
i. Overview of condition/disease;
ii. Information related to anticipating, recognizing and responding to condition/disease related symptoms;
iii. Information related to best practice standards for prevention and management of condition/disease;
iv. Guidelines/process for interdisciplinary team to use regarding negotiating incorporation of condition/disease prevention and management plan with member into the MCP; and
v. Plan for quality assurance monitoring of guideline effectiveness.