Common use of Quality Management Program Clause in Contracts

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow on-site review(s) of its Quality Management Program by BLUE CROSS staff. A. The Quality Management Program shall: (1) Provide for Quality Management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities: (1) Credentialing, recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providers. (2) Credentialing, recredentialing and peer review of all Health Professionals or providers under contract with or employed by PARTICIPATING MEDICAL GROUP. (3) Incident identification and risk management. (4) Member grievance resolution. (5) General and focused health care audits. (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual and as follows: (1) The BLUE CROSS Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management data directly or indirectly relating to Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS Medical Director (or the Medical Director’s clinical designee) with a schedule designating the time and place of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s discretion, attend. The BLUE CROSS Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the Quality Management Program in a manner that satisfies BLUE CROSS’ requirements for quality assurance, for BLUE CROSS internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s Quality Management Committee as such activities or actions relate to Members.

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow on-site review(s) review of its Quality Management Program by BLUE CROSS staff. A. The Quality Management Program shall: (1) Provide for Quality Management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities: (1) Credentialing, Credentialing and recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providers. (2) Credentialing, Credentialing and recredentialing and peer review of all Health Professionals or providers under contract with or employed by PARTICIPATING MEDICAL GROUP. (3) Incident identification and risk management. (4) Member grievance resolution. (5) General and focused health care audits. (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual and as follows: (1) The BLUE CROSS CALIFORNIACARE Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM CALIFORNIACARE Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS summaries of all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management data directly or indirectly relating to Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS CALIFORNIACARE Medical Director (or the Medical Director’s clinical designee) with a schedule designating the time and place of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s discretion, discretion attend. The BLUE CROSS CALIFORNIACARE Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the CALIFORNIACARE Quality Management Program in a manner that satisfies BLUE CROSS’ CROSS requirements for quality assurance, for BLUE CROSS internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s Quality Management Committee as such activities or actions relate to Members.

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow on-site review(s) review of its Quality Management Program by BLUE CROSS staff. A. The Quality Management Program shall: (1) Provide for Quality Management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities: (1) Credentialing, Credentialing and recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providers. (2) Credentialing, Credentialing and recredentialing and peer review of all Health Professionals or providers under contract with or employed by PARTICIPATING MEDICAL GROUP. (3) Incident identification and risk management. (4) Member grievance resolution. (5) General and focused health care audits. (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual and as follows: (1) The BLUE CROSS CALIFORNIACARE Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM CALIFORNIACARE Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS summaries of all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management data directly or indirectly relating to Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS CALIFORNIACARE Medical Director (or the Medical Director’s clinical designee) with a schedule designating the time and place place, of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s discretion, attend. The BLUE CROSS CALIFORNIACARE Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the CALIFORNIACARE Quality Management Program in a manner that satisfies BLUE CROSS’ requirements for quality assurance, for BLUE CROSS internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s Quality Management Committee as such activities or actions relate to Members.

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow on-site review(s) of its Quality Management Program by BLUE CROSS staff. A. The Quality Management Program shall: (1) Provide for Quality Management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities:. (1) Credentialing, recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providers. (2) Credentialing, recredentialing and peer review of all Health Professionals or providers under contract with or employed by PARTICIPATING MEDICAL GROUP. (3) Incident identification and risk management. (4) Member grievance resolution. (5) General and focused health care audits. (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through through- regular audit activities in accordance with the Operations Manual and as follows: (1) The BLUE CROSS CALIFORNIACARE Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM CALIFORNIACARE Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management data directly or indirectly relating to Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS CALIFORNIACARE Medical Director (or the Medical Director’s clinical designee) with a schedule designating the time and place of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s discretion, attend. The BLUE CROSS CALIFORNIACARE Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the CALIFORNIACARE Quality Management Program in a manner that satisfies BLUE CROSS’ requirements for quality assurance, for BLUE CROSS internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, standards as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s Quality Management Committee as such activities or actions relate to Members.

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow and shall cooperate in the scheduling and conduct of on-site review(s) of its Quality Management Program by BLUE CROSS staff. Any failure to allow or to so cooperate in such review(s) shall constitute a material breach of this Agreement. A. The Quality Management Program shall: (1) Provide for Quality Management quality management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities: (1) Credentialing, recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providersProfessionals and other providers in accordance with HCFA guidelines. (2) Credentialing, recredentialing and peer review of all Health Professionals or and other providers under contract with or employed by PARTICIPATING MEDICAL GROUPGROUP in accordance with HCFA guidelines. (3) Incident identification and risk management. (4) Cooperation with BLUE CROSS’ Member grievance resolutionresolution process. (5) General and focused health care audits. (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual Manual, the BLUE CROSS Quality Management and Credentialing guidelines and as follows: (1) The BLUE CROSS Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM BLUE CROSS SENIOR SECURE Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. Any failure to take such corrective action to the satisfaction of BLUE CROSS shall constitute a material breach of this Agreement. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS summaries of all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management quality management data directly or indirectly relating to BLUE CROSS SENIOR SECURE Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician (employee, partner, or contracting) when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS SENIOR SECURE Medical Director (or the Medical Director’s clinical designee) with a schedule designating the time and place of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s discretion, attend. The BLUE CROSS SENIOR SECURE Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to BLUE CROSS SENIOR SECURE Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the BLUE CROSS SENIOR SECURE Quality Management Program in a manner that satisfies BLUE CROSS’ requirements for quality assurance, for BLUE CROSS CROSS’ internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s Quality Management Committee as such activities or actions relate to Members. (9) Provide copies of annual reports and other public information on its Quality Management Program activities to BLUE CROSS upon request. PARTICIPATING MEDICAL GROUP further agrees that BLUE CROSS shall have the right to access statistical information and other such summary data as PARTICIPATING MEDICAL GROUP may prepare from time to time related to its internal quality management activities. The provision of information provided by PARTICIPATING MEDICAL GROUP to BLUE CROSS shall not impair PARTICIPATING MEDICAL GROUP’s rights and protections under Section 1157 of the Evidence Code.

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow on-site review(s) review of its Quality Management Program by BLUE CROSS staff. A. The Quality Management Program shall: (1) Provide for Quality Management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities: (1) Credentialing, Credentialing and recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providers. (2) Credentialing, Credentialing and recredentialing and peer review of all Health Professionals or providers under contract with or employed by PARTICIPATING MEDICAL GROUP. (3) Incident identification and risk management. (4) Member grievance resolution. (5) General and focused health care audits. . (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s 's development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual and as follows: (1) The BLUE CROSS CALIFORNIACARE Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s 's Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM CALIFORNIACARE Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. . (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS summaries of all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management data directly or indirectly relating to Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS CALIFORNIACARE Medical Director (or the Medical Director’s 's clinical designee) with a schedule designating the time and place of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s 's discretion, attend. The BLUE CROSS CALIFORNIACARE Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the CALIFORNIACARE Quality Management Program in a manner that satisfies BLUE CROSS’ ' requirements for quality assurance, for BLUE CROSS internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s 's Quality Management Committee as such activities or actions relate to Members.

Quality Management Program. To adopt and maintain a Quality Management Program consistent with BLUE CROSS standards and approved by BLUE CROSS. This program will cover all Covered Medical Services provided or arranged by PARTICIPATING MEDICAL GROUP for Members. PARTICIPATING MEDICAL GROUP agrees to allow on-site review(s) of its Quality Management Program by BLUE CROSS staff. A. The Quality Management Program shall: (1) Provide for Quality Management review by PARTICIPATING MEDICAL GROUP Physicians and other Health Professionals. (2) Provide for review of all services provided to Members by PARTICIPATING MEDICAL GROUP. (3) Stress health outcomes by providing health education and wellness programs for Members. B. The Quality Management Program shall include, but not be limited to the following activities: (1) Credentialing, recredentialing and peer review of all PARTICIPATING MEDICAL GROUP Physicians and allied Health Professional providers. (2) Credentialing, recredentialing and peer review of all Health Professionals or providers under contract with or employed by PARTICIPATING MEDICAL GROUP. (3) Incident identification and risk management. (4) Member grievance resolution. (5) General and focused health care audits. (6) Development and implementation of appropriate recommendations. (7) Documentation of remedial procedures for instances of inappropriate or substandard service(s) and/or failure to provide needed Medically Necessary Covered Medical Service(s). C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual and as follows: (1) The BLUE CROSS CALIFORNIACARE Quality Management Department shall review PARTICIPATING MEDICAL GROUP’s Quality Management Program on an annual basis through a scheduled on-site audit. (2) The AIM CALIFORNIACARE Quality Management Representative shall notify PARTICIPATING MEDICAL GROUP of any deficiencies or areas needing improvement. (3) PARTICIPATING MEDICAL GROUP shall take corrective action to eliminate any deficiencies in areas needing improvement within a reasonable period of time. (4) BLUE CROSS shall conduct follow-up reviews as necessary. D. PARTICIPATING MEDICAL GROUP shall: (1) Make available to BLUE CROSS all minutes and notes from any and all Quality Management Committees and/or activities which specifically relate to Members. (2) Provide BLUE CROSS with access to all PARTICIPATING MEDICAL GROUP Quality Management data directly or indirectly relating to Members. (3) Make available to BLUE CROSS all composite Quality Management Program data which include Members in the composite data set and provide such detail as is available regarding those Members. (4) Make known to BLUE CROSS any and all adverse actions taken against a PARTICIPATING MEDICAL GROUP Physician when such action is the result of deficiencies in quality of medical care. (5) Provide the BLUE CROSS CALIFORNIACARE Medical Director (or the Medical Director’s clinical designee) with a schedule designating the time and place of all Quality Management Committee meetings that relate to Members, in order that he or she shall, in the Medical Director’s discretion, attend. The BLUE CROSS CALIFORNIACARE Medical Director shall notify the PARTICIPATING MEDICAL GROUP in advance of his or her attendance and shall not be excluded from any deliberation on activities related to Members. (6) Permit BLUE CROSS to evaluate and utilize the data obtained from the CALIFORNIACARE Quality Management Program in a manner that satisfies BLUE CROSS’ requirements for quality assurance, for BLUE CROSS internal use only. (7) Implement any necessary changes in procedures, in order to fully comply with all quality assurance standards, as mutually agreed by the parties, and provide BLUE CROSS with the minutes of Quality Management Committee meetings and reviews that relate to Members. (8) Report to BLUE CROSS quarterly on activities or actions of PARTICIPATING MEDICAL GROUP’s Quality Management Committee as such activities or actions relate to Members.