Common use of Quality Management Program Clause in Contracts

Quality Management Program. Contractor shall maintain a quality management program to review the quality of Specialized Health Care Services provided by Participating Providers and other subcontractors. Contractor’s quality management program shall be subject to review by Covered California annually to evaluate Contractor’s compliance with requirements set forth in the Quality, Network Management and Delivery System Standards. Contractor shall coordinate and cooperate with Covered California in developing the Quality, Network Management and Delivery System Standards, including (i) participating in meetings and other programs as reasonably requested from time to time by Covered California, (ii) providing mutually agreed upon data and other information required under the Quality, Network Management and Delivery System Standards, and (iii) as otherwise reasonably requested by Covered California. The parties acknowledge and agree that quality related activities contemplated under this Article 4 will be subject to and conducted in compliance with any and all applicable laws, rules and regulations including those relating the confidentiality of medical information and will preserve all privileges set forth at Health and Safety Code § 1370. Consistent with Covered California's mission to promote better care, better health and lower cost as part of a Quality Improvement Strategy, Contractor agrees to: (a) Implement a quality assurance program in accordance with 28 CCR § 1300.70, for evaluating the appropriateness and quality of the covered services provide to members; (b) Maintain a system of accountability for quality improvement in accordance with all applicable statutes and regulations, monitoring, evaluating and taking effective action to address any needed improvements, as identified by Covered California, in the quality of care delivered to members; and (c) Work with Covered California to craft a quality improvement program that is dental-specific and tailored to the Covered California population.