QI Program definition

QI Program means the PHCP quality improvement program designed to objectively and systematically monitor and evaluate the quality and appropriateness of health care, pursue opportunities to improve health care, and resolve identified problems. The QI Program, at a minimum, shall satisfy the quality assurance requirements of the Maryland Medicaid Managed Care Program.
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Examples of QI Program in a sentence

  • The QI Program shall be accountable to the Contractor’s Director as described in Cal.

  • The QI Program shall include active participation by the Contractor’s practitioners and providers, as well as beneficiaries and family members, in the planning, design and execution of the QI Program, as described in Cal.

  • Medical Group and its Participating Providers shall maintain all patient medical records relating to Covered Services provided to Members, in such form and containing such information as required by the QI Program, Accreditation Organizations and State and Federal Law.

  • The QI Program shall be accountable to the Contractor’s Director.

  • Medical records shall be maintained in a manner that is current, detailed, organized and permits effective patient care and quality review by Medical Group and PacifiCare pursuant to the QI Program.

  • The Department will provide joint training to the parties prior to implementation of the QI Program at the facility.

  • The QI Program shall be maintained in accordance with the requirements of State and Federal Law and the standards of Accreditation Organizations.

  • Have in place, and submit to EOHHS and CMS annually, a written description of the QI Program that delineates the structure, goals, and objectives of the Contractor’s QI initiatives.

  • The SRC shall designate a medical director for the STEMI program who shall be a physician certified by the American Board of Internal Medicine (ABIM) with current ABIM sub-specialty certification in Cardiovascular Disease and Interventional Cardiology, who will ensure compliance with these SRC standards and perform ongoing Quality Improvement (QI) as part of the hospital and system QI Program.

  • The Contractor shall maintain a health information system or systems consistent with the requirements established in the Contract, the objectives of 42 C.F.R. Part 438, Subpart D, including 42 C.F.R. § 438.242, and that supports all aspects of the QI Program.