Quality in health care definition Video
6 Dimensions of Healthcare QualityQuality in health care definition - something also
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Such agreement may also include provision for the agency or organization to do all or any part of the following: 1 to provide consultative services to institutions or agencies to enable them to establish and maintain fiscal records necessary for purposes of this part and otherwise to qualify as hospitals, extended care facilities, or home health agencies, and 2 with respect to the carf quality in health care definition services which are to receive payments through it A to serve as a center for, and communicate to providers, any information or instructions furnished to it by the Secretary, and serve as a channel of communication from providers to the Secretary; Yealth to make such audits of the records of providers as may be necessary to insure that proper payments are made under this part; and C to perform such other functions as are necessary to carry this subsection.
The Secretary shall provide that in determining the necessary and proper quality in health care definition of administration, the Secretary shall, with respect to each agreement, take into account the amount that is reasonable and adequate to meet click at this page costs which must be incurred by an efficiently and economically operated agency or organization in carrying out the terms of its agreement. The Secretary shall cause to have published in the Federal Register, by not later than September 1 before each fiscal year, data, standards, and methodology to be used to establish budgets for fiscal intermediaries under this section for that fiscal year, and shall cause to be published in the Federal Register for public healty, at least 90 days before such data, standards, and methodology are published, the data, standards, and methodology proposed to be used.
The Secretary may not require, as a condition of entering into or renewing an agreement under this section or under sectionthat a fiscal intermediary match data obtained other than in its activities under this part with data used in the administration of this part for purposes of identifying situations in which the provisions of section b may apply.
Any provider may, upon such notice as may quality in health care definition specified in the agreement under this section with an agency or organization, withdraw its nomination to receive payments through such agency or organization. Any provider which has withdrawn its nomination, and any provider which has not made a nomination, may elect to receive payments from any agency or organization which has entered into an agreement with the Secretary under this section if the Secretary and such agency or organization agree to it.
B Before the Secretary makes a designation under paragraph 2 with respect to a class of providers of services, he shall furnish i such providers and the agencies and organizations adversely affected by such designation with a full explanation of the reasons for his determination as to qua,ity efficiency and effectiveness of such agencies and organizations to perform the definitkon required under this part with respect to such providers, and ii the agencies and organizations adversely affected by such designation with opportunity for a hearing, and such determination shall be subject to judicial review in accordance with chapter 7 of title 5, United States Code.
By not later than July 1,the Secretary shall limit the number of such regional agencies or organizations to not more than ten.
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No agency or organization shall be found under such standards and criteria not ih be efficient or effective or to be less efficient or effective solely on the ground that the agency or organization serves only providers located in a single State. In each of the fiscal years throughthe increase under this subparagraph shall be reduced but not below zero by 2.
The Secretary shall publish in the Federal Register standards and criteria for the efficient and effective performance of contract obligations under this section, quality in health care definition opportunity shall be provided for public comment prior to implementation. The Secretary may not require, as a condition of entering into or renewing a contract under this section or under sectionthat a carrier match data obtained other than in its activities under this part with data used in the administration of this part for purposes of identifying situations in which section b may apply. E With respect to the payment of claims for home health services under this part that, but for the amendments made by section of the Balanced Budget Act ofwould be payable under part A of this subchapter instead of under this part, the Secretary shall continue administration of such claims through fiscal intermediaries under section ]
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