Nev. Admin. Code § 695C.400 - Requirements; written description of action plan; staff; periodic review of program
1. Each
organization shall establish a quality assurance program which consists of a
method for analyzing the outcomes of health care, peer review, the collection
of health care data and appropriate recommendations for remedial
action.
2. The program must be
designed to direct, evaluate and monitor the effectiveness of the health care
provided by the organization.
3.
The organization shall maintain a written description of its program which
describes the specific actions that will be taken to ensure that the quality of
health care provided to members is adequate and the personnel responsible for
such actions. The actions may consist of a particular study or methodology for
determining the quality of health care.
4. The organization shall inform each
provider of health care of the organization of the manner in which the quality
assurance program operates.
5. The
organization shall provide the necessary staff to implement the program and
evaluate the effectiveness of the program.
6. The organization is responsible for all
activities conducted pursuant to the quality assurance program regardless of
whether the organization performs the activity or the activity is delegated to
another entity.
7. Not less than
annually, the organization shall review the continuity and effectiveness of the
program and any proposed findings of the quality assurance committee. The
organization shall take such actions as necessary to improve the
program.
Notes
NRS 439.200
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