Skip to end of banner Go to start of banner

JLN Processes - Provider Quality Management - process

Skip to end of metadata

Created by arguet_cec, last modified by tabea.boateng on Feb 17, 2020

Go to start of metadata

You are viewing an old version of this page. View the current version.

Compare with Current View Page History

Process Group

Provider quality management

Objective

Ensure that the provider has delivered the necessary contracted quality of service

Input

Formulary
Service-level agreement with provider
Clinical protocol and guidelines
Claims
Case notes
Patient records
Complaints

Output

Quality review report
Quality rating
Update provider credentialing status

Measurable Outcomes

Re-admission rates
Mortality rates
Infection rates
Caesarean section (c-section) rates
Decision on whether or not to contract for provider at a particular fee

Source

Joint Learning Network, 2012

No labels

Did you encounter a problem or do you have a suggestion?

Please contact our Service Desk

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. https://creativecommons.org/licenses/by-sa/4.0/