Transcription of QUALITY ASSURANCE PROGRAM
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QUALITY ASSURANCE PROGRAM
QUALITY ASSURANCE PROGRAM The QUALITY ASSURANCE PROGRAM is taken from Article IX of the Policies of Total Health Care, Inc., which have been approved and adopted by the Plan s Board of Directors. Section Preface. The QUALITY ASSURANCE PROGRAM has been formulated to objectively and systematically monitor and evaluate the QUALITY and appropriateness of all Health Maintenance Services, pursue opportunities to improve patient care and resolve identified problems. Section Definition. The term " QUALITY ASSURANCE " refers to the identification, assessment, correction and monitoring of important aspects of patient care designed to enhance the QUALITY of Health Maintenance Services consistent with achievable goals and within available resources.
1. To assure effective and efficient utilization of hospital and ambulatory facilities and services. 2. To assist in the promotion of the appropriate level of continuity and of quality Health Maintenance Services through analysis, review, and evaluation of professionally-recognized standards of medical care. 3.
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