DCS Comprehensive Health Plan

Quality of Care

Policy No.

Responsible Area

Last Date

Effective Revised

HS-CC-01

Health Coordination

08/31/2023

08/31/2023

Statement/Purpose

Quality of care is a critical component of the DCS Comprehensive Health Plan (DCS CHP) Department of Quality Improvement and Performance Management (QM/PI) Program. Concerns, complaints and potential quality of care (QOC) issues are identified and systematically examined to ensure that health care services meet acceptable standards of care and comply with state and federal regulations.

Definitions

[List definitions not commonly known that are specific to the policy]

Policy

[Policies are the guiding principles and/or rules that ensure consistency and compliance with DCS CHP’s mission, values and strategic goals]

Procedure

[Procedure are high-level actions that guide adherence to policy. Procedures describe the methods used to comply with policy]

Reviewed and Revised Date (Month/Year)

Reason for Review

Revision Description

02/2024

Annual Review

Added updates based upon ACOM 103 revisions and updated reporting requirements.

03/2022

Annual Review

Added and revised pertinent information required for health plan integration.