DCS Comprehensive Health Plan
Peer Review
Statement/Purpose
DCS Comprehensive Health Plan (DCS CHP) participates in a peer review process to address provider quality of care and service issues.
Scope
The Peer Review process addresses matters where there is evidence of a quality deficiency in the care or service provided, or the omission of care or service, by a participating or nonparticipating health care provider. These issues are addressed in a confidential forum by peers.
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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]
[Insert and link referenced policies]
[Insert all documents, forms etc referenced within the policy] N/A