Quality Improvement Problem Resolution

Provider Type

  • Participating Physician Groups (PPG)
  • Hospitals

Under the plan's quality improvement (QI) standards, all participating physician groups (PPGs) and hospitals are required to:

  • Initiate research, within two business days, on quality of care problems identified by clinical staff.
  • Provide feedback and information on the issue so that a determination can be made.
  • Participate in the QI corrective action process, as applicable.