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.