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Abstract: . . . requirements. Prior to delegation, MHU conducts delegation pre-assessments to determine compliance with regulatory and accrediting requirements. The health plan monitors ongoing compliance with review of quarterly reports and annual on-site assessments. Molina Healthcare of Utah does not delegate QI, UM, or member rights and responsibilities activities, such as member complaints and appeals. MHU quality committees monitor ongoing delegate compliance with regulatory and accrediting requirements. Page . . . . . . Prior to delegation, MHU conducts delegation pre-assessments to determine compliance with regulatory and accrediting requirements. The health plan monitors ongoing compliance with review of quarterly reports and annual on-site assessments. Molina Healthcare of Utah does not delegate QI, UM, or member rights and responsibilities activities, such as member complaints and appeals. MHU quality committees monitor ongoing delegate compliance with regulatory and accrediting requirements. Page 8 MHU . . . . . . delegation, MHU conducts delegation pre-assessments to determine compliance with regulatory and accrediting requirements. The health plan monitors ongoing compliance with review of quarterly reports and annual on-site assessments. Molina Healthcare of Utah does not delegate QI, UM, or member rights and responsibilities activities, such as member complaints and appeals. MHU quality committees monitor ongoing delegate compliance with regulatory and accrediting requirements. Page 8 MHU 2005- 2006 Quality . . . . . . The Quality Improvement Program Description and Work Plan govern the program structure and activities for a period of one calendar year. At least annually, the QI Department will facilitate a formal evaluation of the QI Program. Evaluation of all quality activities will include a description of limitations and barriers to improvements. The annual QI evaluation identifies the outcomes and includes the following areas: • Evaluates the results of each QI activity implemented during the year. • . . . . . . trended indicator report and brief analysis of changes in trends and improvement actions taken as a result of the trends. • Evaluates resources, training, scope, and content of the program and practitioner participation. • Identifies quantifiable improvements in care and service. • Identifies limitations and barriers and makes recommendations for the upcoming year, including the identification of activities that will carry over into next year. • Evaluates the overall effectiveness of the QI . . . . . . improvements in care and service. • Identifies limitations and barriers and makes recommendations for the upcoming year, including the identification of activities that will carry over into next year. • Evaluates the overall effectiveness of the QI Program. . . . --2961,6,247,3179,14804
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