Source: http://www.healthinfolaw.org/state-topics/40,65/f_topics
Timestamp: 2018-10-19 20:53:09
Document Index: 151791260

Matched Legal Cases: ['§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 27', '§ 23', '§ 23', '§ 23', '§ 27', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 23', '§ 27']

Quality Measurement and Reporting in Rhode Island | Health Information & the Law
Quality Measurement and Reporting in Rhode Island
Rhode Island has implemented the following quality measurement and reporting provisions:
The director of health may assign, or require a nursing facility to obtain, an independent quality monitor.1
The department of health must create “a data modeling or other capacity to use quality data already collected from nursing facilities to detect patterns of high performance and/or potential deficiency(ies) affecting resident care.”2
Licensed nursing facilities must create a quality improvement program, quality improvement committee, and a quality improvement plan.3
Licensed hospitals and their insurance carriers must create an “internal risk management program” that, among other functions, monitors the quality or care.4
Licensed health care facilities must meet “state-approved quality assurance standards” when performing mammograms.5
The director of health may establish quality standards for volume related tertiary services.6
All assisted living residences must create a “documented, ongoing quality assurance program.”7
The director of health must “develop a state health care quality performance and reporting program” for the purpose of measuring and reporting on the quality of Rhode Island health care facilities.8 The quality performance measurement and reporting program must include the periodic reporting of (1) standardized and risk-adjusted clinical performance measures; and (2) “statistically valid patient satisfaction measures.”9 The director will use the reported data publish a public report that compares facility performance.10
The director of the department of health must create a “unified health care quality and value database” that will help, among other functions, identify health care needs and evaluate the impact of interventions on patient outcomes.11
HMOs must establish a quality assurance program to assess the quality of health care services provided to subscribers.12
Nursing home patients “shall be encouraged and assisted to voice their grievances through a document grievance mechanism established by the facility….”13
1. Gen.Laws 1956, § 23-17-12.6.
2. Gen.Laws 1956, § 23-17-12.10.
3. Gen.Laws 1956, § 23-17-12.11.
4. Gen.Laws 1956, § 23-17-19.24.
5. Gen.Laws 1956, § 23-17-32.
6. Gen.Laws 1956, § 23-17-45.
7. Gen.Laws 1956, § 23-17.4-10.1.
8. Gen.Laws 1956, § 23-17.17-3.
9. Gen.Laws 1956, § 23-17.17-4.
10. Gen.Laws 1956, § 23-17.17-5.
11. Gen.Laws 1956, § 23-17.17-9.
12. Gen.Laws 1956, § 27-41-16.
13. Gen.Laws 1956, § 23-17.5-8.
Quality Measurement and Reporting Annual report - R.I. Gen. Laws Ann. § 23-17.17-5 The director of the department of health must provide an annual report to the Rhode Island general assembly and governor regarding the status of the...
Establishment of health care quality performance measurement and reporting program - R.I. Gen. Laws Ann. § 23-17.17-3 The director of health must “develop a state health care quality performance and reporting program” for the purpose of measuring and...
Examination - R.I. Gen. Laws Ann. § 27-41-16 The director of health may examine the quality of health care services provided by Health Maintenance Organizations (HMOs) and their affiliated...
Grievances - R.I. Gen. Laws Ann. § 23-17.5-8 Nursing home patients “shall be encouraged and assisted to voice their grievances through a documented grievance mechanism established by the...
Health care quality and value database - R.I. Gen. Laws Ann. § 23-17.17-9 The director of the department of health must create a “unified health care quality and value database” that will help, among other...
Independent quality monitor, quality consultant and temporary manager - R.I. Gen. Laws Ann. § 23-17-12.6 The director of health may appoint an independent quality monitor, require a nursing facility to obtain an independent quality consultant, or require...
Internal risk management program - R.I. Gen. Laws Ann. § 23-17-19.24 Licensed hospitals and their insurance carriers must create an “internal risk management program” that: (1) has an in-hospital process...
Mammograms – Quality assurance standards - R.I. Gen. Laws Ann. § 23-17-32 Licensed health care facilities must meet “state-approved quality assurance standards” when performing mammograms.
Nursing facility quality improvement program - R.I. Gen. Laws Ann. § 23-17-12.11 Rhode Island requires licensed nursing facilities to create a quality improvement program, quality improvement committee, and a quality improvement...
Program requirements – Adoption of rules and regulations - R.I. Gen. Laws Ann. § 23-17.17-4 The state health care quality performance measurement and reporting program must include the periodic reporting of (1) standardized and risk-adjusted...
Quality assurance - R.I. Gen. Laws Ann. § 23-17.4-10.1 All assisted living residences must create a “documented, ongoing quality assurance program.”
Quality predictive modeling – Established - R.I. Gen. Laws Ann. § 23-17-12.10 The department of health must create “a data modeling or other capacity to use quality data already collected from nursing facilities to detect...
Quality standards for volume related tertiary services - R.I. Gen. Laws Ann. § 27-17-45 The director of health has the authority to create “quality and volume related standards…for specific tertiary health care services...