Indiana Statutes
§ 27-13-6-4 — Written statement of quality management activities
Indiana·Title 27 INSURANCE·Art. 13 HEALTH MAINTENANCE ORGANIZATIONS·Ch. 6 Quality Management Programs
The quality management program required by section 2 of this chapter must contain a written statement describing the system of ongoing quality management activities, including the following:
(1)Problem assessment, identification, selection, and study.
(2)Corrective action, monitoring, evaluation, and reassessment.
(3)Interpretation and analysis of patterns of care rendered to
individual patients by individual providers.
(4)Comparison between patterns of care, including outcomes,
rendered to patients by providers and the cost to the health
maintenance organization of that care.
(5)A written statement describing the system of focused quality
assurance activities based on representative samples of the
enrolled population that identifies method of topic selection,
study, data collection,
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Legislative History
As added by P.L.26-1994, SEC.25.
Nearby Sections
15
§ 27-1-1-1
Creation; functions§ 27-1-1-2
Insurance commissioner§ 27-1-1-3
Personnel§ 27-1-1-4
Repealed§ 27-1-1-5
Repealed§ 27-1-1.5-10
"Annual Statement Blank"§ 27-1-1.5-11
"Annual Statement Instructions"§ 27-1-1.5-12
"Current Dental Terminology"; "CDT"§ 27-1-1.5-13
"Current Procedural Terminology"; "CPT"§ 27-1-1.5-15
"Financial Analysis Handbook"§ 27-1-1.5-16
"Financial Condition Examiner's Handbook"§ 27-1-1.5-18
"Healthcare Common Procedure Coding System"; "HCPCS"