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Quality Measurement and Reporting in Kentucky

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Quality Measurement and Reporting in Kentucky

Subtopic Statute/Regulation Description
Grievance programs (Reporting requirements, Management of grievance reports) Abortion Facilities, 902 Ky. Admin. Regs. 20:360 Abortion Facilities
Complaints for Emergency Medical Services, Ky. Rev. Stat. Ann. § 311A.055 Complaints for Medical Emergency Services. 
Disciplinary Procedures Applicable for Local Health Department Employees, 902 Ky. Admin. Regs. 8:100 Discplinary Procedures Applicable for Local Health Department Employees
Duty to Report Quality of Care and Safety Problems, Ky. Rev. Stat. Ann. § 216B.165 Duty to Report Quality of Care and Safety Problems
Emergency Administrative Procedure for Handling Complaints, Ky. Rev. Stat. Ann. § 304.17A-613 Emergency Administrative Procedure for Handling Complaints
Medicaid Adverse Action and Condition for Recipients, 907 Ky. Admin. Regs. 20:060 Medicaid Adverse Action and Condition for Recipients
Nurse Aide Abuse Registry, Ky. Rev. Stat. Ann. § 216.936 Nurse Aide Abuse Registry
Ombudsman Complaint Review Responsibilities, 920 Ky. Admin. Regs. 1:030 Ombudsman Complaint Review Responsibilities
Operations and Services for Private Duty Nursing Agencies, 902 Ky. Admin. Regs. 20:370 Operations and services for private duty nursing agencies.   
Personal Care Homes Operation and Services, 902 Ky. Admin. Regs. 20:036 Personal Care Homes Operation and Services
Validation and Complaint Investigation Procedures for Deemed Hospitals, 906 Ky. Admin. Regs. 1:140 Validation and Complaint Investigation Procedures for Deemed Hospitals
Quality reporting requirements – providers and health plans Data Reporting by Health Care Providers, 900 Ky. Admin. Regs. 7:030 Data Reporting by Health Care Providers
Emergency Services Annual Report and Confidentiality, Ky. Rev. Stat. Ann. § 311A.190 Emergency Services Annual Report and Confidentiality
Nurse Aide Abuse Registry, 906 Ky. Admin. Regs. 1:100 Nurse aide abuse registry.   
Plan for Selection and Reevaluation of Providers, Ky. Rev. Stat. Ann. § 304.17C-080 Plan for Selection and Reevaluation of Providers
Requirements for Insurers for Utilization Review of Benefits, Ky. Rev. Stat. Ann. § 304.18-045 Requirements for Insurers for Utilization Review of Benefits
Reporting, Use and/or Confidentiality of quality data (Cross reference Privacy & Confidentiality) Department's Duties to Report, Ky. Rev. Stat. Ann. § 304.17B-029 Department's Duties to Report
External review for insurance and/or peer review purposes (Cross reference to Private Insurance Data and Medical Peer Review) External Review of Adverse Determination, Ky. Rev. Stat. Ann. § 304.17A-623 External Review of Adverse Determination
Indepdendent External Review Program Established, Ky. Rev. Stat. Ann. § 304.17A-621 Indepdendent External Review Program Established
Delivery system reforms to promote and measure health care quality (ACOs/health homes) (Cross reference Care Coordination) Group Health Insurers to Offer Home Health Care Coverage, Ky. Rev. Stat. Ann. § 304.18-037 Group Health insurers to offer home health coverage.   
Performance measurement for health care providers or insurance plans HMO Annual Report, Ky. Rev. Stat. Ann. § 304.38-090 HMO Annual Report
Local Health Department Employee Performance Evaluation, 902 Ky. Admin. Regs. 8:096 Local Health Department Employee Performance Evaluation
Nursing Facilities Operation and Services, 902 Ky. Admin. Regs. 20:300 Nursing Facilities Operation and Services
Quality assurance programs for hospitals or public programs HMO Operations and Services, 902 Ky. Admin. Regs. 20:054 HMO Operations and Services. 
Institutional Care Patient's Rights, 908 Ky. Admin. Regs. 3:010 Institutional Care Patient's Rights
Long Term Care Access and Hours of Visitation, 900 Ky. Admin. Regs. 2:010 Long Term Care Access and Hours of Visitation
Long Term Care Citations and Violations, 900 Ky. Admin. Regs. 2:040 Long Term Care Citations and Violations
Protection of Human Subjects in Research, 920 Ky. Admin. Regs. 1:060 Protection of Human Subjects in Research
Quality Assurance Standards for Health Care Facilities Development of Quality Assurance Standards for Health Care Facilities
Quality assessment for health plans Managed Care Plans Quality Assurance or Improvement Standards, Ky. Rev. Stat. Ann. § 304.17A-545 Managed Care Plans Quality Assurance or Improvement Standards
Click on the individual state law in the table above to see our summary of the individual law.


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