Quality Measurement and Reporting in Wyoming
Quality Measurement and Reporting in Wyoming
| Subtopic | Statute/Regulation | Description |
|---|
| Grievance programs (Reporting requirements, Management of grievance reports) | Complaint Investigation, 044-0002-13 Wyo. Code R. § 12 | Complaint Investigation Requires HMOs to establish a procedure for investigating and resolving complaints. Requires HMOs to maintain a file of... |
| Complaint Process, 048-0037-45 Wyo. Code R. § 21 | Complaint Process Requires accredited providers of DD waiver services to comply with accreditation requirements regarding grievances and... | |
| Complaint System, Wyo. Stat. Ann. § 26-34-112 | Complaint System Requires all HMOs to maintain an Insurance Commissioner approved complaint system as a means of addressing enrollee... | |
| External Review Reporting Requirements, 044-0002-63 Wyo. Code R. § 14 | External Review Reporting Requirements Requires independent review organizations to maintain records of requests for external reviews and... | |
| Quality Assurance for Centers, 048-0037-13 Wyo. Code R. § 11 | Quality Assurance Centers Requires certified community mental health or substance abuse treatment centers to implement a Department of Health... |
| Quality assurance programs for hospitals or public programs | Data Collection, 048-0056-3 Wyo. Code R. § 1 | Data Collection Requires designated trauma care facilities to participate in the statewide trauma registry. Requires the Office of Emergency... |
| General Organization of Trauma Plan, 048-0056-1 Wyo. Code R. § 4 | General Organization of Trauma Plan Requires the Office of Emergency Medical Services (OEMS) to collect information regarding the... | |
| Governing Body, 048-0061-22 Wyo. Code R. § 6 | Governing Body Requires rehabilitation hospitals to establish a governing body to manage the facility. Requires the governing body to appoint... | |
| Quality Improvement, 048-0026-14 Wyo. Code R. § 15 | Quality Improvement Requires medical assistance facilities to implement a quality improvement program that includes, at minimum, annual... | |
| Quality Improvement, 048-0061-17 Wyo. Code R. § 16 | Quality Assurance Requires the governing body of a critical access hospital to implement on on-going quality improvement program. Requires... | |
| Quality Management Functions for Health Care Facilities, Wyo. Stat. Ann. § 35-2-910 | Quality management functions for health care facilities Requires health care facilities to perform quality management activities as a means of... | |
| Trauma System Evaluation, 048-0056-3 Wyo. Code R. § 2 | Trauma System Evaluation Requires designated trauma facilities to establish a quality improvement plan that includes specified elements (e.g... |
| Reporting, Use and/or Confidentiality of quality data (Cross reference Privacy & Confidentiality) | Data Collection, 048-0056-3 Wyo. Code R. § 1 | Data Collection Requires designated trauma care facilities to participate in the statewide trauma registry. Requires the Office of Emergency... |
| Other | Other Mandatory Reporting Requirements, 048-0023-4 Wyo. Code R. § 6 | Other Mandatory Reporting Requirements Requires EMS agencies, within 30 days of receiving a request for information, to report the... |
| Quality assessment for health plans | Quality Assurance Program, Wyo. Stat. Ann. § 26-34-108 | Quality Assurance Program Requires HMOs to establish a quality assurance program that includes specified elements (e.g., a written... |
| Use and availability of Patient satisfaction surveys/Facility compliance surveys | Quality Assurance Program, Wyo. Stat. Ann. § 26-34-108 | Quality Assurance Program Requires HMOs to establish a quality assurance program that includes specified elements (e.g., a written... |
| Quality Management Functions for Health Care Facilities, Wyo. Stat. Ann. § 35-2-910 | Quality management functions for health care facilities Requires health care facilities to perform quality management activities as a means of... |
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