695G.190 - Quality improvement committee: Administration; duties. - Nevada Statutes

695G.190  Quality improvement committee: Administration; duties.

      1.  As part of a quality assurance program established pursuant to NRS 695G.180, each managed care organization shall create a quality improvement committee directed by a physician who is licensed to practice medicine in the State of Nevada pursuant to chapter 630 or 633 of NRS.

      2.  Each managed care organization shall:

      (a) Establish written guidelines setting forth the procedure for selecting the members of the committee;

      (b) Select members pursuant to such guidelines; and

      (c) Provide staff to assist the committee.

      3.  The committee shall:

      (a) Select and review appropriate medical records of insureds and other data related to the quality of health care provided to insureds by providers of health care;

      (b) Review the clinical processes used by providers of health care in providing services;

      (c) Identify any problems related to the quality of health care provided to insureds; and

      (d) Advise providers of health care regarding issues related to quality of care.

      (Added to NRS by 1997, 303; A 2003, 1182)