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Quality Measurement and Reporting in New Hampshire

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The New Hampshire Department of Health and Human Services is authorized to pursue several means to improve the quality of health care.1 It must establish a quality assurance program to monitor and evaluate the services provided to individuals served by the Department.2 The department must also establish committees to analyze and improve patient outcomes on specific areas such as incapacitated adult deaths and emergency medical services.3 The department may pursue alternative means to provide health care services such as accountable care organizations when implementing public health programs such as Medicaid and CHIP.4

The New Hampshire Health Care Quality Assurance Commission is established within the Department of Health and Human Services to review and analyze quality of care issues including medical errors, unexpected adverse outcomes, and other issues relevant to improving the quality of healthcare.5 The Commission must report its findings to the state government.6

Health care providers and facilities must comply with statutory and regulatory requirements regarding quality assurance programs and performance measures.7 The department may also regularly inspect health care facilities to ensure compliance with state and federal law.8

Health insurers are also subject to quality assessments by New Hampshire’s Insurance Department. The department may conduct an investigation if it receives a complaint regarding a violation.9 Additionally, health insurers’ adverse determinations of claims may be reviewed whenever individuals invoke their right to an external review.10

 

Footnotes

  • 1. Revised Statutes of the State of New Hampshire §126-A:4a
  • 2. Revised Statutes of the State of New Hampshire §§126-A:4; 126-A:15
  • 3. Revised Statutes of the State of New Hampshire §§121-M:16; 21-P:12-b; 126-R:4; 153-A:3; 153-A:5; 153-A:7; 153-A:8; 153-A:9; 153-A:34
  • 4. Revised Statutes of the State of New Hampshire §126-A:3; 135-C:5
  • 5. Revised Statutes of the State of New Hampshire §§151-G:1; 151-G:2; 151-G:5; 151-G:6
  • 6. Revised Statutes of the State of New Hampshire §151-G:7
  • 7. Revised Statutes of the State of New Hampshire §§135-C:5; 135-C:7; 135-C:63-a; 151:5-c; 151:13-a; 151:13-b; 151-A:16; 151-D:2; 329:29-a
  • 8. Revised Statutes of the State of New Hampshire § 151:7-a
  • 9. New Hampshire Code of Administrative Rules Ins §1907.07
  • 10. New Hampshire Code of Administrative Rules Ins §§2703.01; 2703.03; 2703.04;

 

Quality Measurement and Reporting in New Hampshire

Subtopic Statute/Regulation Description
Quality Measurement and Reporting N.H. Code Admin. R. Ann. He-P § 601.14 - Monitoring the quality of services An other qualified agency must comply with the Department of Health and Human Services’ quality assurance procedures. An other qualified agency...
N.H. Code Admin. R. Ann. He-P § 803.09 - Inspections of nursing home facilities Nursing home facilities must allow the Department of Health and Human Services to inspect their premises, programs and services, and records in order...
N.H. Code Admin. R. Ann. He-P § 803.24 - Quality improvement at nursing home facilities Nursing home facilities must establish an interdisciplinary quality committee which is responsible for identifying whether quality deficiencies are...
N.H. Code Admin. R. Ann. He-P § 808.18 - Quality assessment by licensed laboratories Independent laboratories and hospital laboratories, including both by a laboratory vans, must develop a quality assessment program that reviews...
N.H. Code Admin. R. Ann. He-P § 809.09 - Inspections of home health care providers A home health care provider must allow the Department of Health and Human Services to inspect its premises, programs and services, and records....
N.H. Code Admin. R. Ann. He-P § 809.18 - Quality improvement of home health care providers A home health care provider must develop a quality improvement program that reviews policies and services and maximizes quality by preventing or...
N.H. Code Admin. R. Ann. He-P § 811.09 - Inspections of end stage renal disease dialysis centers End stage renal disease dialysis centers must allow the Department of Health and Human Services to inspect its premises, programs and services, and...
N.H. Code Admin. R. Ann. He-P § 811.20 - Quality improvement at end stage renal disease dialysis centers End stage renal disease dialysis centers must develop a quality improvement program to improve the care provided to clients. The quality improvement...
N.H. Code Admin. R. Ann. Ins § 2703.01 - Applicability and scope of external review The following external review requirements applies to all health carriers except long-term care insurers, Medicare, Medicaid, the Children’s...
N.H. Code Admin. R. Ann. Ins § 2703.03 - The right to external review A covered person has the right to independent external review of a determination by a health carrier or a designated utilization review entity.
N.H. Code Admin. R. Ann. Ph § 404.09 - Quality assurance A pharmacy dispensing parenteral solutions must develop a quality assurance program that ensures a clean and sanitary environment. Documentation of...
N.H. Rev. Stat. Ann § 153-A:5 - Emergency medical services medical control board; chair; duties; state medical director The emergency medical services medical control must: Assist the coordination of a system of comprehensive emergency medical services and the...
N.H. Rev. Stat. Ann. § 126-A:15 - Duties of oversight committee The Department of Health and Human Services must establish an oversight committee that must monitor the efficiency and quality of service provided by...
N.H. Rev. Stat. Ann. § 126-A:4 - Department established This law establishes the Department of Health and Human Services and requires the Department to establish an office of the ombudsman to investigate...
N.H. Rev. Stat. Ann. § 126-A:4a - Health care plan report required The Department of Health and Human Services is responsible for conducting activities that improve and protect the health and well-being of citizens,...
N.H. Rev. Stat. Ann. § 126-R:4 - Suicide fatality review committee established The suicide fatality review committee is established to review suicide deaths to determine trends, risk factors and prevention strategies. The...
N.H. Rev. Stat. Ann. § 135-C:7 - Community mental health programs Any city, county, town, or nonprofit corporation may establish a mental health program to provide mental health services to individuals and...
N.H. Rev. Stat. Ann. § 151-D:2 - Proceedings of home health care provider quality assurance program; confidentiality Records of an ambulatory care clinic's quality assurance program are confidential and privileged.  
N.H. Rev. Stat. Ann. § 151:6-a - Annual inspection The Department of Health and Human Services must make at least one annual unannounced clinical inspection of every residential care facility. Home...
N.H. Rev. Stat. Ann. § 151:7-a - Warnings; results of investigations The Department of Health and Human Services may issue a warning, following an investigation or inspection. The warning must state a time frame that...
N.H. Rev. Stat. Ann. § 153-A:8 - Trauma medical review committee A trauma medical review is established to: Develop and routinely update the adult and pediatric trauma system plan. Review statewide trauma...
N.H. Rev. Stat. Ann. § 21-M:16 - Incapacitated adult fatality review committee established The attorney general must appoint members to the incapacitated adult fatality review committee.  The committee must: Recommend policies,...
N.H. Rev. Stat. Ann. § 21-P:12-b - Bureau of Emergency Medical Services The chief of the bureau of emergency medical services is responsible for all operations, planning and executive activities of the bureau. The chief...
New Hampshire Code of Administrative Rules He-C §1601.01 “Purpose under the Commissioner, Department of Health and Human Services regulations” The purposes of the following regulations is to...
New Hampshire Code of Administrative Rules He-C §1601.03 “Definitions under the Commissioner, Department of Health and Human Services regulations” “De-identification” means the...
New Hampshire Code of Administrative Rules He-C §1601.04 “Elements of de-identification under the Commissioner, Department of Health and Human Services regulations” A record presented to the New...
New Hampshire Code of Administrative Rules He-E §807.02 “Surveys and notification of non-compliance under the division of elderly and adult services regulations” Surveys must be conducted on...
New Hampshire Code of Administrative Rules He-E §807.03 “Timeframes for notification of remedies, for removal of immediate jeopardy, and for achieving substantial compliance under the division of...
New Hampshire Code of Administrative Rules He-E §807.06 “Plan of correction under the division of elderly and adult services regulations” A nursing facility with any deficiencies must submit a...
New Hampshire Code of Administrative Rules He-E §807.07 “Revisits sets and documentation of substantial compliance under the division of elderly and adult services regulations” The Department...
New Hampshire Code of Administrative Rules He-E §807.08 “Temporary management under the division of elderly and adult services regulations” A temporary manager must be appointed by the...
New Hampshire Code of Administrative Rules He-E §807.12 “Substandard quality of care under the division of elderly and adult services regulations” The Department of Health and Human Services...
New Hampshire Code of Administrative Rules He-E §807.18 “Investigations of complaints under the division of elderly and adult services regulations” The Department of Health and Human Services...
New Hampshire Code of Administrative Rules He-E §812.21 “Quality assessment and performance improvement under the division of public health services regulations” Ambulatory surgical centers...
New Hampshire Code of Administrative Rules He-P § 401.04 “Quality assurance committee under the division of public health services regulations” All physician practices choosing to implement a...
New Hampshire Code of Administrative Rules He-P § 809.14 “Duties and responsibilities of all licensees under the division of public health services regulations” A care plan of a home health care...
New Hampshire Code of Administrative Rules He-P § 810.09 “Inspections under the division of public health services regulations” Birthing centers must allow the Department of Health and Human...
New Hampshire Code of Administrative Rules He-P § 810.14 “Duties and responsibilities of the licensee under the division of public health services regulations”     ...
New Hampshire Code of Administrative Rules He-P §401.01 “Purpose under the division of public health services regulations” The purpose of the regulations is to promote greater patient safety in...
New Hampshire Code of Administrative Rules He-P §401.02 “Scope under the division of public health services regulations” These regulations apply to all physician practices.    
New Hampshire Code of Administrative Rules He-P §401.03 “Quality assurance under the division of public health services regulations” Physician practices may develop a quality assurance program...
New Hampshire Code of Administrative Rules He-P §601.03 “Definitions under the division of public health services regulations”  (q) “Other qualified agency” means an entity...
New Hampshire Code of Administrative Rules He-P §601.10 “Duties and responsibilities to other qualified agencies under the division of public health services regulations” An other qualified...
New Hampshire Code of Administrative Rules He-P §802.14 “Duties and responsibilities of all licensees under the division of public health services regulations” A hospital is responsible for...
New Hampshire Code of Administrative Rules He-P §808.09 “Inspections under the division of public health services regulations” The Department of Health and Human Services must conduct...
New Hampshire Code of Administrative Rules He-P §808.14 “Duties and responsibilities of all licensees under the division of public health services regulations” Laboratories must meet various...
New Hampshire Code of Administrative Rules He-P §811.14 “Duties and responsibilities of all licensees under the division of public health services regulations” End stage renal disease dialysis...
New Hampshire Code of Administrative Rules He-P §812.09 - Inspections of Ambulatory Surgical Centers Ambulatory surgical centers must allow the Department of Health and Human Services to inspect its premises, programs and services, and any records....
New Hampshire Code of Administrative Rules He-P §812.14 “Duties and responsibilities of all licensees under the division of public health services regulations” Ambulatory surgical centers must...
New Hampshire Code of Administrative Rules Ins §1907.07 “Enforcement under the insurance department regulations” The insurance commissioner must conduct investigation based on receipt of a...
New Hampshire Code of Administrative Rules Ins §2703.04 “Notice of right to external review under the insurance department regulations” Health insurers must provide its enrollees the Insurance...
Revised Statutes Annotated of the State of New Hampshire §151-G:7 “Reports under the hospitals and sanitaria law” The Department of Health and Human Services must report its findings and any...
Revised Statutes Annotated of the State of New Hampshire §153-A:34 “Quality management program under the public safety and welfare law” A “quality management program” is a comprehensive...
Revised Statutes of the State of New Hampshire §126-A:3 “General provisions under the public health law”  (VIII) The commissioner of health and human services must operate the children...
Revised Statutes of the State of New Hampshire §135-C:5 “Regulation of state services; site visits under the public health law” The commissioner of health and human services may adopt rules...
Revised Statutes of the State of New Hampshire §135-C:63-a “Proceedings of quality assurance program; confidentiality under the public health law” “Quality assurance program” means a...
Revised Statutes of the State of New Hampshire §151-A:16 “Proceedings of quality assurance program; confidentiality under the public health law” “Quality assurance program” means a...
Revised Statutes of the State of New Hampshire §151-G:1 “Commission established; membership under the hospitals and sanitaria law” The New Hampshire Health Care Quality Assurance Commission is...
Revised Statutes of the State of New Hampshire §151-G:2 “Duties under the hospitals and sanitaria law” The New Hampshire Health Care Quality Assurance Commission must review and analyze quality...
Revised Statutes of the State of New Hampshire §151-G:5 “Confidentiality under the hospitals and sanitaria law” All information submitted to or collected by the New Hampshire Health Care...
Revised Statutes of the State of New Hampshire §151-G:6 “Rulemaking under the hospitals and sanitaria law” The commissioner of health and human services, with the consent of the New Hampshire...
Revised Statutes of the State of New Hampshire §151:13-a “Proceedings of hospital committees; confidentiality under the hospitals and sanitaria law” Records of a hospital committee are...
Revised Statutes of the State of New Hampshire §151:13-b “Proceedings of home health care provider quality assurance program; confidentiality under the hospitals and sanitaria law” “...
Revised Statutes of the State of New Hampshire §151:5-c “Proceedings of residential care facility quality assurance program; confidentiality under the hospitals and sanitaria law” “...
Revised Statutes of the State of New Hampshire §153-A:3 “Emergency medical and trauma services coordinating board under the public safety and welfare law” The emergency medical and trauma...
Revised Statutes of the State of New Hampshire §153-A:7 “Duties of the commissioner under the public safety and welfare law” The commissioner is responsible for the statewide supervision of...
Revised Statutes of the State of New Hampshire §153-A:9 “Proceedings confidential; liability under the public safety and welfare law” Records of a trauma medical review committee are...
Revised Statutes of the State of New Hampshire §329:29-a “Proceedings of physician practice quality assurance program; confidentiality under the hospitals and sanitaria law” “Quality...
Click on the individual state law in the table above to see our summary of the individual law.


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