Quality Measurement and Reporting in South Dakota
Quality Measurement and Reporting in South Dakota
| Subtopic | Statute/Regulation | Description |
|---|
| Reporting, Use and/or Confidentiality of quality data (Cross reference Privacy & Confidentiality) | Annual health data system report, SDLC § 1-43-24 | Health data system report available to public Requires the public release of annual health data system reports in a manner that does not... |
| Health care data system, SDLC § 1-43-21 | Promulgation of rules for establishment, maintenance and use of health care data system. Requires the Department of Health to establish... | |
| Promulgation of rules for health care data system, SDLC § 1-43-31 | Promulgation of rules for establishment, maintenance, and use of health care data system. Prohibits the health data system reporting... |
| Grievance programs (Reporting requirements, Management of grievance reports) | Complaints and grievances, S.D. Admin. R. 20:06:13:72 | Complaints and grievances Requires Medicare select carriers to establish grievance procedures. Specifies the minimum requirements for these... |
| Quality assurance programs for hospitals or public programs | Comprehensive health data system established, SDCL § 1-43-19 | Comprehensive health data system established -- purpose. Requires the Department of Health to establish a comprehensive health data... |
| Quality assessment, S.D. Admin. R. 44:67:04:10 | Quality assessment Requires abortion facilities to continually assess the quality of services provided. Identifies mandatory aspects of... | |
| Quality Assessment, S.D. Admin. R. 44:75:04:14 | Quality assessment, Requires critical access hospital facilities to continually assess the quality of services provided. Identifies... | |
| Quality assessment, S.D. Admin. R. 44:76:04:13 | Quality assessment Requires ambulatory surgery center facilities to continually assess the quality of services provided. Identifies... | |
| Routine quality assurance required, S.D. Admin. R. 20:51:30:17 | Routine quality assurance required Requires the pharmacist-in-charge at a telepharmacy to comply with five quality assurance standards. ... |
| Performance measurement for health care providers or insurance plans | Quality assessment, S.D. Admin. R. 44:67:04:10 | Quality assessment Requires abortion facilities to continually assess the quality of services provided. Identifies mandatory aspects of... |
| Quality reporting requirements – providers and health plans | Record keeping, S.D. Admin. R. 20:06:53:76 | Record keeping Requires health carriers to maintain records of claims and appeals and to permit inspection of these records by the... |
| Quality assessment for health plans | Requirements of quality improvement activities, SDLC § 58-17G-4 | Health carrier issuing closed plan to develop quality improvement activities -- Minimum requirements of quality improvement activities. ... |
| System requirements, SDLC § 58-17G-3 | Health carrier to develop and maintain systems to meausre quality of services -- System requirements -- Description of quality assessment program to... | |
| Systems to measure quality of services, SDLC § 58-17G-3 | Health Carrier to develop and maintain systems to measure quality of services -- System requirements -- Description of quality assessment program to... |
| External review for insurance and/or peer review purposes (Cross reference to Private Insurance Data and Medical Peer Review) | Review procedures and authorization to accompany notice, S.D. Admin. R. 20:06:53:05 | Review procedures and authorization to accompany notice Requires health carriers to describe their standard and external review procedures... |
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