Vermont § 9416 - Vermont Program for Quality in Health Care

§ 9416. Vermont Program for Quality in Health Care

• (a) The Commissioner of Health shall contract with the Vermont Program for Quality in
  Health Care, Inc. to implement and maintain a statewide quality assurance system to
  evaluate and improve the quality of health care services rendered by health care providers
  of health care facilities, including managed care organizations, to determine that
  health care services rendered were professionally indicated or were performed in compliance
  with the applicable standard of care, and that the cost of health care rendered was
  considered reasonable by the providers of professional health services in that area.
  The Commissioner of Health shall ensure that the information technology components
  of the quality assurance system comply with, and the Commissioner of Vermont Health
  Access shall ensure such components are incorporated into, the Statewide Health Information
  Technology Plan developed under section 9351 of this title and any other information technology initiatives coordinated pursuant to 3 V.S.A. § 3027. (b) The Vermont Program for Quality in Health Care, Inc. shall file an annual report with
  the Commissioner of Health. The report shall include an assessment of progress in
  the areas designated by the Commissioner of Health, including comparative studies
  on the provision and outcomes of health care and professional accountability. (c) Expenses incurred under this section by the Vermont Program for Quality in Health
  Care, Inc. shall be borne as follows: 35 percent by the hospitals, 15 percent by nonprofit
  hospital and medical service corporations licensed under 8 V.S.A. chapter 123 or 125, and 50 percent by health insurance companies licensed under 8 V.S.A. chapter 101 and health maintenance organizations licensed under 8 V.S.A. chapter 139. Expenses allocated under this section to persons licensed under 8 V.S.A. chapters 101 and 139 shall be billed based on premiums paid for health insurance coverage as defined in
  subsection 9415(b) of this title. Expenses allocated under this section shall not exceed 75 percent of the operating
  budget of the Vermont Program for Quality in Health Care, Inc. (Added 1995, No. 180 (Adj. Sess.), § 21a; amended 2005, No. 215 (Adj. Sess.), § 329; 2007, No. 70, § 33; 2009, No. 61, § 4; 2011, No. 171 (Adj. Sess.), § 30, eff. July 1, 2013; 2017, No. 85, § F.10, eff. June 28, 2017.)