§ 9416 - Vermont program for quality in health care
§ 9416. Vermont program for quality in health care
(a) The commissioner 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 shall ensure that the information technology components of the quality assurance system are incorporated into and comply with the statewide health information technology plan developed under section 9351 of this title and any other information technology initiatives coordinated by the secretary of administration pursuant to section 2222a of Title 3.
(b) The Vermont Program for Quality in Health Care, Inc. shall file an annual report with the commissioner. The report shall include an assessment of progress in the areas designated by the commissioner, 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 chapter 123 or 125 of Title 8, and 50 percent by health insurance companies licensed under chapter 101 of Title 8, and health maintenance organizations licensed under chapter 139 of Title 8. Expenses allocated under this section to persons licensed under chapters 101 and 139 of Title 8 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.)