4.5.1.2.1.1 Does contractor currently use Patient safety as a criterion for provider selection for covered California networks? If yes, please explain in detail: this should include the assessment process, the source of the patient safety assessment data, specific measures and metrics, thresholds for inclusion and exclusion. Single, Radio group. 1: Yes, please explain [ 1000 words ] , 2: No 4.5.1.2.1.2 Does contractor currently use cost efficiency as a criterion for provider selection for covered California networks? If yes, please explain in detail: this should include the assessment process, the source of the assessment data, specific measures and metrics, thresholds for inclusion and exclusion. Single, Radio group. 1: Yes, please explain [ 1000 words ] , 2: No 4.5.1.2.1.3 Does contractor currently use Patient reported experience as a criterion for provider selection for covered California networks? If yes, please explain in detail: this should include the assessment process, the source of the Patient reported experience assessment data, specific measures and metrics, thresholds for inclusion and exclusion. Single, Radio group. 1: Yes, please explain [ 1000 words ] , 2: No 4.5.1.2.2 Volume - Outcome Relationship Numerous studies have demonstrated a significant correlation between volume of procedures performed by providers and facilities and better outcomes for those procedures. This applies to both common but high risk treatments such as cancer surgeries and cardiac procedures as well as complicated, rare and highly specialized procedures such as transplants. Higher volumes, documented experience and proficiency with all aspects of care underlie successful outcomes, including patient selection, anesthesia and postoperative care. 4.5.1.2.2.1 Is procedure volume per facility for the above mentioned conditions tracked by the issuer? Single, Radio group. 1: Yes, 2: No 4.5.1.2.2.2 If yes please provide the following details: Data Sources Methodology for categorizing facilities according to volume-outcome relationship Volume thresholds (i.e. at what volume per procedure is a facility considered proficient) 2000 words. 4.5.1.2.2.3 Does issuer apply this information to enrollee procedure referral (including Covered California enrollees)? Single, Radio group. 1: Yes, 2: No 4.5.1.2.2.4 If yes please provide the following details:
4.5.1.2.1.1 Does contractor currently use Patient safety as a criterion for provider selection for covered California networks? If yes, please explain in detail: this should include the assessment process, the source of the patient safety assessment data, specific measures and metrics, thresholds for inclusion and exclusion. Single, Radio group. 1: Yes, please explain [ 1000 words ] , 2: No 4.5.1.2.1.2 Does contractor currently use cost efficiency as a criterion for provider selection for covered California networks? If yes, please explain in detail: this should include the assessment process, the source of the assessment data, specific measures and metrics, thresholds for inclusion and exclusion. Single, Radio group. 1: Yes, please explain [ 1000 words ] , 2: No 4.5.1.2.1.3 Does contractor currently use Patient reported experience as a criterion for provider selection for covered California networks? If yes, please explain in detail: this should include the assessment process, the source of the Patient reported experience assessment data, specific measures and metrics, thresholds for inclusion and exclusion. Single, Radio group. 1: Yes, please explain [ 1000 words ] , 2: No 4.5.1.2.2 Volume - Outcome Relationship Numerous studies have demonstrated a significant correlation between volume of procedures performed by providers and facilities and better outcomes for those procedures. This applies to both common but high risk treatments such as cancer surgeries and cardiac procedures as well as complicated, rare and highly specialized procedures such as transplants. Higher volumes, documented experience and proficiency with all aspects of care underlie successful outcomes, including patient selection, anesthesia and postoperative care. 4.5.1.2.2.1 Is procedure volume per facility for the above mentioned conditions tracked by the issuer? Single, Radio group. 1: Yes, 2: No 4.5.1.2.2.2 If yes please provide the following details: Data Sources Methodology for categorizing facilities according to volume-outcome relationship Volume thresholds (i.e. at what volume per procedure is a facility considered proficient) 2000 words. 4.5.1.2.2.3 Does issuer apply this information to enrollee procedure referral (including Covered California enrollees)? Single, Radio group. 1: Yes, 2: No 4.5.1.2.2.4 If yes please provide the following details:
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