[NTD: Just ideas] Clinical care Allied health professionals Planning or delivering FHT Executive Director clinical programs or services QIDSS Planning or delivering FHO* <For example, may require clinical programs or services physician approval and may be limited to reporting aggregate data only> Evaluating or monitoring FHT QIDSS clinical programs or services Evaluating or monitoring FHO* <For example, may require clinical programs or services physician approval and may be limited to reporting aggregate data only> Detecting, monitoring or Manager, Finance <For example, may require preventing fraud or Executive Director physician approval if applies to unauthorized receipt of services FHO* activities > or benefits Risk management Executive Director Error management Executive Director Activities to improve or Executive Director maintain the quality of care or QIDSS improve or maintain the quality of any related FHT program or service Activities to improve or <For example, may require maintain the quality of care or physician approval and may be improve or maintain the quality limited to reporting aggregate of any related FHO* program or data only> service Educating agents Executive Director Allied health professionals if program is approved Disposing of information or QIDSS or IT modifying information in order to conceal the identity of the individual Seeking consent for additional Executive Director uses or disclosures Proceedings or contemplated Executive Director and FHT staff proceedings where FHT or FHT as appropriate and authorized staff are involved by the Executive Director Obtaining payment or Manager, Finance processing monitoring verifying or reimbursing claims for payment
[NTD: Just ideas] Clinical care Allied health professionals Planning or delivering FHT clinical programs or services Executive Director QIDSS Planning or delivering FHO* clinical programs or services <For example, may require physician approval and may be limited to reporting aggregate data only> Evaluating or monitoring FHT clinical programs or services QIDSS Evaluating or monitoring FHO* clinical programs or services <For example, may require physician approval and may be limited to reporting aggregate data only> Detecting, monitoring or preventing fraud or unauthorized receipt of services or benefits Manager, Finance Executive Director <For example, may require physician approval if applies to FHO* activities > Risk management Executive Director Error management Executive Director Activities to improve or maintain the quality of care or improve or maintain the quality of any related FHT program or service Executive Director QIDSS Activities to improve or maintain the quality of care or improve or maintain the quality of any related FHO* program or service <For example, may require physician approval and may be limited to reporting aggregate data only> Educating agents Executive Director Allied health professionals if program is approved Disposing of information or modifying information in order to conceal the identity of the individual QIDSS or IT Seeking consent for additional uses or disclosures Executive Director Proceedings or contemplated proceedings where FHT or FHT staff are involved Executive Director and FHT staff as appropriate and authorized by the Executive Director Obtaining payment or processing monitoring verifying or reimbursing claims for payment Manager, Finance
Tool-1-Sample-FHT-FHO-PHIPA-Agency-Agreement1.docx