DEFINITION OF QUALITY IMPROVEMENT[187]

Sec1152[42 U.S.C. 1320c–1]  The term “quality improvement organization” means an entity which—

(1) is able, as determined by the Secretary, to perform its functions under this part in a manner consistent with the efficient and effective administration of this part and title XVIII;

(2) has at least one individual who is a representative of health care providers on its governing body; and

(3) has at least one individual who is a representative of consumers on its governing body.


[187]  P.L. 112-40, §261(a), amended §1152 in its entirety, applicable to contracts entered into or renewed on or after January 1, 2012. For §1152 as it formerly read, see Vol. II, Appendix J, Superseded Provisions, P.L. 112–40.