NRS 695G.190: Quality improvement committee: Administration; duties.

1. As part of a quality assurance program established pursuant to NRS 695G.180, each managed care organization shall create a quality improvement committee directed by a physician who is licensed to practice medicine in the State of Nevada pursuant to chapter 630 or 633 of NRS.

2. Each managed care organization shall:

(a) Establish written guidelines setting forth the procedure for selecting the members of the committee;

(b) Select members pursuant to such guidelines; and

(c) Provide staff to assist the committee.

3. The committee shall:

(a) Select and review appropriate medical records of insureds and other data related to the quality of health care provided to insureds by providers of health care;

(b) Review the clinical processes used by providers of health care in providing services;

(c) Identify any problems related to the quality of health care provided to insureds; and

(d) Advise providers of health care regarding issues related to quality of care.