Risk Prevention and Management (RPM) 6: Contracts and Service Agreements
The pursuit of contracts and service agreements is:
consistent with the organization’s mission;
aligned with, and supportive of, the organization’s service array and resource development goals; and
responsive to the needs and desired outcomes of persons served.
Thse standards apply to all contracts entered into by the organization in which it acts as a purchaser or vendor of social and human services as well as to contracts for the purchase of support services, such as maintenance or transportation services.
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Comprehensive, systematic, and effective risk prevention and management practices sustain the organization's ability to positively impact the communities and people it serves by reducing its risk, loss, and liability exposure.
The organization's practices reflect full implementation of the standard.
Practices are basically sound but there is room for improvement; e.g.,
Though all contracts are reviewed, contracting procedures do not address the standard.
Practice requires significant improvement; e.g.,
Terms and conditions of contracts are often general, nonspecific, or unclear; or
There is evidence that some contracts have not been reviewed as required by the standard.
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.
Contracts are totally inadequate in specification of terms and conditions; or
Contracts are not routinely reviewed as required.
Non-contractual service agreements include, as appropriate:
services exchanged or provided, and/or the goals and objectives of such collaborations;
roles and responsibilities of each organization including reporting responsibilities;
procedures for sharing information;
confidentiality protections including signed written consent forms;
assignment of case coordination responsibilities;
service authorization procedures including accepting or rejecting cases; and
how to resolve communication difficulties.
This standard applies to non-contractual arrangements, also known as Memorandums of Understanding (MOUs), in which organizations collaborate with service providers to deliver specific services to a person or persons. This could include, for example, a service in which a service provider voluntarily comes into the host organization’s facility to provide weekly smoking cessation classes.
NAThe organization does not enter into non-contractual service agreements.
Examples: Regarding element b, network management entities could require access to case information in order to conduct utilization management activities, verify billing, provide care coordination, and other network management activities.