The interface between quality improvement and law

Abstract

A solid legal footing provides the framework and benchmarks for credible, persuasive, accountable quality management activities. Medical quality management (MQM) should reflect prevailing societal preferences, establishing a balance between the interests of patients, practitioners, institutional providers, health plans, regulatory agencies, and the general public. Legal standards help to ensure that these preferences are honored and bring clarity and accountability to the process. The quality of care delivered in a facility or health plan is directly influenced by the organization's quality improvement (QI) activities, including regulatory and accreditation compliance, provider credentialing, risk management, and clinical peer review.