P.R. Laws tit. 26, § 9357
The chief medical officer or clinical director of the health insurance organization or issuer shall have primary responsibility for the quality assessment and quality improvement activities carried out by, or on behalf of, the health insurance organization or issuer. Furthermore, such chief medical officer or clinical director shall ensure that all requirements of this chapter are met. The chief medical officer or clinical director shall approve the written quality assessment and quality improvement programs, as applicable, implemented in compliance with this chapter, and shall periodically review and revise them. Not less than twice (2) every year, the chief medical officer or clinical director shall review reports of quality assessment and quality improvement activities. The Commissioner shall hold the health insurance organization or issuer responsible for the actions of the chief medical officer or clinical director. Also, the health insurance organization or issuer shall be responsible for ensuring that all requirements of this chapter are met.
History —Aug. 29, 2011, No. 194, added as § 20.070 on Aug. 23, 2012, No. 203, § 4, eff. 90 days after Aug. 23, 2012.