Section 10.13 - Conclusion of Implementation Period(1) Upon conclusion of the implementation period, the PIP Entity shall report to the Commission on the outcome of the Performance Improvement Plan.(2) The Commission shall determine whether the Performance Improvement Plan was successful by vote of the Board.(3) The Commission may consider the following factors when determining whether a Performance Improvement Plan was successful: (a) Whether and to what extent the PIP Entity has addressed significant concerns about its costs, i.e., by achieving the target outcomes as specified in the Performance Improvement Plan, in accordance with the Commonwealth's policy goals, including those concerning the cost, quality and accessibility of care;(b) Whether the PIP Entity has fully implemented, in good faith, the strategies, adjustments and action steps of the Performance Improvement Plan;(c) The sustainability of the efficiencies and cost savings of the Performance Improvement Plan;(d) The impact of events outside of the PIP Entity's control on implementation or cost growth; and(e) Other factors the Commission determines to be relevant.(4) If the Commission finds the Performance Improvement Plan to be unsuccessful, the Commission may: (a) Extend the implementation timetable of the Performance Improvement Plan, and may request and approve amendments to the Performance Improvement Plan;(b) Require the PIP Entity to submit a new Performance Improvement Plan; or(c) Waive or delay the requirement to file any additional Performance Improvement Plan.Adopted by Mass Register Issue 1337, eff. 4/21/2017.