Quality Improvement

The Quality Improvement Program implements mechanisms to identify, monitor, evaluate, and resolve issues that impact the accessibility, availability, continuity, and quality of care and service provided to our members. Key objectives include the following:

  • Monitor access and availability to medical and behavioral health care, as well as services and implement corrective action for improvement as identified
  • Provide communication with members, physicians, and providers on issues of quality medical care to promote improvements in the health status of members
  • Develop and distribute information that improves knowledge regarding clinical safety, general wellness and disease prevention as it relates to self care
  • Monitor and evaluate quality of care, quality of service, member satisfaction and provider satisfaction and implement interventions as needed
  • Maintain mechanisms to ensure that cost containment activities do not adversely affect the quality of care provided to members