Clinical Quality

The Clinical Quality Program oversees all aspects of clinical care and service provided to our members. Network providers are expected to participate with our quality program activities.

Clinical Quality Program Segments

• Accessibility Standards
  These standards help ensure our members receive timely and safe care

• Clinical Practice Guidelines
  Evidence-based guidelines for treating patients with specific health issues

• Continuity and Coordination of Care
  Patient Summary Forms are available for providers to help facilitate coordination of care

• Mission
  To implement a comprehensive Quality Improvement program to monitor and evaluate the quality of healthcare services

• Serious Reportable Events
  The Clinical Quality Improvement department addresses Serious Reportable Events according to our established guidelines

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