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
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Accessibility Standards
These standards help ensure our members receive timely and safe care
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Clinical Practice Guidelines
Evidence-based guidelines for treating patients with specific health issues
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Continuity and Coordination of Care
Patient Summary Forms are available for providers to help facilitate coordination of care
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Mission
To implement a comprehensive Quality Improvement program to monitor and evaluate the quality of healthcare services
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Serious Reportable Events
The Clinical Quality Improvement department addresses Serious Reportable Events according to our established guidelines