Quality Improvement

  • Determine interventions for HEDIS overall rate improvement to improve preventive care scores and facilitate support of members’ acute and chronic health conditions and complex needs
    • Wellness and prevention
      • Preventive screenings (breast cancer, colon cancer, cervical cancer, chlamydia)
      • Well-child care
      • Immunizations
    • Chronic disease management
      • Comprehensive diabetes care
      • Controlling high blood pressure
    • Behavioral health
      • Follow-up after hospitalization for mental illness
      • Antidepressant medication management
    • Safety
      • Use of imaging studies for low back pain