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