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MedPOINT Management develops and maintains comprehensive Quality Improvement Programs that continually evaluate, monitor and identify areas to improve the quality of clinical care provided to our members and provider panel.
The Quality Management department regularly collaborates with all of the practitioners and health plans to develop, improve, and measure quality of care. Among the services that the MedPOINT Management Quality Management department offer are: satisfaction surveys with detail analysis, accessibility and service availability audits, tracking and analysis of risk management and potential quality of care issues, along with monitoring of member grievances. If you are a provider or member of one of our managed IPAs and would like a description of the QI program and/or a report on goal progress, please e-mail or call us with your request so it can be sent to you.
Provider Credentialing is a separate division of the Quality Management department, with separate staff devoted to each function for maximum efficiency, consistency, and thoroughness.
Key features of the MedPOINT Management Quality Management services:
| Development, dissemination and administration of clinical practice guidelines that reflect currently accepted academic and regulatory protocols |
| Custom design and administration
of Quality Management policies and procedures to
meet the individual quality initiatives of each
IPA as well as established regulatory and industry
quality standards |
| Establishment of a quality
committee and recruitment of physician members |
| Facilitation of compliance
with HEDIS and NCQA standards, including data collection,
analysis and reporting to evaluate delivery performance
on a regular basis |
| Complete provider credentialing
and re-credentialing |
| Performance activity data
collection, analysis and reporting |
| Regular facility and medical
record assessments conducted to fulfill certification
requirements |
| Educational materials and
information disseminated to participating providers |
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