Quality Management
MedPOINT has a comprehensive and integrated Quality Management Program. It is setup to objectively and systematically monitor and evaluate quality, appropriateness and outcome of care and services along with the processes by which they are delivered to IPA members.
Program Emphasis
Opportunities for improvement and problem resolution are continuously pursued. A formal evaluation of the Quality Management Program is performed annually. The program emphasizes the following:
A focus on member-centered care and patient-provider relationships
Emphasis on continuously improving performance in all areas
Emphasis on efficient operational and care systems
Use of data-driven decision making throughout the organization
Program Services
Specific activities in the Quality Management program include but are not limited to the following areas:
Development of clinical practice guidelines
Provider accessibility and availability
Provider and member satisfaction
Under- and over-utilization
Adverse outcomes/ sentinel events
Grievance resolution
Access and clinical studies
Department call center management
Population health, including HEDIS® and STARs measure improvement