Our Quality Management's Program is designed to promote the highest quality medical care and service to members of Network Medical Management and its affiliate IPA's. The department is guided by knowledge of and commitment to our principles, such as understanding that our primary customer is our member, who is the core of our business of improving access, service and health care of the people we serve. It is based on the ability to perform on-going evaluation and modification so as to stay effective in the dynamic health care environment.

Program goals are achieved through the proactive identification and resolution of issues that directly or indirectly affect member care. Our Quality Management plan is coordinated and collaborative effort that involves management, multiple departments and disciplines, physicians and other professionals working as a team and collaborating to examine methods, processes and outcomes with emphasis on improvement initiatives. This is accomplished by proactively identifying methods to continuously improve the quality of health care delivered.

The primary goals of the program are to improve member quality of life, control the cost and manage exposure to risk. These goals will be achieved by working with the health plans providers and community resources.

The following objectives will direct the on-going development of the policies and procedures of the QI Program:

  • To increase the process of communication, feedback, education and continuous quality improvement.
  • To improve the quality of care and safety of clinical care provided to members by proactively identifying methods to continuously improve the quality of health care and service.
  • To evaluate the effectiveness of actions implemented to correct identified deficiencies.