Quality Improvement Program

Community Care is committed to improving the health status of the population it serves and, by extension, the community, while offering high quality, cost-effective treatment in an environment that provides prompt access to services and continuous quality improvement. This commitment to continuous improvement in care and services is the underpinning for the quality management program. The quality process is a systematic, organization-wide perspective that involves close coordination with providers, members, and other stakeholders. In coordination with these entities, the quality program determines measurement activities, defines methodologies, sets performance goals and measures against these goals, analyzes results quantitatively and qualitatively, and implements interventions to improve performance when goals are not met. The resources offered below are intended to support providers as we strive together to improve care outcomes for the members we serve.

• Notice of Privacy Practices

  The Notice of Privacy Practices explains to members how we use and share their medical information.

• Performance Improvement Project: PEDTAR

  Prevention, Early Detection, Treatment and Recovery (PEDTAR) Performance Improvement Project

• Provider Performance Issues

  Tracking Provider Performance Issues identifies trends for ways providers can improve quality of care.

• Significant Member Incidents

  A significant member incident (SMI) or sentinel event is an unexpected or undesirable outcome that has an adverse impact on the outcome of a member's care.

• Trainings and Orientation

  Trainings and Orientation