The Quality of Care You Receive is Important to us
Molina wants you and your family to receive the best care possible. We have a Quality Improvement (QI) Program to measure how we do. Each year Molina Healthcare sets goals to improve our services. One goal is to help you take better care of yourself and your family. We measure how well we are providing care by sending you surveys to fill out. We look at what you say and how we can improve.
The Quality Improvement Program:
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Evaluates providers to be sure you have access to a qualified health care team
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Investigates and takes action when you have an issue with the quality of care you have been provided
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Promotes safety in health care through education for you and our providers
- Publishes Preventive Health Guidelines to help you know what services you need and when
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Evaluates the quality of your healthcare through HEDIS (Healthcare Effectiveness Data and Information Set). These scores tell us when you have received the type of care you need. The scores look at how often you receive services such as flu shots, immunizations, eye tests, cholesterol tests, and pre-natal care if you are pregnant.
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Surveys members’ satisfaction with care. One type of survey is called CAHPS (Consumer Assessment of Healthcare Providers and Systems). This tells us if you are happy with your care and your provider. It also tells us what we can make better for you. Some things are getting your appointment faster and having more providers to take care of you.
Check out our scores at annual HEDIS rates. Make sure you and your family has their annual check-up.
Here are some areas we improved upon and other areas for improvement.
| Childhood Immunizations |
Breast cancer screening for women |
| Cervical Cancer Screenings |
Timeliness of prenatal care |
| Post Partum Care |
Dilated retinal exams for diabetics |
| LDL-C testing for diabetics |
HbA1c control |
| Monitoring for nephropathy |
Appropriate medications for asthma |
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Appropriate treatment for children with upper respiratory infections |
Molina Healthcare's QI Program has programs and information to help you stay healthy. Some examples are:
- High blood pressure, asthma, and diabetes programs and studies.
- Information and programs on how to be healthy when you are having a baby, if you want to lose weight or quit smoking
- Preventive Health Guidelines that tell you how often you and your family should see the doctor and what kind of tests, exams or shots you need at certain ages. Your child's shots are very important and more children get their shots on time every year.
- Molina checks the care your doctor gives you. If you did not get your exam on time, your doctor's office may call you or send you a postcard to remind you.
- Patient Safety Program - Molina Healthcare wants you and your family to be safe and healthy. Some of the things we do are:
Send you hints and information in your newsletters - Health and Family, the Teen newsletter and a special newsletter if you have diabetes or asthma.
Send you "Ask Me Three! " that tells you what to ask when you see your doctor.
Check that your doctor's office is safe.
Look at reports that check safety in hospitals, skilled nursing and surgery centers. These websites are open to the public:
To learn more or to request a copy of our QI Program, call your Molina Healthcare Member Services Team at 888-665-4621. To contact our Health Education Department call 1-800-526-8196, extension 127532 .
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).