Quality Improvement | Molina Healthcare of Texas

Improving Services for Molina Healthcare Members

The Quality of Care You Receive is Important to Us

Molina Healthcare wants you and your family to receive the best care. We have a Quality Improvement (QI) Program to ensure you get quality care. 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 to find ways to improve.

The QI Program:

Evaluates providers to be sure you have access to a qualified health care team
Investigates and takes action when you have an issue with the quality of care you have been provided
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
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.
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.

Here are some of the things that we look at:

A1c Tests for Diabetics	Childhood Immunization Rates
Cholesterol Testing	Well Child Check ups
Blood Pressure Control	Eye Exams for Diabetics
Pap Smear Test	Pre-Natal Care
Flu Shots	Mammograms

Molina Healthcare's QI Program has programs and information to help you stay healthy. Some examples are:

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.
Patient Safety Program - Molina Healthcare wants you and your family to be safe and healthy.
To learn more or to request a copy of our QI Program, call your Molina Healthcare Member Services Team at 1-866-449-6849
Don't forget to call our Nurse Advice Line at 1-888-275-8750 if you or your family feel sick after your doctor's office has closed. They can help you.

To learn more or to request a copy of our QI program, call Member Services.

HEDIS^®is a registered trademark of the National Committee for Quality Assurance (NCQA).