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 received
- Promotes safety in health care through education for you and our providers
- Publishes Preventive Health Guidelines to help you know what services you need
- Evaluates the quality of your health care through Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures 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. A survey called Consumer Assessment of Healthcare Providers and Systems (CAHPS) lets you rate your health plan 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 HEDIS Rates.
Here are some areas we improved upon and other areas for improvement.
- Diabetes care continues to be an important area of focus for our members. Seven of the nine diabetes measures reported in 2010, improved compared to 2009’s results.
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- Expand and implement new and improved incentive programs for our members
- Enhance provider/member interaction
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- Improved performance on 20 of 33 selected HEDIS® measures from 2009 to 2010 (60.61%)
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- Continue and improve upon service
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- Based on 2010 CAHPS® survey results, we saw increased Medicaid member satisfaction in the areas of Customer Service, Getting Care Quickly, Getting Needed Care and Ease of Getting Needed Prescription Through Health Plan.
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- Reminders and health education for our Members. Updates to member website to make it more informative and user friendly.
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To learn more or to request a copy of our QI program, call Member Services at (800) 869-7165.
*You may request printed copies of all content posted on our website.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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