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Quality Improvement
The Molina Healthcare of Texas, Inc. Quality Improvement Program (QIP) is a comprehensive framework for continuous assessment and focused improvement of all aspects of health care delivery and service. The Program operates by:
Continuously monitoring performance according to, or in comparison with objective, measurable performance standards - National, Regional or Local/Plan
Analyzing information and data to identify trends
Prioritizing opportunities for improvement
Designing interventions for improvement
Implementing those interventions
Re-measuring the processes
Evaluating the effectiveness of the interventions and identifying additional opportunities for improvement.

The purpose of the Quality Improvement Program is to provide a formal process to monitor and evaluate the quality, utilization, appropriateness, safety, efficiency and effectiveness of care and service delivered to Members using a multi-dimensional approach. This approach enables the organization to focus on opportunities for improving operational processes as well as health outcomes and Member, Practitioner, and Provider satisfaction. The Quality Improvement Program promotes and fosters accountability of employees and Network and affiliated health personnel for the quality and safety of care and services provided to Molina Healthcare of Texas Members.

The major areas of emphasis of the Quality Improvement Program are, in no specific order:

Delegation
Privacy and Confidentiality
Risk Management
Patient Safety
Collaborative Activities
Disease Management
Health Promotion and Education
Credentialing and Recredentialing
Regulatory Compliance
Pharmaceutical Management
HEDIS®
Our quality improvement strategies focus on strengthening our ability to meet the agenda of quality measurement and improvement.  One way we assess our quality of care is with the NCQA (National Committee Quality Assurance) HEDIS® (Health Plan Employer Data and Information Set) measurement tool.
*Paper copies of information posted on our website are available upon request.
 
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Last Updated 9/1/2006