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:
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Continuously monitoring performance according to, or in comparison with
objective, measurable performance standards - National, Regional or Local/Plan
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Analyzing information and data to identify trends
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Prioritizing opportunities for improvement |
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Designing interventions for improvement
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Implementing those interventions |
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Re-measuring the processes
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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:
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Delegation
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Privacy and Confidentiality
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Risk Management |
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Patient Safety |
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Collaborative Activities
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Disease Management |
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Health Promotion and Education |
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Credentialing and Recredentialing |
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Regulatory Compliance
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Pharmaceutical Management |
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