Health Network has facilitated an Identifying providers that have incomplete contracts and initiating increase in the number of providers contact through email, postal mail, and phone calls to facilitate the return of contracts. returning contracts within 60 days. Quality Management met QM and staff commitment to meeting compliance standards. standards for processing and resolving complaints within 30 days. Standard is 90% and SHC met at 100% for December February. – Item/Area of Need Identified Recommended Solutions Issues with provider documentation Organization of training and review of other services to identify continue to be a QI concern. Services are service areas where documentation training is needed. not true to model and are missing components of service definition. High numbers of appointments are being Call center is developing a text message to remind consumers of missed. appointments. They are also developing a poster with 800 SHC’s number and outreach information. Additional Comments: __________________________________ Prepared by: Committee Chair Approved by: __________________________________ QM Committee Chair
Health Network has facilitated an increase in the number of providers returning contracts within 60 days. Identifying providers that have incomplete contracts and initiating contact through email, postal mail, and phone calls to facilitate the return of contracts. Quality Management met standards for processing and resolving complaints within 30 days. Standard is 90% and SHC met at 100% for December – February. QM and staff commitment to meeting compliance standards. Item/Area of Need Identified Recommended Solutions Issues with provider documentation continue to be a QI concern. Services are not true to model and are missing components of service definition. Organization of training and review of other services to identify service areas where documentation training is needed. High numbers of appointments are being missed. Call center is developing a text message to remind consumers of appointments. They are also developing a poster with SHC’s 800 number and outreach information. Additional Comments: Prepared by: __________________________________ Committee Chair Approved by: __________________________________ QM Committee Chair
QMC-Exec-Summary-Jan-March20151.docx