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Introduction
 
The Quality Improvement (QI) Program aims to continually improve the service and care provided to Members both by CBHNP and the Provider network. The QI Program focuses in identifying measures and studies of many aspects of treatment. A QI Committee meets monthly to oversee the work of the QI Program and annually adjusts its goals. The QI Program focuses on 10 areas:
  • Access – The degree to which appropriate care and services are accessible and obtainable to meet the Member’s needs
  • Appropriateness – The degree to which the care and services provided are relevant to the Member’s clinical needs, given the current state of knowledge and available resources
  • Competency – The degree to which Providers and CBHNP Staff adhere to professional and/or organizational standards of care and practice
  • Consumer and Family Involvement – The degree to which HealthChoices Members and families of Members have an active role in CBHNP
  • Continuity and Care Coordination – The degree to which needed healthcare services for a Member or specified population are coordinated across levels of care, across organizations, or across care of physical health and behavioral health
  • diversity and Cultural Competency – The degree to which Providers and CBHNP Staff understand and demonstrate respect for differences among groups
  • Outcomes and Efficacy – The degree to which a treatment or service improves health status
  • Prevention and Community Outreach – The degree to which CBHNP services promote health, prevent deterioration of conditions, and educate the community
  • Safety – The degree to which risks of adverse outcome are reduced for the Member and others, including the health care Provider
  • Service Excellence – The degree to which CBHNP meets established service standards and produces Provider and Member satisfaction
If you would like a more detailed summary of the CBHNP QI Program, including the current QI Program Description or QI Annual Evaluation, please contact any of the listed QI personnel.

An Executive Summary of the Quality Improvement Program is also available for review.  This document highlights information about CBHNP Quality Improvement program goals, processes and outcomes as they relate to Member care and service. To access this information, click on the following link.

Quality Improvement Program Executive Summary