The CareGuide corporate philosophy
encourages continuous quality improvements in all clinical and business
processes, seeking to provide the highest level of care and services
to our clients and the individuals we serve. CareGuide has established
a coordinated approach to oversee, manage and document quality activities
including quality assessment, clinical reviews and process improvement
CareGuide believes that accountability for quality, compliance and
medical management activities should be held to the highest standard.
Therefore, CareGuide has developed a Quality Management and Improvement
Committee (QMIC), which is charged with the development, implementation
and oversight of CareGuide’s quality management, medical management,
credentialing, company policy, peer review and Medicare compliance
activities. The CareGuide Board of Directors is the governing body
accountable for CareGuide’s quality management and improvement
activities and oversees all QMIC activities.
The CareGuide QMIC achieves its quality improvement objectives through
the following strategies: |
| Written plans incorporating
quality improvement activities for operational, programmatic
and clinical areas are updated annually. All quality improvement
activities are consistent with CareGuide’s corporate mission
and objectives; statutory requirements; American Accreditation
HealthCare Commission/URAC standards/ NCQA; and contractual
obligations and the customer service interests of our clients |
| Continuous evaluation and improvement
of care delivery systems, work flows and supporting infrastructure
to maximize efficiencies and satisfaction for our patients and
their families, providers, clients and staff. |
| Refinement of measurement systems
to more effectively identify opportunities to improve service
provision. |
| Focus on improving quality
in all corporate dimensions by implementing multidisciplinary,
data-driven project teams and encouraging participatory problem
solving. |
A corporate culture that supports
improvement. Communication, dialogue and information exchange
is encouraged throughout the organizational reporting structure,
with regard to findings, analyses, conclusions, recommendations,
actions and evaluations pertaining to performance improvement.
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