Quality Improvement
CareSource’s Quality Improvement (QI) program design is to ensure the organization delivers on all aspects of care delivery for D-SNP members based on their unique needs.
The overarching QI program goals are aligned with the Institute for Healthcare Improvement Quadruple Aim of:
- Improving health outcomes of members and populations,
- Improving member and provider experience with care and services,
- Reducing per capita cost of care, and
- Advancing health equity.
We monitor, analyze and identify opportunities for improvement across the comprehensive span of health care continuum using standardized metrics such as:
- Healthcare Effectiveness Data and Information Set (HEDIS)
- Customer Assessment of Healthcare Providers and Systems (CAHPS)
- Provider satisfaction survey results
- Health Outcomes Survey
- Over and underutilization patterns and trends
On an annual basis, we formally evaluate our QI program and performance metrics against set goals. Our formal results inform our QI strategy for the following year.
We are committed to delivering high quality care and services.