You have been appointed as Director Quality Improvement in a large Health Maintenance Organization?

Question

You have been appointed as Director Quality Improvement in a large Health Maintenance Organization?
You have been appointed as Director Quality Improvement in a large Health Maintenance Organization. Your 2004 customer satisfaction survey (CAHPS) shown members being dissatisfied with accessibility and quality of care provided. In addition the (HEDIS) Preventive studies have shown results are below the benchmark in Annual Eye exam screening for Diabetes patients (members). It is now your responsibility to proceed with improving the Quality within your organization. How will you proceed?

Answer 1

I would implement a Total Quality Management system.

http://home.att.net/~iso9k1/tqm/tqm.html

Answer 2

Statrt coaching your people greater perfect excuses to why people are not going to get the coverage. Pretending to choose to repair scientific coverage, spend extra money...you mustn't be interior the states...... possibly while we referred to as we did no longer get the stupid voicemail hell that takes us everywhere however the situation we would like. Or the even dumber voice acceptance stuff that takes you in a distant places u . s . in case you sneeze on the incorrect decible. Or people who do no longer even communicate our language making it impossible to comprehend and translate precisely what our difficulty is. Yeah..it happens each and every of the time. possibly sending out reminders to the insured who choose the attention exams (age selection/coverage desires). Ya'll have all the different information on record so i be attentive to ya'll have that too. do no longer deny healthcare money or exams while people definitely choose it. you at the instant are not a Dr, atleast no longer one which you indicated so what qualifies you to return to a determination what i choose? stay out of my scientific determination making and purely pay the d@mn invoice in view that I definitely have payed you faitfully for over 12 yrs. Sorry it quite is no longer technical however the technical people don't be attentive to what we are pissed approximately. they at the instant are not scientific docs the two. you won't be in a position to alter the common of care till you come down on the scientific docs yet you are able to exchange YOUR high quality.