Quality Improvement
The mission of Columbia United Providers (CUP) is “promoting wellness and coordinating access to quality health care in our community.” The goal of the Quality Improvement (QI) Program is to support that mission by “improving the health and satisfaction of health plan members through the delivery of safe, accessible and professional health care services.”
Your health care is important to CUP and each year CUP’s QI Program sets up a plan to improve the safety and quality of the care and services you receive. Our goal is to improve your health and the health of your family. This plan is reviewed and approved by the CUP QI Committee and the CUP Board of Directors.
Quality Improvement Program Description and Work Plan
CUP updates our Quality Program Description and Work Plan every year and continues to work on a variety of clinical and service delivery projects throughout the year.
Report on Quality
The effectiveness of CUP’s QI Program is formally reviewed and evaluated annually through the Report on Quality. The report includes a description of the program’s QI activities from the previous Work Plan year, trending of measures, analysis of results, and a determination of the overall effectiveness of the program.
Practice Guidelines
Practice Guidelines assist health care providers and members make decisions about screening, prevention, or treatment of a specific health condition. They do not replace the provider’s advice and instructions, and they are not meant for all members. Practice Guidelines are written to:
- Improve the quality of care
- Improve the appropriateness of care
- Improve cost-effectiveness
- Serve as educational tools
HEDIS®
Every year CUP conducts an annual HEDIS® (Healthcare Effectiveness Data and Information Set) measurement and audit, and reports these findings both nationally and state-wide. Many of the measures focus on preventive care such as immunizations and well child visits. Other measures look at specific care for chronic illnesses, such as diabetes.
Consumer Surveys
CUP surveys a sample of members to ask about satisfaction with the experience of care the member receives such as getting care quickly. It also asks about the services provided by the health plan.
If you'd like to know more about CUP's Quality Improvement Program, Practice Guidelines, HEDIS® or the annual reports, please contact the Quality Department by clicking here: http://www.cuphealth.com/aboutus/contact.aspx