Quality Improvement Program
Quality Improvement (QI) is the processes that make health care delivery more effective and less costly.
Improving quality while controlling costs has been a goal of CCNC since 1998. Quality measurement is intended to stimulate or facilitate quality improvement efforts in networks and practices. It is also used to evaluate the performance of the program as a whole.
CCNC audits network PCP practices annually and provides feedback reports to practices. CCNC encourages PCP practices to use the information provided to improve their practice processes to become more efficient resulting in improve health outcomes for patients while controlling costs.
Audits are based on evidence based care guidelines for asthma, diabetes, hypertension, cardiovascular disease, and heart failure. The audits compare practices to NCQA, HEDIS, and IPIP benchmarks which are nationally recognized. Practices are also compared with peer groups within the CCNC Program. Auditors pull a randomly selected list of charts for review and preliminary results are available to practices within a couple days.
One method encouraged to improve quality is the use of the Plan, Do, Study, Act (PDSA) cycle for quality improvement. Resources are available to help practices with self evaluation and implementation of PDSA in their office.
Other reports are also available throughout the year to help monitor practice efficiency. PCP network practices agree to participate in quality improvement when they join the network.