Quality Program for Members
NMHC is dedicated to partnering with a network of providers to bring the best quality of care and service to our members. We developed our Quality Program to help ensure that we meet this goal. The program is designed to monitor and improve what we call the six dimensions of healthcare They are:
The tools we’ve created for our Quality Program include a program description and an annual work plan. We are always reviewing our work to see how well we meet our program goals. We follow guidelines and standards set forth by the National Committee for Quality Assurance. These guidelines cover credentialing, utilization management, case and disease management, wellness promotion, member communication, access and availability, member complaints, and members and provider satisfaction – to name a few.
We have created a Quality Committee that oversees all our quality activities. This committee ensures that NMHC has established measurement systems to continually assess our performance. The committee reports to the NMHC Board of Directors.
NMHC will take part in two national quality-comparison projects each year. The first, called the Quality Reporting System, will measure our provider network’s clinical performance. The second, called the Enrollee Experience Survey, will rate member satisfaction, customer service, and access to care. We will give you our results for both of these projects in our member newsletter. If you would like more information about our Quality Program outcomes, processes, and goals, please send us a message online.