Abstract: . . .  analysts participate in service quality improvement teams. Other Resources As with any mature QI Program, quality improvement is integrated throughout the organization. In addition to the resources listed above, the following departments provide expertise and guidance to ongoing QI initiatives through formal committee participation as well as day to day contributions: • Clinical Credentialing • Corporate Planning • Membership • Market Research and Planning • Member Appeals • Operations Training and Quality • Benefits Services • Marketing Communications • Pharmacy Benefit Management • Care Management, including Health Management and Case Management 13 Page 16 Medical Mutual QI Program Description 2004 – 2005 VII. Confidentiality Information generated as a result of Medical Mutual’s QI Program is strictly confidential and is to be accessed only by those in authority and as required by certain governmental agencies. QI activities are conducted in a manner that protects the confidentiality of the . . .
. . .  time employees supporting the QI Program. Service Accreditation Analysts Under the direction of the Manager, Operations Planning and Accreditation, 2 full time Service Accreditation Analysts support service quality improvement efforts by maintaining and assisting in the advancement of a service QI program consistent with regulatory guidelines for statewide member service areas. The analysts participate in service quality improvement teams. Other Resources As with any mature QI Program, quality improvement is integrated throughout the organization. In addition to the resources listed above, the following departments provide expertise and guidance to ongoing QI initiatives through formal committee participation as well as day to day contributions: • Clinical Credentialing • Corporate Planning • Membership • Market Research and Planning • Member Appeals • Operations Training and Quality • Benefits Services • Marketing Communications • Pharmacy Benefit Management • Care Management, including . . .
. . .  through formal committee participation as well as day to day contributions: • Clinical Credentialing • Corporate Planning • Membership • Market Research and Planning • Member Appeals • Operations Training and Quality • Benefits Services • Marketing Communications • Pharmacy Benefit Management • Care Management, including Health Management and Case Management 13 Page 16 Medical Mutual QI Program Description 2004 – 2005 VII. Confidentiality Information generated as a result of Medical Mutual’s QI Program is strictly confidential and is to be accessed only by those in authority and as required by certain governmental agencies. QI activities are conducted in a manner that protects the confidentiality of the member and provider. Medical Mutual’s methods to assure confidentiality of information include: • Confidentiality provisions or requirements are included in provider contracts • Signed Confidentiality Agreements are required for all Medical Mutual employees (including temporary employees, . . .
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