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The program uses performance and consumer information data to drive continuous quality improvement, balancing quality assurance, quality improvement, and quality data. 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New Hope Road, Gastonia, North Carolina 28054  \nTABLE OF CONTENTS  \nPARTNERS BHM QUALITY MANAGEMENT PLAN  \nI. ORGANIZATIONAL OVERVIEW 1  \nII. STATEMENT OF FUNCTION AND OBJECTIVES 2  \nIII. STRUCTURE OF THE QUALITY MANAGEMENT PROGRAM 3  \nA. AUTHORITY AND RESPONSIBILITY 3  \nB. CONTINUOUS QUALITY IMPROVEMENT (CQI) MODEL 4  \nC. RESOURCES 5  \nD. COMMITTEE STRUCTURE 7  \n1. QUALITY IMPROVEMENT COMMITTEE (QIC) 7  \n2. REGULATORY COMPLIANCE COMMITTEE (RCC) 8  \n3. QUALITY OF CARE COMMITTEE (QOCC) 9  \n4. CLINICAL ADVISORY COMMITTEE (CAC) 10  \n5. CREDENTIALING COMMITTEE (CC) 11  \n6. NETWORK MANAGEMENT COMMITTEE (NMC) 11  \n7. UTILIZATION MANAGEMENT UTILIZATION REVIEW COMMITTEE (UMUR) 12  \n8. QUALITY IMPROVEMENT PROJECTS COMMITTEE 13  \n9. NETWORK DEVELOPMENT CROSS FUNCTION TEAM 13  \n10. PARTNERS BHM COMMITTEE ORGANIZATIONAL CHART 14  \nIV. RESPONSIBILITIES OF THE QUALITY MANAGEMENT PROGRAM 15  \nA. PROGRAM SCOPE AND STRUCTURE 15  \nB. QA/QI WITHIN PARTNERS BHM AND THE PROVIDER NETWORK 16  \nC. QUALITY PERFORMANCE INDICATORS AND REPORTING 17  \nD. QUALITY IMPROVEMENT PROJECTS 22  \n1. QUALITY MANAGEMENT PROCESS MODEL 22  \n2. QI PROJECTS STRUCTURE 22  \n3. COMMUNICATION OF QUALITY MANAGEMENT PROGRAM ACTIVITIES 23  \nE. OTHER QUALITY MANAGEMENT PROGRAM ACTIVITIES 23  \nF. ANCILLARY COMMITTEES 24  \n1. HUMAN RIGHTS COMMITTEE 24  \n2. GLOBAL CONTINUOUS QUALITY IMPROVEMENT COMMITTEE (GCQI) 25  \n3. PROVIDER COUNCIL 25  \nV. SATISFACTION SURVEYS 25  \nA. COMMUNICATION OF SURVEY RESULTS 25  \n1. PROVIDER SATISFACTION SURVEY 26  \n2. ECHO (EXPERIENCE OF CARE AND HEALTH OUTCOMES) SURVEY 26  \n3. PERCEPTION OF CARE SURVEY 26  \n4. NATIONAL CORE INDICATORS SURVEY 27  \nVI. ORGANIZATIONAL QUALITY ACTIVITIES PLAN 27  \nVII. QUALITY MANAGEMENT PROGRAM EVALUATION 27  \nVIII. ACCREDITATION 27  \nIX. STATEMENT OF APPROVAL 28  \nI. ORGANIZATIONAL OVERVIEW  \nPartners Behavioral Health Management (Partners BHM) is dedicated to assuring the highest quality services are rendered by those providers who receive oversight by Partners BHM. Partners BHM covers the economically and culturally diverse region of Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Rutherford, Surry, and Yadkin counties of North Carolina. Partners BHM’s mission is as follows:  \n“Our mission is to manage a behavioral health care system funded by federal, state, and local taxpayer dollars. We ensure all individuals who are eligible for our programs have access to quality providers and effective services. We improve lives and strengthen our communities by focusing on positive outcomesand proper use of funds entrusted to us.”  \nThe Quality Management Program of Partners BHM is designed to ensure the Local Management Entity (LME)/Managed Care Organization (MCO) and its core functions include all qualified provider network services which are delivered in a manner consistent with the State Plan, the DMH/DMA contracts, national accreditation standards, and Partners’ mission, philosophy, values and working principles. These core functions meet or exceed the standards and statutory requirements under which the LME/MCO operates.  \nThe Quality Management Program promotes objective and systematic measurement, monitoring, and evaluation of services and implements quality improvement activities based upon findings. The Quality Management Program is designed to continually and consistently assess and analyze system performance data which will subsequently guide performance improvement to better support the consumer population served. The Quality Management Program balances three components: quality assurance, quality improvement and quality data. Quality Management activities yield data from multiple sources which, after analysis, is integrated and utilized for planning and guiding administrative and operational processes. The ultimate measure of the Quality Management Program’s success is the achievement of safe, best prac","cbCaisTLBqll0FYG","https://ap.wps.com/l/cbCaisTLBqll0FYG","pdf",574917,31,"English","# PARTNERS BHM QUALITY MANAGEMENT PLAN\n## I. ORGANIZATIONAL OVERVIEW\n## II. STATEMENT OF FUNCTION AND OBJECTIVES\n## III. STRUCTURE OF THE QUALITY MANAGEMENT PROGRAM\n## IV. RESPONSIBILITIES OF THE QUALITY MANAGEMENT PROGRAM\n## V. SATISFACTION SURVEYS\n## VI. ORGANIZATIONAL QUALITY ACTIVITIES PLAN\n## VII. QUALITY MANAGEMENT PROGRAM EVALUATION\n## VIII. ACCREDITATION\n## IX. STATEMENT OF APPROVAL","[{\"question\":\"What is the purpose of the Quality Management (QM) Program in this plan?\",\"answer\":\"The QM Program systematically analyzes and responds to data from consumer health information systems, claims, operational performance monitoring, and other measurement processes. It uses performance information to drive improved consumer outcomes, training, and support.\"},{\"question\":\"How does Partners BHM structure continuous quality improvement?\",\"answer\":\"The plan integrates objective and systematic measurement, monitoring, and evaluation into quality improvement activities based on findings. It continually and consistently assesses and analyzes system performance data to guide performance improvement.\"},{\"question\":\"Which committees are described as part of the quality management structure?\",\"answer\":\"The table of contents lists multiple committees, including the Quality Improvement Committee (QIC), Regulatory Compliance Committee (RCC), Quality of Care Committee (QOCC), Clinical Advisory Committee (CAC), and others under the overall program structure.\"}]","Quality Management Plan & Program Description - 2019-2020 | PDF",1789279332]