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Quality Management


Quality Improvement Program Description
An organization-wide plan for Quality Improvement developed to ensure health care services and delivery are appropriate, efficient, compliant and provide value to the members, providers and staff

Quality Concerns Investigation Policy
Quality of care and or quality of service concerns are reported to the Medical Quality Management Department for investigation, review, tracking, trending and if necessary, action. This policy describes the process for evaluating and communicating trends and issues in clinical quality within Blue Cross of Idaho.

2012 Clinical Practice Guidelines
Blue Cross of Idaho endorses the use of evidence-based national guidelines for the treatment of medical conditions included in our disease management, quality and pharmacy programs.