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Quality Management

Quality Improvement Program and Annual Evaluation

Blue Cross of Idaho has an organization-wide Quality Improvement Program. We use the Quality Program structure and annual evaluation to develop and monitor progress towards our goals, processes, and outcomes related to the quality, safety and value of member care and service. If you would like further information about our Quality Improvement Program please call 208-331-7327. To review a summary of the Quality Improvement Program Description and annual evaluation, READ MORE.

Concerned About Quality of Care or Quality of Service?

The Quality Concerns Investigation Policy is the process Blue Cross of Idaho uses to investigate, review, track, trend, and if necessary, take action about member concerns related to the quality of care and quality of service received. If you have a concern about quality of care or quality of service please call the Customer Service telephone number on the back of your member identification card. To review the policy, READ MORE.

2014/2015 Clinical Practice Guidelines

Our Physician’s Advisory Panel reviews and annually endorses our Clinical Practice Guidelines. These practice guidelines are evidenced-based national guidelines for the treatment of medical and behavioral health conditions included in our Population Health, Quality, and Pharmacy programs. Annually, Blue Cross of Idaho measures practitioner adherence to clinical practice guidelines. The outcomes are analyzed and reviewed at Physician’s Advisory Panel with the intent to improve practitioner performance. Here you can review the Clinical Practice Guidelines, web links, and adherence measures, and the policy and procedure.

Questions? Need additional assistance, please call the Quality Management Quality Specialist at 208-331-7327.