Health Tradition is committed to providing high quality service to its members and
embraces a quality management philosophy of delivering services that exceed expectations.
This philosophy applies to all functions of the organization that influence member
service and includes business operations, utilization management and support services.
The Health Tradition Quality Management Department evaluates and monitors key aspects
of services and healthcare provided to members. The medical director directs the
Quality Management Department. Various committees consisting of individual healthcare
providers and plan administrative leadership guide, direct and evaluate quality
initiatives. Individual healthcare providers in the Health Tradition network are
evaluated using nationally accepted criteria prior to joining the network and every
two years thereafter.
An assessment of the service area and appointment access is conducted annually to
ensure an adequate number of healthcare providers are available to members. Member
input is collected, evaluated and monitored through surveys and complaint tracking.
Member quality of care concerns are resolved through peer review.
Health management studies and projects are completed to increase rates of preventive
services and improve management of acute and chronic diseases. The Quality Management
Department is responsible for directing the process of improvement efforts.
CAHPS® Member Survey
Today's complex and competitive healthcare environment has generated unprecedented
demand for tools and information to document healthcare quality. The consumer's
perspective has become an essential aspect of measuring healthcare quality, and
CAHPS® Member Satisfaction Survey is recognized as the industry standard for obtaining
consumers' assessment of their health plans. Health Tradition Health Plan contracts
with an NCQA-accredited company to conduct our CAHPS® survey annually.
Leapfrog
The Leapfrog Group is a coalition of more than 100 Fortune 500 companies, business
coalitions and other public and private healthcare purchasers. It was created to
help save lives and reduce preventable medical mistakes by mobilizing employer purchasing
power to initiate breakthrough improvements in the safety of healthcare and by giving
consumers information to make more informed hospital choices. Health Tradition joined
Leapfrog because we wanted to take concrete steps to improve patient safety and
healthcare quality. Visit the Leapfrog Web Site at https://leapfrog.medstat.com/