QUALITY MANAGEMENT ORGANIZATION
Historically, "UR/QA" or "Utilization Review and Quality Assurance" departments focused on the friction points between payors and clinicians. As "back office" operations, their mission was to help make sure that the clinical services provided to patients were going to be approved by the organizations who would be paying for them.
Our view is that much more value can be derived from a robust healthcare "Quality Management Services" function, especially if it operates as a "Customer Service" organization whose mission it is to support and enable best practices at the point of care – the triumph of "clinical effectiveness."
There's a clear culture and operating philosophy and attitude associated with being a "Customer Service" organization – no longer a "back office" function, this new generation organization provides:
Leadership – Helping marshal the best and most appropriate resources to the point of care, and to demonstrate the value and return on investment in Quality Management resources. |
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Safety – Ensuring "Safe Environments of Care" |
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Accreditation/Regulatory – Assuring compliance and continued accreditation |
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Informatics – Providing front line care givers the information they need to make appropriate decisions |
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Evidence Based Care – The infrastructure to create, implement and maintain order sets and inter-disciplinary plans of care |
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Process Improvement – The expertise to develop and implement continuous improvement |
… all of which enables Best Practice at the Point of Care!
We have extensive experience in designing and implementing top performing Quality Management organizations, in both single and multi-hospital environments.
