‘Ohana Health Plan’s Quality Improvement (QI) Program monitors and evaluates the quality, appropriateness, accessibility and availability of health care services.
QI may conduct annual medical record audits in physician offices. Patient records are reviewed for evidence that care and screenings have been documented. Complete information is available in the Medicaid or Medicare Advantage provider manuals.
CPGs outline medical standards of care and best practices.
HEDIS® is a mandatory process that occurs annually. We've developed this toolkit to help identify required preventive services.