1. Purpose Of The Quality Improvement (QI) Program
The purpose of Horizon's QI Program is to systematically monitor, assess, track, trend and continuously improve the quality of care, service, health status and safety of its members. The QI Program is designed to be comprehensive with the necessary resources, infrastructure, and authority to meet the program's goals and objectives. The program also monitors quality assurance activities including the development of clinical standards, medical care evaluations and member experience surveys. The QI Program oversees quality-related activities for Medicaid, Medicare, Managed Long Term Services & Supports (MLTSS) and FIDE-SNP.