Quality Improvement Plan
Medical Associates Health Plans has a comprehensive Quality Improvement program in place to optimize the delivery of safe, quality patient care and services within available resources.
The program is designed to provide a continual monitoring of the quality improvement process and the services provided by our participating health care practitioners, participating hospitals, skilled nursing facilities, home health care agencies, rehabilitation centers, and other health professionals. In addition, we have an established library of preventive health guidelines to promote wellness screenings and disease prevention.
Our Quality Improvement program objectively assesses the important aspects of patient care, safety and service, corrects identified problems, and continuously monitors to assure the success of the continuous Quality Improvement process. The following are specifically monitored:
We make copies of our Quality Improvement Plan available to members and to participating providers, including quarterly reports and preventive health guidelines. To obtain a copy, please call 563-556-8070 or 800-747-8900. Click here to view Preventive Health Guidelines. If you would like a printed version of the guidelines, please call 563-556-8070 or 800-747-8900
Availability of Health Plan File (for Members)
Members of Medical Associates Health Plans may view the contents of their health plan file. Please call ahead so that we may schedule an appointed time to have your file conveniently ready for you. We will ask you to sign a consent form when you arrive, and a staff member will remain present as you review your member file. Call 563-556-8070 or toll free 800-747-8900.
The National Committee for Quality Assurance (NCQA) has awarded Medical Associates Health Plans its highest accreditation status of Excellent, for service and clinical quality that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement.
NCQA’s rigorous evaluation is a voluntary one. It reviews all aspects of the Plan’s operations including preventive health services, member satisfaction, physician credentialing, and quality improvement. The NCQA team analyzes how well a health plan manages quality and continuous improvement of care. In addition, the health plan’s preventative services are compared with a nationally recognized list of common disease states (HEDIS® Health Plan Employer Data and Information Set).
NCQA is a private, not-for-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing healthcare quality information for consumers, purchasers, healthcare providers, and researchers.
Practitioners of Medical Associates in Dubuque, and providers of its Family Care Network regional clinics, have received national recognition for providing quality care to patients with diabetes.
The National Committee for Quality Assurance (NCQA) designed the Diabetes Physician Recognition to improve the quality of care that patients with diabetes receive by recognizing physicians who deliver quality diabetes care, and by motivating other physicians to document and improve their delivery of diabetes care.
To receive recognition, physicians must submit data that demonstrates performance that meets the program’s key diabetes care measures. These measures include eye exams, blood pressure screening, nutritional therapy, and patient satisfaction, among others.
When people with diabetes receive quality care as outlined by these measures, they are less likely to suffer complications such as heart attacks, stroke, blindness, kidney disease, and amputations.
Medical Associates participates in a voluntary program designed to recognize clinical practitioners who use evidence-based measures and provide excellent care to persons with cardiovascular disease (CVD) or who have had a stroke.
The Heart/Stroke Recognition Program was jointly developed in 2003 by the National Committee for Quality Assurance (NCQA) and the American Heart Association (AHA). It was designed to improve the quality of care that patients with CVD or stroke receive, by recognizing physicians who deliver quality care, and by motivating other physicians to document and improve their delivery of cardiovascular and stroke care.
To receive recognition, Medical Associates submitted data that demonstrated performance that met the program’s key cardiovascular and stroke care measures. These measures are based on national guidelines for the prevention of CVD and stroke. They include blood pressure and cholesterol control, use of aspirin or another antithrombotic drug (for prevention of blood clot), assessing smoking status, and providing smoking cessation advice or treatment.
When people with cardiovascular disease or who have had a stroke receive quality care as outlined by these measures, they are less likely to suffer additional complications, such as a second heart attack or stroke.