The Quality Management Department conducts a variety of audits in support of the agency philosophy of striving to provide the highest quality, most effective services possible for the consumers we serve.
Network providers will be audited by the PIHP Quality Management Department at least once during the fiscal year. Through the Quality Management Department’s application of audit and survey tools provider data is monitored and measured against specified performance levels. The Quality Management Department will require corrective action plans, as needed, from network providers to ensure continuous quality improvement activities and address any areas that fall below minimum GCCMH benchmark of quality standards.
Consistent with accreditation requirements, it is expected that providers will establish internal procedures and benchmarks for quality, review PIHP quality data, conduct independent quality reviews where necessary, and use relevant findings to continuously improve quality.
The PIHP reports audit results through: the annual provider report card, quality improvement committee activities, internet postings, Board presentations, and Quality Matters publications.