Quality Management

GCCMH PIHP is committed to providing high-quality services throughout our network of providers. The Quality Management (QM) department ensures that providers and PIHP managers alike are aware of how effective, efficient, and satisfactory to consumers each service is.  QM activities are specifically dictated by the federal government through the Michigan Department of Community Health (MDCH) and/or by CARF, the national organization that accredits many of our directly operated behavioral health programs.  Provider members of the Network must also be accredited by a nationally recognized body, although the PIHP is allowed by its accreditation to hold contracts with certain non-accredited providers.

The PIHP monitors the quality of provider services in several ways: QM audits each provider’s records; visits each site to evaluate health, safety, and environment of care; and interviews consumers in each program at least once a year.  The frequency of review increases when a provider's performance decreases.  The Outcomes and Data Analysis department of QM measures how much services help consumers, and how satisfied they are, on a continuous basis.  Each year, the PIHP surveys a sampling of consumers (usually about ten percent of all persons in active service) and community stakeholders to obtain input and improve performance.

Quality Monitoring

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.

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Genesee County Community Mental Health
420 W. Fifth Avenue
Flint, MI 48503

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