QI Program

We are committed to the provision of a well-designed and well-implemented Quality Improvement (QI) program. Our culture, systems and processes are structured around this mission to improve the health of all enrolled members.

Scope
The scope of the QI Program is comprehensive and addresses both the quality and safety of clinical care and quality of services provided to California Health & Wellness' members including medical, behavioral health, dental and vision care. We incorporate all demographic groups, care settings, and services in QI activities, including preventive care, emergency care, primary care, specialty care, acute care, short-term care, long-term care (depending upon California Health & Wellness' products), and ancillary services.

Goals & Objectives
Our primary quality improvement goal is to improve members’ health status through a variety of meaningful quality improvement activities implemented across all care settings and aimed at improving quality of care and services delivered.

Credentialing Standards

For consideration to participate in the California Health & Wellness network, all licensed physicians and other licensed healthcare professionals who have an independent relationship with California Health & Wellness must complete an application for participation and submit copies of applicable supporting documentation.

Cultural Competency Plan
California Health & Wellness is committed to establishing multicultural principles and practices throughout its organizational systems of services and programs. That mission is supported by facilitating the process by which California Health & Wellness can respond to the health care needs of all individuals, regardless of their ethnic, cultural, religious beliefs or language. Our Cultural Competency plan is reviewed and updated annually.

Participation in QI
California Health & Wellness requires providers and practitioners to cooperate with all Quality Improvement activities, as well as allow the use of provider and/or practitioner performance data, to ensure the success of the QI Program. The California Health & Wellness QI Program is outlined on the California Health & Wellness website www.CAHealthWellness.com and is available upon request. If you are interested in learning more about California Health & Wellness' QI Program, please contact California Health & Wellness at 1-877-658-0305 and ask to speak with the Quality Improvement Department.