Quality Assessment and Performance Improvement
The Illinois Department of Healthcare and Family Services (HFS) requires Aetna Better Health to have an ongoing quality assessment and performance improvement program that assesses the quality of care and adjusts processes and operations to improve the quality of care provided to members.
Aetna Better Health’s Quality Assessment and Performance Improvement (QAPI) program has been established to improve health care quality, and to promote appropriate, cost-effective use of medical resources and positive health outcomes for our members. We focus on improving our members’ biological, psychological and social well-being.
Through this program, we collect meaningful data, identify root causes, develop appropriate solutions, and implement plans to provide better health care. These improvements can occur at the individual level or system-wide.