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 the quality of care and services delivered.
The scope of the QI program is comprehensive and addresses both the quality and safety of clinical care and quality of services provided to Aetna Better Health® of Illinois members, including:
We incorporate all demographic groups, care settings, and services in QI activities, including:
For consideration to participate in the Aetna Better Health network, all licensed physicians and other licensed health care professionals who have an independent relationship with us must complete an application for participation and submit copies of applicable supporting documentation.
We are committed to establishing multicultural principles and practices throughout its organizational systems of services and programs. That commitment is supported by facilitating the process by which we can respond to the health care needs of all individuals, regardless of their ethnicity, culture, religious beliefs, or primary language. Our cultural competency plan is reviewed and updated annually.
Aetna Better Health 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. If you are interested in learning more about Aetna Better Health's QI Program, please contact us at 866-329-4701 and ask to speak with the Quality Improvement Department.
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