Overview of UCare Quality Initiatives

Active Initiatives

 

The goals of Performance Improvement Projects (PIPs) and Quality Improvement Projects (QIPs) are to:

Improve health outcomes, member satisfaction, and identify best practices. 

Assess and improve clinical and administrative processes. 

Meet or exceed the quality-related requirements for CMS, MDH, DHS and NCQA. 

Collaborate on a targeted topic with other Managed Care Organizations. 

Implement interventions for improved health outcomes over a broad population of Medicare and/or Medicaid beneficiaries.

Elimination of Race and Ethnic Disparities in the Management of Depression (2015-2017) | Project Overview
 
Webinar: Providing Mental Health Services to Latinos | Tuesday, February 28, 2017 | 12:00-1:00 pm    
Webinar: Cultural Competency in Antidepressant Management   | Tuesday, July 14, 2015 | 12:00-1:00 pm
Webinar: Shared Decision-Making & Depression Treatment in Primary Care | Thursday, November 12, 2015 | 12:00-1:00 pm
 
Increasing Follow-up after Hospitalization Rates in the Special Needs Basic Care Population (2015-2017) |  Project Overview
 
SNBC Dental Access Improvement Project (2017-2020)

Improving Antidepressant Medication Management in the Senior Population (2016-2018) | Project Overview

Provider Tips for how to improve HEDIS (Healthcare Effectiveness Data and Information Set) scores.

UCare is committed to helping providers work with UCare members who face decisions regarding next steps in their care. In the coming months, we will be implementing a program to work with providers and our members to help build shared patient-centered decision-making into provider-patient interactions.
 
The Informed Medical Decision Making Foundation describes shared decision-making as such:
 
  • Shared decision making (SDM) is a collaborative process that allows patients and providers to make health care treatment decisions together, taking into account the best scientific evidence available, as well as the patient’s values and preferences.
  • SDM honors both the provider’s expert knowledge and the patient’s right to be fully informed of all care options and the potential harms and benefits. This process provides patients with the support they need to make the best individualized care decisions, while allowing providers to feel confident in the care they prescribe.
 
One of the resources UCare shared with our members is a webpage titled My Health Decisions, available for them through UCare’s website. This useful content from the Informed Medical Decision Making Foundation will help patients understand a wide range of health conditions—from low back pain to cancer—so they make informed decisions about their care options.
 
If you have questions or comments, please contact us via e-mail SDM@ucare.org or call the SDM message line at 612-676-3501 or toll-free at 1-855-260-9705.
 
Shared Decision Making Resources:
 
Patient-Provider Shared Decision Making Tools:

Provider Assistance Center (PAC) Holiday Hours

UCare and the Provider Assistance Center (PAC) will be closed, Thursday, July 4, 2019, for Independence Day. We will reopen at 8:00 a.m. on Friday.

 

 

 

 

 

Provider Assistance Center (PAC) Hours

The Provider Assistance Center will be closed on Wednesday, July 17, from 1:00-2:00 p.m. for department meeting. A representative will be happy to assist you before or after that time.