Aetna Better Health of California maintains quality management (QM) through a Quality Assessment and Performance Improvement (QAPI) program. This involves multiple organizational components and committees. The primary goal of the QM program is to improve the health status of members -- or maintain current health status when the member’s condition is not amenable to improvement.
Aetna Better Health of California’s QM Program is a continuous quality improvement process that includes comprehensive quality assessment and performance improvement activities. These activities continuously and proactively review our clinical and operational programs and processes to identify opportunities for improvement. This enables us to:
- Assess current practices in both clinical and non-clinical areas
- Identify opportunities for improvement
- Select the most effective interventions
- Evaluate and measure the success of implemented interventions, refining the interventions as necessary