Aetna Better Health has an ongoing Quality Assessment and Performance Improvement (QAPI) program that is comprehensive in scope and focuses its attention on the quality of clinical care and services to our members. The program is tailored towards ensuring that members receive preventative healthcare in a timely manner; and, providing care management to individuals with special healthcare needs. The QAPI program is adherent with State and Federal requirements; and, overseen by the Governing Board of Directors and Quality Oversight Committees.
Performance improvement and measurement is fundamental to the QAPI program. What cannot be measured, cannot be improved. Therefore, it is through analysis of encounter data that Aetna Better Health is able to identify gaps in care and recommend opportunities for improvement. The QAPI program is always seeking provider involvement, feedback and recommendations for improving the delivery of care and services.
Information on Quality Improvement Projects is available upon request.