HMO California works to continually improve the care and services provided to our members. The Quality Improvement Program is revised annually, to state the goals and objectives of HMO California. It also describes the way we approach quality improvement and the persons who are responsible for this important work.

The Quality Improvement Program is available to members and providers and can be requested from the Member Service Department by calling (866) 255-4795, or TTY (866) 321-5955 for the hearing impaired.

HMO California’s Quality Management staff work with all departments within HMO California to identify areas of improvement and to plan actions which improve care and service. For example, by looking at the most frequent reasons for calls to Member Services, we can help to develop fact sheets to explain health care coverage, or can work with physician offices to decrease waiting times.

Quality Management also looks at medical care, such as the number of children who get all their immunizations, or the number of women who get pap smears. These activities help to form our educational efforts for members and providers.

Each year, HMO California creates a Quality Improvement Workplan containing activities we think will allow us to provide “healthcare you can feel good about”. If you have ideas about things that might improve care or services, e-mail us at qualityimprovement@universalcare.com.