This course will focus on the tools needed to implement quality measures and systematically monitor and evaluate outcomes in a healthcare organization to ensure excellence in healthcare. Important concepts of Continuous Quality Improvement (CQI), Total Quality Management (TQM) and teamwork will be used to describe the principles of quality management. Other topics will include: the impact of managed care on Quality Management, Health Employer Data Information Set (HEDIS) indicators, accreditation, and the impact of consumers on the quality of healthcare. Issues of utilization management, risk management, provider credentialing and liability as they relate to Quality Management will be covered. Development of studies and benchmarking along with basic applicable statistical elements will be part of the course.
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