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Qsource

Quality Assurance in Healthcare

Your facility needs access to activities and programs that promise improvement in quality of care. We lend our expertise to health care systems—assessing and evaluating quality, identifying obstacles to care delivery, designing approaches to overcome any problems, and following up to ensure the proper deployment of programs. 

We design policies and procedures that promote the best possible patient outcomes. By working with Qsource, you’ll achieve:

  • Compliance with state and federal regulations
  • Standardized policies and procedures
  • Adherence to governing body requirements
  • Development of internal strategies to support quality healthcare delivery
  • Achieve desired quality of community served
nurse with elderly patient

Qsource

Quality Assurance Teams & Programs

Quality Assurance mainly focuses on three areas: Structures, Processes, and Outcomes. These three areas are bolstered by the Qsource approach to Quality Assurance:

  • Data validation
  • Network strength and adequacy
  • Performance improvement program design and review
  • Regulatory compliance
  • Optimal reimbursement

Qsource’s EQRO Division

Qsource serves as an independent external quality review organization (EQRO) for Medicaid programs and Children’s Health Insurance Programs (CHIPs). We evaluate the quality, timeliness and accessibility of services provided to the adults and children receiving managed care through Medicaid and CHIP health plans, and dual-eligible special needs plans (D-SNPs). 

Check

Assesses contractual and regulatory compliance requirements

Gears

Formulates study and sampling methods

Graph

Develops audit and data collection tools

Magnifying Glass

Performs data aggregation and statistical analyses