Capital Health Plan's Vision for Quality

CHP will maintain a reputation as a local, state, and national leader in quality of care and service through

  • Excellent accreditation ratings
  • Industry-leading member satisfaction
  • Very low voluntary disenrollment
  • Industry-leading benchmark performance on clinical outcome measures

Capital Health Plan's Quality Improvement Program

The purpose of Capital Health Plan's quality improvement program is to provide health care services that are

  • SAFE: ensuring that health care services provided for members do not cause harm.
  • EFFECTIVE: providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit.
  • PATIENT-CENTERED: providing care that is respectful of and responsive to individual patient preferences, needs and values; ensuring that patient values guide all clinical decisions.
  • TIMELY: reducing delays for both those who receive and those who provide care; providing care at a time when the care is likely to be most effective.
  • EFFICIENT: providing care that is free of waste, including waste of equipment, supplies, and time.
  • EQUITABLE: providing a consistent level of care for all members.

Improving Services for Members

CHP constantly works to improve services for our practitioners and members. Our program of quality improvement uses information from many sources to identify services that could be improved.

For example, we use feedback from our practitioners and members that we obtain from satisfaction surveys, complaints, and grievances. Changes are implemented to improve the identified services. We then monitor future information to make sure that we are better meeting the needs of our practitioners and members. CHP appreciates feedback from members; we listen and work to respond to their needs.

Status of CHP's Quality Activities

The National Committee for Quality Assurance (NCQA) is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of health plans. CHP has maintained an Excellent Accreditation Rating, the highest accreditation rating possible from NCQA for over seven years. Click on the NCQA web-site below to request a report card for CHP. The report card will display how well CHP is currently rated for specific topics such as Staying Healthy, Living with Illness, Access & Service and Qualified Providers.

NCQA: Report Cards for Health Plans

The web-sites listed below provide additional quality report cards that you can use to evaluate healthcare providers.