In order to evaluate and manage the performance of individual providers in its provider network, the Quorum Health Plan implemented a program that focuses on identifying the best and worst outcomes and utilization patterns of its providers. This program is also designed to develop and implement strategies such as treatment protocols and practice guidelines to improve the performance of Quorum's providers. This information indicates that Quorum implemented a program known as:
A) An integrated delivery system (IDS)
B) A coordinated care program
C) Ostensible agency
D) Continuous quality improvement (CQI)

Question

Quizplus · Accepted Answer

The program described in the statement focuses on identifying best and worst outcomes and utilizing patterns of providers, and developing and implementing strategies to improve performance, which aligns with the principles of Continuous Quality Improvement (CQI). Therefore, the answer is D. An Integrated Delivery System (A) is a network of healthcare providers and organizations that provide coordinated care to patients, while coordinated care program (B) refers to a program designed to improve patient outcomes and reduce healthcare costs by integrating and coordinating care. Ostensible agency (C) is a legal concept relating to the relationship between a principal and an agent.

In Order to Evaluate and Manage the Performance of Individual