Quality Improvement Program

Nebraska Total Care's Quality Improvement (QI) Program focuses on preventive health. The program creates plans, puts those plans into action, and measures efforts to improve your health and safety. 

The QI Program strives to make a difference in health outcomes. It develops actions to improve member and provider satisfaction. Nebraska Total Care involves providers within our plan. The providers assist with developing and monitoring activities of the QI Program as well as providing insight into preventive health resources and information.

For questions about the QI Program and our progress on meeting goals, call the Member Services department at 1-844-385-2192 (TTY: 1-844-307-0342 or Relay 711).

The QI Program also reviews services provided to our members. We have clinical practice guidelines for certain conditions. If you would like a copy of these guidelines or need more information about programs call us at 1-844-385-2192 (TTY: 1-844-307-0342 or Relay 711).

Information and/or a full copy of Nebraska Total Care's current QI Program Description is available upon request.

Resources

Hospital Compare was created through the efforts of the Centers for Medicare & Medicaid Services (CMS) in collaboration with organizations representing consumers, hospitals, doctors, employers, accrediting organizations, and other federal agencies.  It provides information about the quality of care at over 4,000 Medicare-certified hospitals across the country.

Physician Compare is a Centers for Medicare and Medicaid Services (CMS) website designed to help individuals make informed choices.  Information found on Physician Compare will give the address, specialty, ABMS board certification, hospital affiliation, gender, medical school education and residency information for group practices enrolled as Medicare providers.

Healthgrades is an online resource for information about physicians, hospitals and health care providers that includes ratings based clinical and quality outcomes.