Quality Assessment and Performance Improvement
We are committed to the provision of a well-designed and well-implemented Quality Improvement (QI) program. Our culture, systems and processes are structured around this mission to improve the health of all enrolled members.
The scope of the QI Program is comprehensive and addresses both the quality and safety of clinical care and quality of services provided to Nebraska Total Care's members including medical, behavioral health, and vision care. We incorporate all demographic groups, care settings, and services in QI activities, including preventive care, emergency care, primary care, specialty care, acute care, short-term care, and ancillary services.
Goals & Objectives
Our primary quality improvement goal is to improve members’ health status through a variety of meaningful quality improvement activities implemented across all care settings and aimed at improving quality of care and services delivered.
One way to assess the quality of the health plan and its provider network is through the Consumer Assessment of Healthcare Providers and Systems, or CAHPS. Annually, results of Nebraska Total Care’s member satisfaction survey can be found in the Nebraska Total Care’s Health Plan Quality Improvement Evaluation posted to this website.
As a healthcare provider, you should know about CAHPS and what the CAHPS survey is asking your patients about Physician Communication. See the CAHPS Overview to learn what physicians can do to improve communication with our members.
- CAHPS Overview for Physicians
- CAHPS Provider Reminders for Member Satisfaction
For consideration to participate in the Nebraska Total Care network, all licensed physicians and other licensed healthcare professionals who have an independent relationship with Nebraska Total Care must complete an application for participation and submit copies of applicable supporting documentation.
Cultural Competency Plan
Nebraska Total Care is committed to establishing multicultural principles and practices throughout its organizational systems of services and programs. That mission is supported by facilitating the process by which Nebraska Total Care can respond to the health care needs of all individuals, regardless of their ethnicity, cultural, religious beliefs or language. Our Cultural Competency plan is reviewed and updated annually.
Participation in QI
Nebraska Total Care requires providers and practitioners to cooperate with all Quality Improvement activities, as well as allow the use of provider and/or practitioner performance data, to ensure the success of the QI Program. If you are interested in learning more about Nebraska Total Care's QI Program, please contact Nebraska Total Care at 1-844-385-2192, Nebraska Relay Service 711 and ask to speak with the Quality Improvement Department.