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Quality Management

Quality is not just a “task” at AllMed, it is the basis of our corporate culture and guides all levels of our daily operations.  AllMed is committed to exceeding our customers’ expectations with every interaction and our Quality Management Program is key to that commitment. Our quality initiatives touch all aspects of the organization – from recruiting reviewers and staff through credentialing, training, reviewing, monitoring, auditing and measuring client satisfaction. Our Quality Management Committee members play an active role in each of those steps and are driven to proactively develop new ways to save time, increase efficiency, and improve our customer interactions.  Open and ongoing communication with our customers provides multiple opportunities to identify and rectify problems before they affect review outcomes. We employ a multi-step process to ensure accuracy, thoroughness, application of standards, and timeliness:

  • Reviews are audited by our Medical Directors for consistency, application of standards, thoroughness and timeliness
  • Reviews are re-audited before distribution to ensure quality and accuracy
  • Peer specialty reviewers are fully credentialed
  • Reviewers utilize accepted standards of care and apply evidence-based guidelines to determinations
  • Reviewers receive ongoing training from our Medical Directors and Office of Professional Standards

Goals of the Quality Management Program

The goal of the Quality Management Program is consistency, efficiency, and accuracy in all we do. Some methods for meeting this goal include:

  • Assuring compliance with regulatory and accrediting standards
  • Auditing to ensure consistent application of internal policies and procedures
  • Integrating activities between departments
  • Fostering a culture of quality
  • Initiating corrective action where problems are identified
  • Identifying continuing education needs of staff
  • Providing periodic training for staff and reviewers
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