Texas Children’s Health Plan is continuing its pursuit of an accreditation from the National Committee for Quality Assurance (NCQA). This is the most widely-recognized accreditation program in the United States and going through the process demonstrates the health plan’s commitment to quality.
“The fact that we are continuing our process in the face of COVID-19 demonstrates the high level of commitment we have to our members,” said Emmalou Torres Cabrera, Director of Quality Management at Texas Children’s Health Plan. “The quality of our care isn’t wavering due to this pandemic. In fact, we are working to ensure that we raise the bar even more so.”
The first big milestone in the process was completed on April 14 with the submission of 262 documents. The next step is preparing for the file review that surveyors will focus on during the virtual audit, which replaces the onsite visit on June 1 and June 2.
Cabrera extends appreciation to everyone involved in the process, with special recognition to Quality Improvement Specialists Rosendo Cardoso Gonzalez, Jeremiah Judkins and Joshua Fernelius.
NCQA surveyors will ensure that the health plan is meeting quality standards in the following areas:
- Quality Management and Improvement
- Population Health Management
- Network Management
- Utilization Management
- Credentialing and Re-credentialing
- Members’ Rights and Responsibilities
- Member Connections
For more information about the National Committee Quality for Assurance, visit NCQA.org