Quality Improvement

Maryland Physicians Care has a Quality Management (QM) Program. The QM Program monitors and assesses the health care services delivered to our members. The goal is to deliver high-quality care and services to all members.
Every year Maryland Physicians Care measures our progress against goals. We measure all parts of the QM Program. That includes clinical and service activities like:

• Promoting health care safety with member and provider education.
• Establishing preventive health and clinical practice guidelines. These help members understand what kind of services they need and how often they’re needed.
• Making sure members have access to qualified health care professionals.
• Ensuring members are receiving appropriate preventive care. Examples of preventive care are:
  • Annual flu shots
  • Child immunizations (shots)
  • Eye tests
  • Cholesterol tests
  • Breast Cancer Screenings
  • Care for women before and after the baby is born
• Evaluating member quality of care concerns and taking action as needed.
• Conducting surveys to see if members are satisfied with the services they are receiving from their doctors.

For more information about our Quality Management Program, please contact Member Services at 1-800-953-8854.

MEMBER SATISFACTION SURVEY
2023 Satisfaction Survey Results (PDF)

2024 GOALS (Quality Improvement Program)

Listed below are some of our goals for 2024:

• Increase member satisfaction results from 2023.
• Ensure the provider network has sufficient numbers and types of primary care and specialty care practitioners so members have access to needed care.
• Increase the rate of members who receive lead tests on schedule.
• Reduce the number of members using high dose opioids.
• Increase the number of pregnant members who get their post-partum exam on time.
• Increase the number of members who have at least one well visit with a primary care doctor.
• Increase the number of adult women who complete cervical cancer screening as recommended.
• Increase the number of members who use asthma controller medication.
• Increase the number of members with diabetes or cardiovascular disease who use statin therapy.
• Ensure that members are connected to Care Management services to assist with coordination of care.
• Continue providing health and wellness promotion and education activities.
• Decrease health disparities by promoting Culturally and Linguistically appropriate services.

2023 ACCOMPLISHMENTS (Quality Improvement Program)

Listed below are some of our 2023 accomplishments:

• Maintained member satisfaction results from 2022.
• Ensured that the provider network had sufficient numbers and types of primary care and specialty care practitioners for members to access needed care.
• Increased the number of child members who received lead screenings.
• Reduced the number of members using high dose opioids.
• Increased the number of pregnant members who got their post-partum exam on time.
• Increased the number of members who had at least one well visit with a primary care doctor.
• Increased the number of adult women who completed their cervical cancer screening.
• Increased the number of members who used asthma controller medication.
• Ensured that members were connected to Care Management services to assist with coordination of care.
• Provided ongoing health and wellness promotion and education activities.

2023 GOALS (Quality Improvement Program)

Listed below are some of our goals for 2023:

• Increase member satisfaction results from 2022.
• Ensure that the provider network has sufficient numbers and types of primary care and specialty practitioners so that members have access to care as needed.
• Increase the rate of members who receive lead tests on schedule.
• Reduce the number of members using high dose opioids.
• Increase the number of pregnant members who get their post-partum exam on time.
• Increase the number of members who have at least one well visit with a primary care doctor.
• Increase the number of adult women who complete cervical cancer screening as recommended.
• Increase the number of members who use asthma controller medication.
• Ensure that members are connected to Care Management services to assist with coordination of care.
• Continue health and wellness promotion and education activities.