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
2025 Satisfaction Survey Results (PDF)

2026 GOALS (Quality Improvement Program)

Listed below are some of our goals for 2026:

• Increase member satisfaction results from 2025.
• Ensure the provider network has sufficient numbers and types of primary care and specialty care practitioners so members have access to needed care.
• Ensure that the provider network is diverse in race, ethnicity, and language and meets the language, cultural, and accessibility needs of our members.
• Increase the rate of members who receive lead tests on schedule.
• Reduce the number of members using high dose opioids.
• Reduce the number of non-emergent cases from emergency departments through care coordination.
• 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 services that are appropriate and accessible to our members.

2025 ACCOMPLISHMENTS (Quality Improvement Program)

Listed below are some of our 2025 accomplishments:

• Increased member satisfaction results from 2024.
• Ensured the provider network had sufficient numbers and types of primary and specialty care practitioners so members have access to needed care.
• Increased the rate of members who received lead tests on schedule.
• Reduced the number of members using high dose opioids.
• Increased the number of pregnant members who received their post-partum exam on time.
• Increased the number of members who had at least one well visit with a primary care doctor.
• Maintained the number of adult women who received cervical cancer screening as recommended.
• Increased the number of members who used asthma controller medication.
• Increased the number of members with diabetes or cardiovascular disease who use statin therapy.
• Ensured that members were connected to Care Management services to assist with care coordination.
• Continued providing health and wellness promotion and education activities.
• Decreased health disparities by promoting Culturally and Linguistically
  appropriate services.

2025 GOALS (Quality Improvement Program)

Listed below are some of our goals for 2025:

• Increase member satisfaction results from 2024.
• Ensure the provider network has sufficient numbers and types of primary care and specialty care practitioners so members have access to needed care.
• Ensure that the provider network is diverse in race, ethnicity, and language and aligns with the membership.
• Increase the rate of members who receive lead tests on schedule.
• Reduce the number of members using high dose opioids.
• Reduce the number of non-emergent cases from emergency departments through care coordination.
• 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.