Pharmacy benefit manager program to identify drug interactions

Prevent prescription drug errors/interactions at points of service

Pharmacy benefit manager software

Distribute patient safety information to members via Living Well

Improved member awareness of ways they can increase patient safety

Member feedback (e.g. Consumer Advisory Council)

Improve continuity and coordination of behavioral and medical care to avoid miscommunication leading to poor outcomes

Avoid medical errors such as medication interactions, etc. that result from lack of communication when multiple providers are involved in a member's care

Chart audits; practitioner surveys

Evaluate clinical practices against aspects of asthma, diabetes, and depression clinical guidelines that improve safe practices

Increase the percent of members receiving care consistent with national guidelines

HEDIS, member questionnaires

Tracking and trending adverse event reporting to identify systems issues that contribute to poor safety

Identify trends in adverse events in order to identify outliers and develop systems to reduce such occurrences

Hospital nursing staff concurrent review, quarterly claims reporting on adverse events

Analyze and take action on complaint and satisfaction data that relate to clinical safety

Identify trends in member complaints in order to identify outliers and develop systems to reduce complaints about care and service

Quarterly complaint reports

Implement disease management systems that include follow-up systems to ensure that care is received in a timely manner

Increase the percent of members receiving timely care

HEDIS