76dafc0b_CareFirst_BlueCross_BlueShield__2013_QI_Program_Goals
[Evaluation] Continuing to use the MedVantage HealthSmart application, used to build a library of evidence-based clinical quality measures and care alerts. CareFirst monitors and reports compliance with guidelines by using claims data and verification from practitioners. Physicians can monitor their patients’ compliance and any gaps in care. Providing SearchLight reports to PCMH panels, allowing PCMH practices access to secured, web-based data and reporting. Providing Program Consultants to PCMH practices; the consultants visit with practitioners to review SearchLight data and highlight opportunities for increased cost savings and improved quality. The consultants also reinforce the availability and functionality of portal tools that are available to PCPs to assist them with population management. [2013 QI Program Goals] 
Provide data that encourages clinicians to practice evidence-based medicine and make informed choices when making referrals.
Quality Improvement Program | CareFirst BlueCross BlueShield
2013 QI Program Goals