Quality Management

CBH’s Quality Management (QM) Program aims to provide the structure and processes to improve clinical care and service quality for our members. QM program development includes multidirectional input from the Board of Directors, Officer Team, Quality Improvement Committee, members, and providers. CBH requires that providers develop internal quality improvement processes that enhance and support the quality of care delivered.

Provider Participation in Quality Improvement Activities

CBH requires that providers cooperate in activities that improve the quality of care and services and member experience. This includes collecting and evaluating data and participating in CBH’s quality improvement (QI) activities. Such activities may include, but are not limited to:

• Providing the information requested through Provider Bulletins and Provider Notices
• Adhering to Clinical Practice Guidelines and Performance Standards
• Participating in Quality Management activities, including chart reviews, root cause analysis, action plans, quality improvement plans, and the complaint and grievance processes
• Reporting on Performance Metrics requested through the P4P, VBP, and the performance evaluation processes
• Engaging in credentialing activities

Performance Improvement Projects (PIPs)

PIP to Improve Suicide Prevention and Community Resilience

CBH has launched the Performance Improvement Project (PIP) to Improve Suicide Prevention and Community Resilience, as mandated by the Office of Mental Health and Substance Abuse Services (OMHSAS). This initiative aims to enhance suicide prevention efforts by implementing new performance indicators and targeted interventions. As such, CBH providers will be responsible for implementing screening tools for depression, suicide risk, and health-related social needs (HRSN).

Read more about this PIP and access documentation here.

Quality Improvement Video Training Series

Quality is Everyone’s Responsibility! CBH has developed the Quality Improvement Video Training Series, a series of short informational videos, to provide a shared quality improvement language and support the use of Quality Improvement tools and methodology across our organization and within our entire network of care. Establishing a quality improvement framework enables organizations to develop a continuous, systematic approach to identify and solve problems, leading to measurable improvements in the quality of care and services delivered to members. There are many quality improvement frameworks available. CBH does not endorse a specific framework but recommends that network providers adopt an approach that best suits their organization.

The Quality Improvement Video Training Series provides an overview of quality improvement and methodologies, as well as basic quality improvement tools that can be utilized across quality improvement frameworks.