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Quality Improvement/Utilization Management Committee

With a commitment to the community of Kern County and the members of Kern Health Systems (KHS), the Quality Improvement/Utilization Management Committee (QI/UMC) is dedicated to improving the health status of members, while maintaining the medically appropriate and efficient use of available resources.  The QI/UMC oversees all covered health care services delivered to members by systematic methods that develop, implement, assess and improve the integrated health delivery systems of KHS.  All contracting providers of the Plan will participate in the Quality Improvement (QI) activities.   The Plan’s goal is to attain satisfied, healthy members and numerous collegial partners in the health care community.

The QI/UMC provides oversight for the QI and UM Programs and is composed of:

1 KHS Medical Director (Chairperson)
2 Participating Primary Care Physicians
2 Participating Specialty Physicians
1 Participating Home Health Representative
1 Kern County Public Health Officer
1 Participating Mid-Level Practitioner
2 Other Participating Ancillary Representatives
1 Participating Hospital Representative
QI Manager and Staff (Committee staff support)

The QI/UMC meets at least quarterly but as frequently as necessary to ensure follow-up on all findings and required actions. Issues needing immediate assistance that arise prior to the next scheduled meeting are reviewed by the medical director and reported back to the QI/UMC when applicable.

Quality Improvement Utilization Management Committee
Meeting Agenda and Packet
November 15, 2018 

Click here to view past QI/UM Committee Meeting Packets and Minutes