Quality Improvement Committee

Quality Improvement/Utilization Management Committee

With a commitment to the community of Kern County and the membership of Kern Health Systems, the Quality Improvement/Utilization Management Committee is dedicated to improving the health status of KHS members, while maintaining the medically appropriate and efficient use of available resources.  The Quality Improvement/Utilization Management Committee oversees all care and services delivered to KHS members by systematic methods that develop, implement, assess, and improve the integrated health delivery systems of KHS.  All practitioners/providers of the Plan will participate in the Quality Improvement activities. KHS' 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)
1 Participating Primary Care Physician
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.