ODS. Healthcare from your head to your toes.

Quality improvement programs

ODS is committed to providing high-quality healthcare services for all our members.

Quality programs oversight

The ODS Board of Directors oversees all ODS quality programs. It delegates their operation to the Medical Quality Improvement Committee (MQIC) whose members, including senior executives and the company’s chief medical officer, represent key service areas of the health plan. Using industry-standard tools, the committee monitors, measures and evaluates the quality of services provided to members throughout the year.

Quality programs measurement

Quality of care.
We use the Healthcare Effectiveness Data and Information Set (HEDIS), a standardized set of health plan industry measures, to gauge our performance. Using HEDIS, we measure the quality of preventive health, early diagnosis and management of chronic disease among our programs and contracted providers. We also use HEDIS to monitor the progress of quality improvement projects as well as identify ways to improve the health of our members and improvement opportunities in how ODS providers care for our members.
Member satisfaction.
Every year, we administer the Consumer Assessment of Health Providers and Systems (CAHPS) survey. CAHPS is a standardized survey that asks members to report on their experience with healthcare services. This survey includes ratings of our healthcare practitioners and our health plan.
Health plan accreditation.
The National Committee for Quality Assurance (NCQA) awarded its accreditation status of Commendable to the ODS Oregon Commercial Preferred Provider Organization (PPO) lines of business. NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of healthcare plans and organizations. Its mission is to improve healthcare quality and to help consumers, employers and others make more informed healthcare choices.

We welcome comments and questions about our efforts to monitor and improve healthcare quality. Please contact ODS Professional Relations if you have any questions.

Medical Record Survey results 2010