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Blue Cross and Blue Shield of North Carolina Remains Committed to Excellent Health Care Quality

QI Program Description

Blue Cross and Blue Shield of North Carolina (BCBSNC) remains committed to excellent healthcare quality. BCBSNC proudly participates in the National Committee for Quality Assurance (NCQA) accreditation process, achieving Excellent accreditation for our HMO/POS lines of business, and Full accreditation (the highest possible rating) for our PPO Line of Business. Blue Cross and Blue Shield of North Carolina continues to be the only plan in North Carolina with an NCQA accreditation for PPO.

   

Quality Improvement Program Highlights

Member Satisfaction

BCBSNC has achieved the highest overall ratings of North Carolina health plans in member satisfaction. BCBSNC scored significantly above the South Atlantic average and is advancing on the nationwide 90th percentile benchmark for member satisfaction. BCBSNC members rated satisfaction with personal doctors and specialists very highly. Members also reported high satisfaction with receiving care quickly as well as helpful and courteous office staff. BCBSNC far outpaced our competitors with the highest member satisfaction scores among health plans in North Carolina.

Thank you to our providers for helping Blue Cross and Blue Shield of North Carolina achieve these excellent scores.

Source: Consumer Assessment of Healthcare Providers and Systems® (CAHPS) survey, 2006

Effectiveness of Care Measures

BCBSNC maintained consistent performance on nearly all measures of effectiveness of care. Rates for childhood immunizations, appropriate use of asthma medications, beta blocker treatment after a heart attack, diabetes care, and cervical cancer screening remain strong. We have accomplished significant improvements in colorectal cancer and chlamydia-screening rates-- two areas of focus for BCBSNC’s member outreach efforts. Some areas for improvement include adherence to antidepressant medications, follow up after hospitalizations for mental health illnesses, and timeliness of prenatal and postnatal care.

Source: NCQA Health Plan Employer Data and Information Set, 2006

If you have questions or ideas to aid us in our quality improvement efforts, please contact your Quality Management Consultant. Information about the BCBSNC Quality Improvement program is available upon request by emailing us at quality@bcbsnc.com.