Skip left navigation

Quality Management (QM) Program - Chapter 13, 2018 UnitedHealthcare Administrative Guide

The QM program helps ensure access to health care and services with an assessment process using established quality improvement principles.

We use our QM program to:

  • Identify the scope of care and services given
  • Develop clinical guidelines and service standards where clinical performance is measured
  • Monitor and assess the quality and appropriateness of services given to our members
  • Review the medical qualifications of participating health care professionals
  • Achieve continued improvement of member health care and services
  • Enhance patient safety and confidentiality of member medical information
  • Resolve identified quality issues

Our board of directors oversees the QM program. The Regional Quality Director and Senior Medical Director are in charge of day-to-day QM operations.