Quality Improvement

Maryland Physicians Care has a Quality Management (QM) Program. The QM Program monitors and assesses the health care services delivered to our members. The goal is to deliver high-quality care and services to all members.
Every year Maryland Physicians Care measures our progress against goals. We measure all parts of the QM Program. That includes clinical and service activities like:

• Promoting health care safety with member and provider education.
• Establishing preventive health and clinical practice guidelines. These help members understand what kind of services they need and how often they’re needed.
• Making sure members have access to qualified health care professionals.
• Ensuring members are receiving appropriate preventive care. Examples of preventive care are:
  • Annual flu shots
  • Child immunizations (shots)
  • Eye tests
  • Cholesterol tests
  • Breast Cancer Screenings
  • Care for women before and after the baby is born
• Evaluating member quality of care concerns and taking action as needed.
• Conducting surveys to see if members are satisfied with the services they are receiving from their doctors.

For more information about our Quality Management Program, please contact Member Services at 1-800-953-8854.

MEMBER SATISFACTION SURVEY
2024 Satisfaction Survey Results (PDF)

2025 GOALS (Quality Improvement Program)

Listed below are some of our goals for 2025:

• Increase member satisfaction results from 2024.
• Ensure the provider network has sufficient numbers and types of primary care
  and specialty care practitioners so members have access to needed care.

• Ensure that the provider network is diverse in race, ethnicity, and language and
  aligns with the membership.

• Increase the rate of members who receive lead tests on schedule.
• Reduce the number of members using high dose opioids.
• Reduce the number of non-emergent cases from emergency departments
  through care coordination.

• Increase the number of pregnant members who get their post-partum exam on
  time.

• Increase the number of members who have at least one well visit with a primary
  care doctor.

• Increase the number of adult women who complete cervical cancer screening as
  recommended.

• Increase the number of members who use asthma controller medication.
• Increase the number of members with diabetes or cardiovascular disease who
  use statin therapy.

• Ensure that members are connected to Care Management services to assist with
  coordination of care.

• Continue providing health and wellness promotion and education activities.
• Decrease health disparities by promoting Culturally and Linguistically appropriate
  services.

2024 ACCOMPLISHMENTS (Quality Improvement Program)

Listed below are some of our 2024 accomplishments:

• Increased member satisfaction results from 2023.
• Ensured the provider network had sufficient numbers and types of primary and
  specialty care practitioners so members have access to needed care.

• Increased the rate of members who received lead tests on schedule.
• Reduced the number of members using high dose opioids.
• Increased the number of pregnant members who received their post-partum
  exam on time.

• Increased the number of members who had at least one well visit with a primary
  care doctor.

• Maintained the number of adult women who received cervical cancer screening
  as recommended.

• Increased the number of members who used asthma controller medication.
• Increased the number of members with diabetes or cardiovascular disease who
  use statin therapy.

• Ensured that members are connected to Care Management services to assist
  with care coordination.

• Continued providing health and wellness promotion and education activities.
• Decreased health disparities by promoting Culturally and Linguistically
  appropriate services.

2024 GOALS (Quality Improvement Program)

Listed below are some of our goals for 2024:

• Increase member satisfaction results from 2023.
• Ensure the provider network has sufficient numbers and types of primary care
  and specialty care practitioners so members have access to needed care.

• Increase the rate of members who receive lead tests on schedule.
• Reduce the number of members using high dose opioids.
• Increase the number of pregnant members who get their post-partum exam on
  time.

• Increase the number of members who have at least one well visit with a primary
  care doctor.

• Increase the number of adult women who complete cervical cancer screening as
  recommended.

• Increase the number of members who use asthma controller medication.
• Increase the number of members with diabetes or cardiovascular disease who
  use statin therapy.

• Ensure that members are connected to Care Management services to assist with
  coordination of care.

• Continue providing health and wellness promotion and education activities.
• Decrease health disparities by promoting Culturally and Linguistically appropriate
  services.