Quality Improvement Program

The Quality Improvement (QI) Program is an important part of Iowa Total Care. The program creates plans, puts those plans into action, and measures efforts to improve your health and safety.

The QI Program monitors the quality of care and services provided in the areas below:

Making sure members get the care they need, when and where they need it
Making sure that members are receiving quality care
Cultural needs of our members
Member satisfaction
Patient safety and privacy
Offering a wide variety of provider specialties
Health plan services members are using

The goal of the QI program is to improve member health, safety, and satisfaction. This is achieved through many different activities. Some of our Quality Improvement goals include the following:

Good health and quality of life for all members
Care provided by the Health Plan’s Providers meets industry-accepted standards of care
Member services meets industry-accepted standards of performance
Provide members with Preventive Care reminders annually
Member experience will meet the Iowa Total Care’s expectations
Compliance with all State and Federal laws and regulations
Evaluate the quality of health care by looking at certain performance measures
Member satisfaction meets Iowa Total Care’s targets

For questions about the QI Program and our progress on meeting goals, call the Member Services department at
1-833-404-1061 (TTY: 711) and ask to be connected to the quality department. Questions can also be emailed to: Quality@iowatotalcare.com.

The QI Program also reviews services provided to our members. We have clinical practice guidelines for certain conditions. If you would like a copy of these guidelines or need more information about programs call or email us at:
1-833-404-1061 (TTY: 711) or Quality@iowatotalcare.com.

Information and/or a full copy of Iowa Total Care’s current QI Program Description is available upon request by calling
1-833-404-1061 (TTY: 711) or emailing us at Quality@iowatotalcare.com.