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Health Care Quality Improvement Initiatives

Wellmark rewards participating providers for improving the quality and efficiency of care through Collaboration on Quality® (CoQ).

Collaboration on Quality Goals

  • Measure provider performance using nationally recognized measures of care for specific diseases and conditions.
  • Share information with providers to help them identify opportunities to deliver care more efficiently and effectively.
  • Share information with the public regarding the clinicians' participation and performance in the program.

CoQ Primary Care Program

Wellmark’s CoQ Primary Care Program is designed to promote the best possible health care for our members while supporting the clinician/patient relationship. More than 1,500 (50% +) of all primary care physicians in Iowa and South Dakota participate in the program.

How Does the Program Work?

  • Data from Wellmark and participating providers is collected on certain chronic conditions and diseases, and preventive care services.
  • Clinic-level data is evaluated and compared to national recognized best practice standards.
  • We then share the clinic-level program results in the Wellmark online provider directory.

 What Does the Program Measure?

  • The treatment of diabetes, asthma, and hypertension
  • The administration of childhood vacccines
  • Generic prescribing patterns and use of health information technology (electronic medical records and e-prescribing)

Program Benefits

  • Providers receive data and resources to help them improve the care they deliver, and are eligible for financial awards.
  • Patients receive care based on nationally recognized best practices.

 

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»   CoQ Program Manual
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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
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