Quality Management and Improvement Program

Program Description Summary

Trillium Community Health Plan (Trillium) is a company helping people in Lane County and providing health plans in Oregon. Trillium works with many kinds of doctors to help improve the health and well-being of all members.

Trillium supports the Triple Aim:

  • Increase quality of care.
  • Help people in the area have better health.
  • Lower costs.

The Quality Management and Improvement (QMI) Program helps Trillium meet the Triple Aim. The QMI Program sets goals to support Trillium’s work to make healthcare better. The program monitors many healthcare services, including for mental and physical health. The program also looks for ways to make them better.

  • Good care for members.
  • Easier access to care.
  • Increased member safety.
  • To meet members’ needs with special or complex care.
  • To meet members’ needs from different backgrounds.

By:

  • Gathering members’ opinions.
  • Looking over complaints from members.
  • Doing site visits of doctors’ offices.
  • Setting up care for members with special or complex needs.
  • Making sure information is available in different formats.
  • Measuring our performance.
  • Checked members’ daily living activities.
  • Helped members get medications reviewed after being in the hospital.
  • Helped members get diabetes tests.
  • Helped members get the care they needed.
  • Helped doctors communicate with members better.
  • Helped members get information or help.
  • Treated members with courtesy and respect.
  • Helped members get the drugs they need and the information about the coverage and cost.

Help members:

  • Get colorectal cancer screenings.
  • With diabetes control their blood sugar.
  • See the doctor during pregnancy.
  • Manage care by making sure doctor’s office give test results as soon as needed. Also make sure doctors know members’ health and specialty care history before giving drugs.
  • Get annual flu vaccine (and remember that they did it!).
  • Easily get an appointment with a specialist or schedule a test or treatment they need.
  • Have wellness visits every year.
  • Understand your health problem and talk about what you want for your health with your doctors.
  • Follow your doctors’ and pharmacists’ directions or ask for another choice.
  • Fill out member surveys when you get them. Let us know what you think about the care you received.

You can call Member Services if you want a full copy of QMI documents. QMI documents include Program Description, Work Plan, and Annual Evaluation. 

*Based on Trillium 2016 HEDIS (Healthcare Effectiveness Data and Information Set) score and CAHPS (Customer Assessment of Healthcare Providers and Systems) results.


Last Updated: 11/30/2017
H2174_18_5396WEB_Approved_12112017