Enhancing the health of our members 11.5. _________________________________________________________________________________. Section 11 Managed Care Quality Management (Central Region Products) Overall Goals and Objectives of Quality Management. A comprehensive Quality Management (QM) Program addresses the commitment of the Organization to. environments that improve clinical quality, support safe clinical practices and enhance services to members.
Net Promoter. Net Promoter or Net Promoter Score (NPS) is a management tool that can be used to gauge the loyalty of a firm's customer relationships. It serves as an alternative to traditional customer satisfaction research and claims to be correlated with revenue growth.
National Provider Identifier. A National Provider Identifier or NPI is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the unique physician identification number (UPIN) as the required identifier for Medicare services, and is used by other payers, including commercial healthcare insurers. The transition to the NPI was mandated as part of the Administrative Simplifications portion of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and CMS began issuing NPIs in October 2006.