Quarterly Crossword

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Across
  1. 4. Reporting that enables the accessibility of health care networks to be accurately measure based on the geographic locations of health care providers relative to those of the members being served.
  2. 5. An expression of dissatisfaction logged by a member, a member's authorized representative or a provider concerning the administration of the plan and/or services received.
  3. 8. Optum Idaho is committed to this.
  4. 9. Projects designed to achieve, through ongoing measurements and intervention, significant improvement sustained over time.
  5. 11. How do we know if services are benefiting members?
  6. 13. A serious, unexpected occurrence involving a member that is believed to represent a possible Quality of Care Concern on the part of the provider or agency providing services, which has, or may have, detrimental effects on the member
  7. 14. How do we know how members are feeling about the services they receive?
Down
  1. 1. Quality of Care
  2. 2. Quality of Service
  3. 3. How is the member satisfaction survey completed?
  4. 6. Optum requires that network providers adhere to specific access standards for this.
  5. 7. Tool used to measure member and provider satisfaction
  6. 10. Optum Idaho measures this on a continual basis to ensure the needs of IBHP members and providers are being met.
  7. 12. Adverse Benefit Determination