BHP’s Quality Management and Improvement Program
The BHP Quality Program provides the framework by which BHP assesses and improves the quality of care and service, clinical outcomes, and customer satisfaction throughout the network. BHP is a fully accredited NCQA Managed Behavioral Health Organization. Full Accreditation is granted for a period of three years to those plans that have excellent programs for continuous quality improvement and meet NCQA’s rigorous standards.
BHP currently has numerous quality programs and initiatives and several departments within BHP collaborate to provide data, analytics and support for the quality program and activities. In general BHP’s quality programs fall into the following categories:
- Clinical Services
- Member Services
- Network Services
- Preventative Health and Screening Services
- Clinical Practice Guidelines
- Patient Safety
BHP reports on the results of their quality program in the annual year report. You can view a copy of the most recent year-end report to the right in our download column.
Clinical Practice Guidelines
BHP has developed four clinical practice guidelines to help practitioners make decisions about appropriate health care for specific clinical circumstances.
- ADHD Clinical Practice Guideline
- Bipolar Clinical Practice Guideline
- Chemical Health Clinical Practice Guideline
- Depression Clinical Practice Guideline
Behavioral Health Screening Programs
BHP has two defined behavioral health screening programs; one is designed to screen for co-existing mental health and substance use disorders, the other is designed to screen for Generalized Anxiety Disorder. The screening program for co-existing conditions utilizes results from the PHQ-9 and the CAGE-AID, while the screening program for Generalized Anxiety Disorder utilizes the GAD-7 screening tool. These screening programs assist BHP staff in identifying potential mental health and substance use concerns in members. BHP uses the results of these screening programs to help members access and schedule appropriate behavioral health services and also coordinates care by relaying the results of the screening program to any providers or practitioners the member is scheduled with. The co-existing screening program is administered to eligible members through BHP’s Intake department and through the Complex Case Management Program (POP). The screening program for Generalized Anxiety Disorder is also administered through the Complex Case Management Program (POP).
If you have questions about our quality program, please
contact us via email at firstname.lastname@example.org