BHN is a recognized regional leader in the medical management industry with a record of highly successful performance in managing health care for both group health and workers’ compensation claims. The corporate goal is to provide clients with reliable health care delivery review that does not compromise necessary medical care. The intent of our Quality Management Program is to promote the delivery of quality care and correct treatment for the best outcome.
The BHN Quality Management Program is an ongoing, objective and systematic monitoring and evaluation of Medical Management processes and services. Opportunities for improvement are identified with the intent of development of appropriate actions to improve the outcomes of healthcare and services provided.
The purpose of BHN’s Quality Management Program is to ensure that quality improvement activities support fulfillment of BHN’s strategic intent in a manner consistent with its mission statement and response to external and internal customer needs and involvement.
The Quality Management Advisory Committee reviews the program annually. Regularly scheduled audits are conducted to ensure compliance with program objectives as well as with BHN’s policies and procedures, URAC, state/federal regulations.
The Quality Management Advisory Committee meets quarterly and is chaired by the Quality Management Coordinator. The Committee is composed of representatives from the major product lines.