The Bureau of Quality
The Bureau of Quality helps to improve health outcomes for South Carolinians. The team focuses on identifying the success of interventions, accounting for provider and member input, and evaluating the South Carolina Department of Health and Human Services (SCDHHS) using state and national standards. The bureau also manages SCDHHS Quality Strategy and details in the Strategic Plan.
The Office of Early Intervention (BabyNet), Quality Metrics, Quality Assurance and Compliance and Community Initiatives all operate under the bureau.
Our Team
The Quality Assurance and Compliance team seeks to build a culture of continuous improvement within the organization through detailed reporting, strategic advising, and proactive leadership. The South Carolina Department of Health and Human Services runs an internal case review process to assess the quality of services provided to South Carolina Medicaid members. These reviews aim to evaluate the appropriateness and effectiveness of care. Objectives of the Quality Assurance and Compliance Team:
The Quality Assurance and Compliance team is committed to enhancing healthcare services and ensuring optimal outcomes through the following actions:
- Assessing and improving healthcare services to achieve the best possible outcomes.
- Monitoring and evaluating service delivery systems, provider networks, and internal processes to identify areas for improvement.
- Implementing action plans to address deficiencies and improve clinical operations and sharing findings with both internal and external stakeholders.
- Developing comprehensive reports that detail processes, metrics, and outcomes.
- Advising management on key findings and providing actionable recommendations for continuous improvement.
- Identify potential areas for improvement through education and/or training.
- Provider Training