Quality Improvement

​The mission of KYHC is to provide members the highest quality health care services at the lowest possible cost.  KYHC is committed to improving the health status of the population it serves while delivering high quality cost-effective treatment in an environment that provides prompt access to services and continuous quality improvement.  KYHC is dedicated to ensuring that each member receives the most appropriate care and treatment by the practitioner most qualified to meet the member’s needs and preferences.

For a complete description of our Quality Improvement Program, please click the following link: Quality Improvement Program Description

HEDIS®

As part of our commitment to members, KYHC carries out a yearly survey called the “Healthcare Effective Data and Information Set (HEDIS®). This survey provides us with the information on the healthcare services being provided to our members. HEDIS® includes the measurement of services being provided to our members such as:

• Well Child Care for Children
• Mammogram (Breast Cancer) screening for women
• Colonoscopy (Colon Cancer) screening for men and women between the ages of 50 and 75

Consumer Assessment of Healthcare Providers & Systems (CAHPS®)

CAHPS® is an annual survey where members are selected at random and asked questions about how they feel about their provider and the services they receive. The survey is a standardized tool that has been used for more than fifteen years. The end result, and goal, of the CAHPS® is to give us a better understanding of how our membership views the services they are provided and the people that provide them.

Clinical Practice Guidelines (CPG’s)

“Clinical Practice Guidelines” are developed using standards of evidence based medicine. Based on history, outcomes and consensus of medical experts the CPG’s are parameters in which your physicians’ treatment plan is designed to produce the best possible outcome for each member.

Preventive Health Guidelines

What is preventive health care? Preventive care lets your doctor find potential health problems BEFORE you feel sick. Preventive care can include but is not limited to immunizations, lab tests, physical exams and prescriptions.

​Clinical Practice Guidelines

• American College of Obstetrics and Gynecologists – specific topic guideline available upon request (contact us, option 5)
• Global Initiative for Chronic Obstructive Lung Disease (Gold)
• Guidelines for the Diagnosis and Management of Asthma (EPR-3)
• Hypertension Guidelines
• Ischemic Heart Disease
• National Comprehensive Cancer Network (NCCN). (Requires free registration to download & view)
• Perinatal Care, 7th Edition
• Standards of Medical Care in Diabetes - American Diabetes Association - 2015
• Women’s Health Care, A Resource Manual, 4th Edition

Preventive Health Guidelines

• USPSTF A and B Recommendations relevant for implementing the Affordable Care Act
• Adult Immunization Schedule
• American Academy of Pediatric Childhood Preventive Guidelines Periodicity Table of Visits
• Prenatal Health Maintenance Guidelines
• Recommended Immunization Schedule for Persons age 0 through 18 years

Topics of Interest

• How To Submit A Complaint
• As an easy way for both practitioners and members to stay up to date with practice guidelines, Kentucky Health Cooperative (KYHC) provides the following link to the National Guideline Clearinghouse