Medical Governance

The medical staff is organized into clinical departments and committees, each with specific responsibilitiesto ensure quality and active management of health care delivery.

  • Medical executive committee. Oversees all clinical activities in conjunction with the medical director.
  • Individual medical departments. Organized by geographic domain and medical specialty. Departments, led by two chairs, oversee operations and clinical programs within their region or clinical program and perform peer review of clinicians in conjunction with quality care committee and medical director. They report to the medical executive committee.
  • Quality care committee. Oversees all aspects of quality across the network, including peer review, evaluation of individual physician performance, network-wide CQI initiatives, and all patient satisfaction activities. They continuously monitor quality care reporting outputs and investigate deviations from standard. They design educational programs focused on delivery of quality care. All recommendations are forwarded to the medical executive committee and the medical director.
  • Credentialing committee. Reviews credentials on all prospective clinicians and during periodic re-credentialing. They work with an NCQA-accredited CVO and conform to all NCQA standards as well as any health plan-specific criteria.

Protocol-based Care

  • We have developed clinical care guidelines for 19 common presenting complaints. These guidelines utilize current standards of care, integrate the unique aspects of evaluating and treating such conditions in the telehealth environment, and are updated at least yearly. All providers have these guidelines to ensure care consistency, high quality care, and adherence to standards of care.

Regulatory and Legislative

  • Our teams monitor federal and state laws and regulations to assure that physicians are in compliance and to guide policies for safe practice in all jurisdictions.