The Quality Management Department oversees quality assurance and improvement activities throughout Partners and its Provider Network.
Category: Quality Management and Corporate Compliance
At Partners, we think of ourselves as an MCO…a Member Care Organization™.
The system of care we manage is shaped by the choices of our members and their families and designed to meet the unique needs of each of the communities we serve.
NC-TOPPS
The North Carolina Treatment Outcomes and Program Performance System, also known as NC-TOPPS, is a web-based system developed and maintained by the NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services for gathering outcome and performance data on behalf of mental health and substance abuse consumers in North Carolina’s public system of services.
Incident Reporting
An incident is defined as any happening that is not consistent with the routine operation of a facility or service, or the routine care of a consumer that is likely to lead to adverse effects to the individual. Incidents are classified into three categories (Level I, Level II, and Level III) according to the severity […]
Regulatory Compliance
Health Information Management
Partners’ Health Information Management Department is responsible for the protection of consumers’ medical records.
Program Integrity
Partners is charged with ensuring that funds are being used for the appropriate level and intensity of services as well as in compliance with federal, state, and general accounting rules. The Partners’ Program Integrity Unit is responsible for billing audits for contracted providers.