Quality Improvement Library
Welcome to the Quality Improvement Library. Here, you will find various resources that Magellan of PA hopes will be beneficial to you.
Quality Matters at Magellan
Quality care for our members and their families is important to us. We constantly measure the quality of our member services. We are proud of the care that Magellan members receive today. And, we are always looking for ways to make them better.
Read about our accomplishments and opportunities.
Helping Providers E-connect with Members
In a fast-paced world filled with technological advances, consumer advocates and accreditation bodies are asking providers to become innovators in connecting members to services quickly. Magellan supports the goal of increasing the utilization of secure technology to make accessing services more convenient for members.
As a provider, here are some ways you might consider using technology in these areas of service:
- E-visit: Communicate with members via email after the first face-to-face visit.
- E-prescribing: Ask the physician to send a prescription directly to the member’s pharmacy.
- Refill reminders: Send email reminders to members when it is time to refill medications.
- E-appointment: Provide a secure means for members to schedule appointments electronically.
- Online personal health records: Provide a secure means for members to track their personal health information online.
Adverse Incident Reporting
As part of Magellan's incident management process, the designation of an incident as a "Sentinel Event" has been added.
This designation will allow for clearer communication between the provider and Magellan so that we can provide timely responses to situations of imminent patient safety concern.
Magellan's definition of a Sentinel Event is consistent with The Joint Commission's 2015 Sentinel Event Policy and Procedures for Behavioral Health Care accredited facilities (see page 2).
Appendix A to the Pennsylvania HealthChoices Supplement to the Magellan National Provider Handbook offers an updated Incident Reporting Form, Provider Instructions and Definitions. Please note that the form is now located at the beginning of the document for convenience and rapid access.
We request that providers begin using the new form effective immediately, and call Magellan's Quality Improvement Department at 877-769-9779 if an incident is identified as a Sentinel Event.
For questions, please contact Randi Rosenthal at RKRosenthal@MagellanHealth.com or 215-504-3926.