MCNA Dental
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Texas Edition  •  October 2018
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MCNA's Performance Improvement Projects
MCNA's Performance Improvement Projects

Performance Improvement Projects (PIPs) are essential to quality improvement. Each year, MCNA's Quality Improvement Department selects study topics for our PIPs based on the unique needs of our members. For each PIP topic selected, intervention activities are designed that help overcome barriers to access and care at the member, provider, and systems levels. Our interventions often involve multiple forms of outreach to members and providers, such as targeted member text message reminders for care or personalized provider education during onsite visits with MCNA Provider Relations Representatives.

Our current ...

Quality Improvement
MCNA's Performance Improvement Projects

Performance Improvement Projects (PIPs) are essential to quality improvement. Each year, MCNA's Quality Improvement Department selects study topics for our PIPs based on the unique needs of our members. For each PIP topic selected, intervention activities are designed that help overcome barriers to access and care at the member, provider, and systems levels. Our interventions often involve multiple forms of outreach to members and providers, such as targeted member text message reminders for care or personalized provider education during onsite visits with MCNA Provider Relations Representatives.

Our current PIP topics for the Texas Medicaid and CHIP Dental Program are:

  • Reducing the volume of children receiving primary dental services outside of their Main Dental Home
    • Measure: receipt of primary dental services outside of a member's assigned Main Dental Home
  • Increasing the rate of children accessing a dentist and receiving age appropriate sealants
    • Measures: Annual Dental Visit, sealants for members aged 6-9 with elevated risk for caries, and sealants for members aged 10-14 with elevated risk for caries ages

MCNA reviews monthly reports to monitor utilization rates for our PIP measures. Each quarter, these report metrics are compiled and reported to MCNA's Quality Improvement Committee (QIC) to track progress toward PIP goals. The QIC provides feedback, including suggestions about the chosen interventions, to further increase utilization rates for the measures. Our PIP workgroup reviews all feedback and creates, modifies, or retires interventions as necessary.

If you have questions about MCNA's PIPs or would like to get involved in our quality improvement efforts, please call our Provider Hotline at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday).