The Improvement Guide: A Practical Approach to Enhancing Organizational Performance, Second Edition

Case Study 5: Improving the Credentialing Process at CareOregon

CareOregon is a not-for-profit organization that is committed to improving and protecting the health of low-income and vulnerable Oregonians. One area CareOregon identified for improvement was workflow between the credentialing and provider services departments. The credentialing department is responsible for ensuring the quality of the health care facilities and medical providers contracted with CareOregon. Provider services manages the contracts, relationships, and system data for health care facilities and providers that participate with the health plan. The aim for improvement identified was the method by which each department identified and communicated the credentialing ...