This Trilogy document outlines planned quality activities for the year.
What is the Quality Work Plan?
Clue: These letters stand for the National Committee for Quality Assurance.
Answer: What is NCQA?
This HBO/Warner streaming service has the same name as Centene's virtual assistant
What is Max?
This member of the team started with Centene in 2017 with the TX market as a QI Specialist II.
Who is Sergio
This animal is known as the largest land animal on Earth.
What is an elephant?
This Trilogy document evaluates how effective last year’s quality efforts were.
Answer: What is the Quality Annual Evaluation?
Clue: This CMS measure summarizes plan performance using a 1-to-5 scale.
Answer: What are Star Ratings?
The unofficial sport where you say “just one more episode” and suddenly it’s tomorrow
What is binge-watching
This member of the team thinks formulas are fun
who is Ashley
This animal can sleep while standing up.
What is a horse?
This Trilogy document describes how the quality program is structured and governed.
Answer: What is the Quality Program Description?
Clue: Higher Star Ratings can lead to this benefit for health plans.
Answer: What are bonus payments or incentives?
This pop culture group of the 1990s was caught lip syncing during an onstage performance?
Who is Milli Vanilli?
This member of the team has officiated a wedding
Who is Alisa
A group of this animal is called a snuggle
What is a sloth
Trilogy documents require approval by this group every year.
Answer: What is the Board of Directors (BOD)?
Clue: CMS guidelines most often focus on access, quality, and this.
Answer: What is member experience?
This famous pop singers hair caught on fire during the recording of a pepsi commercial in January 1984?
Who is Michael Jackson?
This member of our team is Reiki certified
Who is Veronica
What Animal has 3 hearts and blue blood?
What is a Octopus
These are integrated into the Work Plan and evaluated in the Program Evaluation to demonstrate how performance gaps are identified and addressed within the Quality Improvement program.
What are B&Is (Barriers & Interventions) ORRRR BOIs (Barriers, Opportunities, Interventions)?
These two governance checkpoints are required to demonstrate that quality documents are formally reviewed, validated, and approved prior to audit review.
What are QIUMC review and Board of Directors (BOD) approval?
DAILY DOUBLEEEEEEEEEE!!!!!!!!!!!!!!!
This talk show host has the highest viewer ratings in tv history
Who is Oprah Winfrey?
This member of our team has a cousin who became the first Mexican-born woman in space in 2022 (Katya Echazarreta)
Who is Anabelli
This animal has fingerprints that look like human fingerprints, they are so similar that they could potentially confuse forensic investigations
What is a Koala