| Join a Horizon NJ Health Committee
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Horizon NJ Health has several committees that periodically invite new members from the Physician Network to
participate as members or visit the meetings.
Continuous Quality Improvement Committee
The Continuous Quality Improvement (CQI) Committee oversees the direction and changes to the
quality-improvement program at Horizon NJ Health. The CQI Committee ensures that effective, managed-care
techniques and medical technologies are used to provide higher quality and optimal value in all clinical-care
processes within Horizon NJ Health.
The Chief Medical Officer chairs the CQI Committee. Administration at Horizon NJ Health, Horizon Blue Cross
Blue Shield of New Jersey, Horizon Healthcare Dental and members of the Horizon NJ Health Physician Network
comprise the committee's voting members. The CQI Committee has established subcommittees to administer various
aspects of our Continuous Quality Improvement objectives, such as Utilization Management, Pharmacy and
Therapeutics and Physician Advisory.
Utilization Management Committee
The Utilization Management (UM) Committee meets quarterly to discuss and make recommendations on general UM
policies and procedures. The committee is comprised of key Horizon NJ Health UM staff, as well as members of the
Physician network who assist with UM functions.
Pharmacy and Therapeutics Committee
The Pharmacy and Therapeutics Committee effectively manages the Clinical Pharmacy program, including providing
support for the Drug Formulary, retrospective Drug Utilization Review programs and Physician education pertaining
to medications.
Physician Advisory Committee
The Physician Advisory Committee (PAC) reviews and makes recommendations to the medical and administrative leadership on clinical issues of importance to the membership and Physicians of Horizon NJ Health. The PAC identifies issues of concern to the Physician community and identifies opportunities for optimizing patient care.
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