Skip to main content

Providers: Please be aware of the Medi-Cal Rx Reinstatement of Prior Authorization Requirements and Retirement of the Transition Policy for Beneficiaries 22 Years of Age and Older. Click here for more information.

Please select your language.

Selecciona tu idioma.

Potential Quality Issue

A potential quality issue (PQI) is a suspected deviation from provider performance, clinical care, or outcome of care which requires further investigation to determine if an actual quality of care concern exists.

Gold Coast Health Plan (GCHP) applies a systematic method for the identification, investigation, and reporting of a PQI, to determine opportunities for improvement in the provision of care and services to GCHP members, and to direct appropriate actions for improvement based upon outcome, risk, frequency and severity.

PQIs may be reported by any of the following:

  • GCHP staff member
  • Anonymous
  • Any member of the community
  • Any contracted or non-contracted provider / staff

A PQI is reported to the Quality Improvement (QI) department by sending a completed PQI Referral Form (RF), to PQIReporting@Goldchp.org. Click here to access the PQI form.