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Outcome based operations support

At QOP Pediatric, we deliver measurable operational outcomes, not headcount, shifts, or generalized support. Teams use us to offload recurring work without hiring or managing extra staff. Execution is predictable and tied to clearly defined completion rules, so work is marked done only when the outcomes are verifiable.

QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,

A model built around defined outcomes

QOP Pediatric's model is outcome-based operations support, with completion tied to verifiable work. Each engagement starts with a discovery call to identify priority services and define what “done” looks like. We align workflows and connect systems so work flows cleanly. For tasks that cannot be standardized, we also offer a monthly specialist option.

We handle routine appointment management and family outreach to keep pediatric schedules full. Reminder and recall follow-ups are tracked as discrete completed actions with recorded outcomes so nothing falls through the cracks. Clinical questions or policy decisions are routed back to your team, and QOP Pediatric ensures the schedule moves smoothly without guessing or manual chasing.

We handle eligibility checks and prior authorization submissions to prevent day-of-visit coverage issues. Each completed action produces a documented status with references when available. QOP Pediatric manages administrative workflows, status tracking, and clean documentation, while clinical judgment and peer-to-peer authorizations remain with your clinicians.

We handle claim preparation, submission, and follow-up to prevent revenue cycle delays. Rejections and corrections are processed with clear documentation, and all outcomes are logged for auditing purposes. QOP Pediatric executes these billing actions consistently, without touching client funds, so your team can rely on completed work rather than hours spent.

We handle drafting structured visit notes and routing them for clinician review to reduce charting backlog. Each draft is completed in the correct queue with required sections populated and flagged questions. QOP Pediatric supports documentation consistency and throughput, while final clinical decisions, orders, and sign-offs remain with your internal team.

We handle pre-visit checks, patient connection, and post-visit routing to keep virtual appointments on track. Completion is logged with outcomes and checklist confirmations, and any issues are documented. QOP Pediatric manages these operational steps so your clinical team can focus on care rather than technical or workflow interruptions.

We handle routine access, login, and basic troubleshooting tickets to reduce staff interruptions. Escalations are documented and sent with diagnostic packages when needed. QOP Pediatric ensures these support actions are completed consistently, freeing internal teams from chasing resolution and maintaining productivity across pediatric operations.

You tell us the workflow you want off your plate. We map it into clear work items, define inputs and “done,” set exception rules, then connect it to the right systems so delivery is consistent and auditable with QOP Pediatric.

If a traditional model fits better, you can work with a dedicated full-time specialist through us. They focus on your workflows day-to-day, integrate into your tools where needed, and handle a wider mix of tasks that are hard to standardize into work items.

What exactly do you deliver?

QOP Pediatric runs clearly scoped operational services where “done” is defined upfront. Delivery is measured on completed outcomes, not hours, seats, or general activity.

How do we decide what services to start with?

We start with a discovery call and then prioritize the services creating the most operational load or highest business risk for your team, as long as they can be defined with clear completion rules. QOP Pediatric only takes on services that can be scoped tightly enough to execute consistently.

How does work enter the workflow?

It depends on the service. Work can enter through integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team. QOP Pediatric defines the intake method per service so there is a consistent flow.

Do you work in our systems or your systems?

Either, depending on what makes delivery clean and trackable. Sometimes we operate directly in your tools, sometimes we use ours, and sometimes we connect both so the workflow stays aligned.

How do you define what counts as “complete”?

Each service is broken into outcome types with written completion rules. If evidence is required, like a confirmation, status change, record update, or log note, that requirement is defined upfront.

How does pricing work?

Pricing is outcome-based. Each outcome type has a unit price tied to the completion rules. Most clients use a recurring service credit or minimum commitment, with usage applied based on completed outcomes. If volume exceeds the included amount, overage is billed using the same unit pricing. Items that are out of scope or blocked are not treated as completed outcomes.

What does onboarding look like?

QOP Pediatric aligns on scope and outcomes, confirms the intake method, sets up the tooling or integrations required, then runs a short ramp to validate that completion rules match real day-to-day work. After that, delivery runs in steady state using the same definitions and pricing.