Quality Improvement Program

Western Health Advantage's Quality Improvement Program provides a framework for WHA to continuously identify and make improvements in all settings in which care is delivered to members. The goals and objectives of WHA's QI Program focus on providing an environment that enhances the relationship between patient and physician while providing affordable and compassionate care to its members. WHA's QI Program goals are to ensure:

  • Quality of clinical care and service members receive from participating health care providers is continuously improved
  • Member and provider satisfaction is enhanced
  • Nationally recognized quality standards and regulatory requirements are met
  • Safe clinical practices are maximized
  • Member and provider concerns are thoroughly addressed in a timely and appropriate manner
  • Efforts are made to improve the quality of service that providers and members receive
  • Coordination of care for members and between providers is optimal
  • Collaborative activities are promoted and encouraged among other insurers, employer groups, medical providers and behavioral health providers and contracted medical groups/IPAs

To learn more start here.

Patient Safety Program

WHA is committed to promoting the delivery of safe, effective health care to its members and to implementing quality improvement initiatives that monitor and improve the safety of care in both inpatient and outpatient settings. The following are WHA's major patient safety focuses:

  • Medication Safety
  • Medication Management
  • Leapfrog Hospital Quality and Safety Survey
  • Cal Quality Care
  • Clinical Complaints
  • Contracted Providers
  • Member and Provider Education

To learn more start here.

For additional information:

Providers can use the information from the websites listed below to make informed decision about which WHA facilities to consider when referring patients for hospital care. WHA's contracted hospitals are encouraged to participate in the following surveys.

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