Quality Improvement & Patient Safety Programs
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.
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. Alongside its contracted medical groups/IPAs, WHA focuses on reducing harm from inappropriate or unnecessary care, monitoring hospital quality, investigating clinical complains, and educating providers and members.
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.
- The Leapfrog Group
- Cal Hospital Compare Hospitals
- Medicare Nursing Home Compare Nursing Homes to Home Care
- The Joint Commission
HEDIS Performance Measurement
The Healthcare Effectiveness Data and Information Set (HEDIS®) is one of health care's most widely used performance improvement tools. 191 million people are enrolled in plans that report HEDIS results. HEDIS measures performance in health care where improvements can make a meaningful difference in people's lives.
To learn more start here.
Last review date: August 3, 2021
Provider Tools
QI Policies & Procedures
Access to Care and Services
Availability of Practitioners
Complaint-Grievance Management
Continuity and Coordination of Behavior Health Care
Continuity and Coordination of Medical Care
Delegation: Quality Improvement Program Functions
Medical Record Management
Patient Safety Plan
Performance Measurement: HEDIS, P4P | CAHPS, PAS
Physician and Hospital Directories
Potential Quality Issue Management
Privacy and Confidentiality
Provider/Practitioner Communications
Quality Improvement Studies
QI Program Evaluation