Quality Improvement Program
Simpra Advantage is designed to meet the needs of our members and health care partners.
We strive to meet the highest quality and safety standards.
Purpose
The purpose of the Quality Improvement (QI) Program is to ensure that we have the necessary infrastructure to coordinate care, promote quality, performance, and efficiency on an ongoing basis.
Mission Statement
The mission of Simpra’s Quality Improvement (QI) Program is to provide an effective, system-wide, measurable approach to continuously monitoring, evaluating, and improving access, quality of care and services for enrolled members and to work with providers to ensure a quality health care experience for enrolled members using a cost-effective and efficient method. The mission creates the foundation for organizational QI and includes:
- Quality assurance and performance improvement activities using the Plan-Do-Study-Act (PDSA) quality improvement model to guide day-to-day operations and decisions;
- Involvement from all business partners, departments, and services;
- A comprehensive approach regarding systems of care, management practices, and business practices; and
- Decisions based on data, which are collected in a systematic format in alignment with our infrastructure.
For more information about the Quality Improvement Program, view the program description:
2025 Quality Improvement Program Description
Potential Quality Issues Process
Potential Quality Issues (PQIs) are reported to the Simpra Advantage Quality Department. We monitor PQIs to identify opportunities for improvement and implement and track Corrective Action Plans (CAPs), as needed.
If you have been asked to complete a PQI Form, download the form below. Complete sections 1-3 and securely fax it to 205-994-7579. For any questions, please contact Lori Bone (Honeycutt) at lori.honeycutt@acvcorp.com or 205-761-0436.
Potential Quality Issue Form