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:

2023 Simpra Advantage Quality Improvement Program Description