Quality

American Health Advantage of Utah is designed to meet the needs of our Members and participating network providers and partners. In addition, we strive to meet the highest quality and safety standards. We follow standards developed by the National Committee for Quality Assurance (NCQA) to reach this goal.

The American Health Advantage of Utah Quality Improvement (QI) Program demonstrates hour mission to provide an effective, system-wide, measurable Quality Improvement plan for monitoring, evaluating and improving the quality of care and services in a cost-effective and efficient manner to our enrolled Members and participating network providers and partners.

• • American Health Advantage of Utah’s mission, vision, and core values create the foundation for organizational QI.
  • American Health Advantage of Utah uses quality assurance and performance improvement to make decisions and guide our day-to-day operations.
  • American Health Advantage of Utah’s QI Program includes all business units of operations and administration, partners, and services.
  • American Health Advantage of Utah’s QI Program is comprehensive regarding systems of care, management practices, and business practices.
  • American Health Advantage of Utah’s QI Program is data-driven and is guided by our five performance improvement pillars: People, Service, Quality, Finance, and Growth and the respective business drivers in each performance improvement pillar.
  • American Health Advantage of Utah’s QI Program decisions are based on data, which is collected in a systematic format in alignment with American Health Advantage of Utah’s Policy