Health Services is a comprehensive approach proven to contain health plan costs while delivering the highest quality of care on a consistent basis, from prevention through the ongoing maintenance of at-risk patients through partnerships with treating physicians.
Our Health Services programs include:
We have series of quality improvement initiatives that benchmark and measure progress against national, evidence-based practices.
Our Quality Improvement Program provides member physicians with the opportunity to achieve new levels of health care delivery, efficiency and accuracy, and to pursue these improvements by conducting preliminary research and recommendations on procedures to achieve new best-practice standards.
Since the program’s inception in 2009, multiple Quality Improvement Program projects have been initiated or completed.
The performance-based incentive plan, Achieving Clinical Excellence, is rooted in quality and efficiency initiatives, including the performance outcomes on nationally endorsed clinical indicators. We generate bi-annual reports for each participating physician.
As a Valley Preferred clinician, you can measure outcomes on a per-patient basis through our self-auditing program. Physicians and advanced practice clinicians review treatment outcomes and measure them against national standards to evaluate their individual performance. We offer incentives for physicians who provide care that is consistent with nationally established pathways, protocols and procedures, and we provide special coaching and follow-up for physicians whose care is not consistent with national parameters.
Shared Quality Efforts
Valley Preferred is working with large health insurance companies in various clinical collaborative efforts to measure and ultimately improve care for our members.