Quality Improvement (QI) Program

The Quality Improvement (QI) program aims to continually improve the service and care provided to members by both PerformCare and the provider network. The QI program focuses on identifying measures and studies of many aspects of treatment. A QI committee meets quarterly to oversee the QI program and annually adjusts the program's goals. The QI program focuses on 10 areas:

  • Access — the degree to which appropriate care and services are accessible and obtainable to meet the members’ needs.
  • Appropriateness — the degree to which the care and services provided are relevant to the members' clinical needs, given the current state of knowledge and available resources.
  • Competency — the degree to which PerformCare associates and providers adhere to professional and/or organizational standards of care and practice.
  • Community Focused care — the degree to which providers and PerformCare associates understand and demonstrate respect for the diverse needs of PerformCare’s members including race/ethnicity, language, gender identity, or disability status.
  • Continuity and Care Coordination — the degree to which needed healthcare services for a member or specified population are coordinated across levels of care, across organizations, or across care of physical health and behavioral health.
  • Member and Family Involvement — the degree to which members and families of members have an active role in PerformCare.
  • Outcomes and Efficacy — the degree to which a treatment or service improves health status.
  • Prevention and Community Outreach — the degree to which PerformCare services promote health, prevent deterioration of conditions, and educate the community.
  • Safety — the degree to which risks of adverse outcome are reduced for the member and others, including the healthcare provider.
  • Service Excellence — the degree to which PerformCare meets established service standards and produces provider and member satisfaction.

QI program statement

To learn about PerformCare's QI program goals, processes, and outcomes as they relate to member care and service, review our executive summary of the QI program (PDF).

If you would like more details about QI activities, please contact the QI department at 1-717-909-2102.