Quality Initiatives

2018 Quality Program Description

The primary objective of Virginia Premier’s Quality Program is to continuously improve the quality of care provided to members, enhancing the overall health status of Virginia Premier members. Improvement in health status is measured through the use of Health Employer Data Information Set (HEDIS®) information, internal quality studies, ongoing regulatory and accreditation compliance and focusing on the overall health outcomes of our population. Virginia Premier is committed to improving the communities where the members live through participation in public health initiatives on both the national and local levels, and achievement of public health goals. A detailed description of our program can be downloaded here.


2017 Quality Program Evaluations

The annual Quality Program Evaluation is an evaluation of the previous years’ quality improvement activities and provides a mechanism for systematically completing an analysis of Virginia Premier’s performance and for defining meaningful and relevant quality activities for our members. Through a structured review of the various clinical, service, administrative and educational initiatives, the program evaluation serves to emphasize the accomplishments and effectiveness of the Quality Program as well as identify barriers and opportunities for improvement within the process. A copy of the Annual Evaluation can be obtained by contacting the Quality Department. An Executive Summary of our evaluation can be downloaded here.


What’s Important in Quality 

Virginia Premier Quality Satisfaction Committee:The Virginia Premier Quality Satisfaction Committee was developed and implemented to comprehensively oversee, manage and work in collaboration with departmental leaders to effectively define, measure, analyze, improve and control outcomes related to key quality satisfaction activities, at both the member and practitioner level, such as grievances/complaints, plan integration of member and practitioner/provider feedback (when appropriate) at the advisory meetings and satisfaction survey outcomes.

Cultural Competency: If you have not taken the Virginia Premier-prescribed cultural competency course, please do so today. If you have taken a like course, of your own choosing, please contact the Credentialing Department at extension 55352.

Practitioner Golden Globe Award

Virginia Premier values quality and safety, especially when coordinating and managing care for our members. In an effort to promote, enhance and salute excellence, the Plan has developed and implemented a physician recognition program.