QI Program

We are committed to the provision of a well-designed and well-implemented Quality Improvement (QI) program. Our culture, systems and processes are structured around this mission to improve the health of all enrolled members.

Scope
The scope of the QI Program is comprehensive and addresses both the quality and safety of clinical care and quality of services provided to SilverSummit Healthplan's members including medical, behavioral health, and vision care. We incorporate all demographic groups, care settings, and services in QI activities, including preventive care, emergency care, primary care, specialty care, acute care, short-term care, long-term care (depending upon SilverSummit Healthplan's products), and ancillary services.

Goals & Objectives
Our primary quality improvement goal is to improve members’ health status through a variety of meaningful quality improvement activities implemented across all care settings and aimed at improving quality of care and services delivered.

Credentialing Standards

For consideration to participate in the SilverSummit Healthplan network, all licensed physicians and other licensed healthcare professionals who have an independent relationship with SilverSummit Healthplan must complete an application for participation and submit copies of applicable supporting documentation.

Cultural Competency Plan
SilverSummit Healthplan is committed to establishing multicultural principles and practices throughout its organizational systems of services and programs. That mission is supported by facilitating the process by which SilverSummit Healthplan can respond to the health care needs of all individuals, regardless of their ethnic, cultural, religious beliefs or language. Our Cultural Competency plan is reviewed and updated annually.

Participation in QI
SilverSummit Healthplan requires that providers and practicioners cooperate with all QI activities, as well as allow the use of provider and/or practicioner performance data, to ensure the succuss of the Quality Program.  We value the education, experience and the voice of our providers. We encourage our providers to participate on our Quality Committees and work groups. Please call 1-844-366-2880 to receive more information.