Quality Improvement

At Church Health, we strive to provide the best care, and we’re always exploring new ways to improve our services.

 Our Quality Commitment

Here at Church Health, quality means caring for the whole person. We do this by offering cost-effective services that are based on best practices and align with national standards. Caring at Church Health extends beyond the individual to include and engage the community – our patients, families, volunteers, neighbors, employees, donors and more. We foster a culture of excellence that prioritizes person-centered, trusted care.

 What are we doing to improve quality?

Quality Payment Program

The Center for Medicare and Medicaid Services (CMS) mandates participation for all clinical practices in the Quality Payment Program (QPP). The program looks at four domains: Quality Clinical Outcomes, Advancing Care, Clinic Improvement Activities and Cost.

If you would like to learn more about the program, please follow the link to their website: www.qpp.cms.gov

Patient-Centered Medical Home

We are currently working hard to become a Patient Centered Medical Home (PCMH). The Patient Centered Medical Home is a model of care that encourages close collaboration between patients and caregivers in order to deliver care in a way that is best for the patient’s individual needs.


Talk to us. We’re listening.

If you have ideas on how we can improve quality, we encourage you to let us know by taking our Patient Survey or joining our Patient and Family Advisory Council (PFAC).

 Current Quality Performance

We believe in providing the highest quality of healthcare to those in need. Our quality improvement efforts serve this purpose by ensuring that our clinical and non-clinical services meet the standards set forth by the nation’s leading authorities on quality.

In order to monitor our improvement, we keep close track of our current performance.

Current Quality Improvement Projects

We work hard to ensure that our services are delivered with the highest quality. Here are some of the quality improvement projects we’re currently working on:

Reducing phone wait times
Increasing diabetes and hypertension control rates among patients
Reducing unnecessary ER visits

Take a look at how we are meeting our diabetes and hypertension goals:

Diabetes Control Rate

Hemoglobin A1c is a test that indicates a patient’s average level of blood sugar over the past 2 -3 months. It is important for patients with diabetes to have an A1c of 9 or less. We look to see how well our providers are working with patient to keep their A1c at 9 or lower. The below graph shows how our Church Health providers are doing.

Hypertension Control Rate

Blood Pressure (BP) is a measurement of the force of blood against the walls of the arteries as your heart pumps blood through your body. Hypertension (HTN) describes high blood pressure. Blood pressure is read using two numbers: systolic BP (the top number) and diastolic BP (the bottom number). Hypertension is considered controlled if a patient’s systolic and diastolic blood pressure is 140/90 or less. The below graph shows how our Church Health providers are doing.

Church Health

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