The Health System Improvement Division includes the Director's Office, the Office of Primary Care and Rural Health, the Bureau of Child Care Licensing, the Bureau of Emergency Medical Services, the Bureau of Health Facility Licensing, Certification and Resident Assessment and the Bureau of Clinical Services. Through the four bureaus, Health Systems Improvement directs the regulation and oversight of the health care industry. Division-wide improvement strategies include training certification, licensing, inspection, pre-admission screenings for all Utah Medicaid recipients seeking nursing home or institutional care, and promoting primary care services to underserved population. The Division additionally supports the Patient Safety Initiative, the Workforce Financial Assistance Program, the Health Clinics of Utah and the Family Dental Plan.

The mission of the Division of Health Systems Improvement is to assure basic levels of quality in the health and child care industries of the State of Utah.  This quality assurance is accomplished through the use of regulatory standards, processes, and authorities.  The division additionally works to achieve continuous improvement and evidence-based decision making both internally to the division, and externally to the health and child care industries.  The mission is fulfilled through the examination, analysis, and strategies to improve areas of accessibility, cost and quality.