InforMed Newsletter
Fall 2009
  Letter From the Medical Director
Dear providers,

It has been a dramatic summer. While anxiously awaiting federal health care reform, and priding ourselves on universal coverage for children in San Francisco, Healthy Families took a big hit. We were very close to seeing disenrollments from the Healthy Families program,
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  Focus on Gastrointestinal Agents - PPI Use Linked to Increased Pneumonia, C Dificile, and Osteoporotic Fractures
PPI Use Linked to Increased Pneumonia, C Dificile, and Osteoporotic Fractures

SFHP has observed a dramatic increase in the use of PPIs over the last few years, despite data showing adverse clinical outcomes with short- and long-term PPI use (see citations below):
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  Pharmacy Updates | Gastrointestinal Agents | H1N1 and Other Influenza Viruses

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  Flu Season and Antibiotics: Health Education Materials
During flu season, some patients believe that they need antibiotics to get better. The California Medical Association Foundation’s Alliance Working for Antibiotic Resistance Education (AWARE) project has developed multiple materials to aid physicians in increasing patient knowledge and understanding of appropriate antibiotic usage and reducing antibiotic resistance.  Resources from the AWARE project, including a toolkit, brochures, and posters, can be found here: http://aware.md. Additional materials about preventing the flu and how to
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  Open Access at Castro Mission Health Center
Castro Mission Health Center’s (CMHC) solution to access issues, after a lot of research by their management team, was to restructure their schedule to allow for same day appointments.  Although their system does not solve all access problems, CMHC views it as a vast improvement for patients and for providers, compared to how things were functioning before.  “Everyone means something different when they use the term open access, and it is important to adapt the concept to your own site”, says Dr. Jane Bailowitz, Medical Director
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  Learn About TB
Recent research sheds new light on the impact of diabetes on TB, as well as how TB treatment can affect diabetic control.

Gisela Schecter, MD, MPH, a Curry National Tuberculosis Center (CNTC) Warmline consultant and MDR-TB consultant with the California TB Control Branch, shares a summary of recent studies that increase our understanding of the complexities of co-managing TB and diabetes.
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  Childhood Obesity 2010: The Next Generation of Prevention and Management
Register for this Upcoming Event:
Childhood Obesity 2010: The Next Generation of Prevention and Management

San Francisco Health Plan, in collaboration with the San Francisco Childhood Obesity Task Force, is co-sponsoring a training for physicians
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  Best Practices Library for providers!
San Francisco Health Plan is excited to introduce a new “Best Practices” Library for providers! The library can be found at http://www.sfhp.org/providers and houses valuable resources for providers on topics like electronic medical records, chronic disease tools, improving access and much more. We hope to build this library to be a valuable tool for SFHP providers. If you have any suggestions or resources you would like to see on this site please email provider.relations@sfhp.org.
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  New Palliative Medicine Hotline - Free Clinical Phone Consultations To Providers
This hotline was so successful locally that the program was grant-funded to extend the service to all California providers.  Feel free to call any time for excellent specialist advice about challenging palliative care and end of life clinical questions.

The hotline number is (877) 725-6334. Hours are Monday through Friday 8am to 6pm. For more information please visit
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  Formulary Options For Antiviral Treatment of H1N1 and Other Influenza Viruses
The formulary status of antiviral agents for SFHP Medi-Cal, Healthy Families and Healthy Kids programs are aligned with FDA-approved dosing and WHO Guidelines for the Treatment of H1N1 and other influenza viruses.  According to the WHO Guidelines, the following high-risk populations should be considered for treatment:
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  Announcement Regarding Dori Lange, Director of Quality Improvement
To our SFHP partners:

I wanted to let you know our QI Director Dori Lange resigned from SFHP last week because she and her family had decided to move to Europe for a year abroad. Her husband had the opportunity to take a sabbatical from his teaching position, and one month ago, they
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