InforMed Newsletter
Summer 2010
  Letter From The Medical Director

At SFHP, we are preparing for two major changes in 2011: 

  • Timely Access Regulations
  • Possibility of Mandatory Enrollment of Seniors and People with Disabilities (SPDs) into Managed Care

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  Community Access HCCN Is Awarded $2.5 million Health Information Technology Grant to Support EHR Implementation – By John Williams, NEMS COO
As far back as the early 2000s, the healthcare industry started seeing electronic health record (EHR) as an integral part of the future of healthcare in the United States.  It is commonly agreed that EHR will revolutionize the way healthcare is delivered.  The vision of creating a seamless, interconnected electronic healthcare information system across the country and across multiple platforms promised improvements in quality at both the individual and population level.
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  Hill Physicians Joins SFHP Provider Network as of August 1, 2010
We are very pleased to announce that Hill Physicians Medical Group has entered into an agreement with San Francisco Health Plan, effective August 1. Many Physicians Integrated Medical Group (PIMG) physicians will transition to Hill Physicians and continue seeing SFHP members.   San Francisco Health Plan is thrilled with the opportunity to partner with Hill Physicians to provide quality care and access to our members.
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  New Immunizations Requirements
Last year San Francisco Health Plan was the top Medicaid plan in the nation for immunization HEDIS rates and we won the Gold Award for Quality (third year in a row). We could not have done it without your help. The childhood immunization rates reported by HEDIS come from the Recommended Childhood Schedules approved by the American Academy of Pediatrics, the Advisory Committee on Immunizations Practices of the Centers for Disease Control and Prevention, and the American Academy of Family Physicians.
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  AHWG Sexual Health: An Adolescent Provider Toolkit
The Adolescent Health Working Group’s (AHWG) Sexual Health Toolkit, initially released in 2003, has been updated and expanded and is now available to download.
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  Health Education Program Updates
Health Education Compensation Program (HECP)
The HECP program will continue into Fiscal Year 2010-2011.

Healthy Weight Program
SFHP is currently working to improve our Healthy Weight Program in an effort to reach more SFHP members.

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  What is a PM 160 and Can it Increase HEDIS Scores?
The Child Health and Disability Prevention (CHDP) is a preventive program that delivers periodic health assessments and services to low income children and youth in California. CHDP provides care coordination to assist families with medical appointment scheduling, transportation, and access to diagnostic and treatment services. To support providers with billing for well check visits, the CHDP program has a PM160 form. There are 3 versions, of the form:
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  Incentives Help You Give Better Care: SFHP Incentive Programs
Strong provider participation is particularly crucial to the success of 3 of SFHP’s 5 incentive programs. Here are descriptions of these programs, and what providers must do to make them work for SFHP members.
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  HIPAA Best Practices
San Francisco Health Plan (SFHP) is committed to protecting the confidential and protected health information of our members and participants.  While privacy and confidentiality have always been a priority for SFHP and our health care providers, the need for security and best practices is even more important with the increased risk with the use of electronic health records and technology and the increased state and federal oversight of the privacy and security of health care information.  Both the state and federal governments have new agencies with the authority to receive reports, investigate incidences and impose fines regarding health care information breaches.
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  Updates from April 2010
Updates from April, 2010 P&T Committee for Medi-Cal, Healthy Families and Healthy Kids
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  What’s New on the Website?
ATTN: CHN & UCSF Providers—
Don’t forget you can access information on how to submit a prior authorization, what services need prior authorization and much more on the San Francisco Health Plan website! The prior authorization form is also available on the website so you can complete it electronically. Click here to go to the authorization page for more information.
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