San Francisco Health Plan: Providers: Improving Quality: Member Outreach Programs/

Member Outreach Programs

Quality Improvement Programs	Outreach and Incentive	How do we measure it?	Lead Contacts
Improving Childhood Immunizations	Member reminder card (Chinese, English, Spanish) Member incentive card (Chinese, English, Spanish) Automated phone call as reminder	Measures the percentage of children who had four diphtheria, tetanus and acellular pertussis (DTaP), three polio (IPV), one measles, mumps and rubella (MMR), three H influenza type B (HiB), three hepatitis B, one chicken pox (VZV) and four pneumococcal conjugate vaccines by their second birthday.	Jennifer Beach, Quality Improvement Coordinator 415-615-4254 jbeach@sfhp.org
Improving Well Baby	Member reminder card (Chinese, English, Spanish)	Measures the percentage of members who turned 15 months old during the measurement year and who had 6 well-child visits with a PCP during their first 15 months of life.	Jennifer Beach, Quality Improvement Coordinator 415-615-4254 jbeach@sfhp.org
Improving Well Child Visits	Member incentive card (Chinese, English, Spanish) Automated phone call as reminder	Measures the percentage of enrolled members 3–6 years of age who received one or more well-child visits during the measurement year	Jennifer Beach, Quality Improvement Coordinator 415-615-4254 jbeach@sfhp.org
Improving Well Adolescent Visits	Member incentive card (download) Automated phone call as reminder	Measures the percentage of enrolled members 12-21 years of age who received one or more comprehensive well-care visit during the measurement year	Jennifer Beach, Quality Improvement Coordinator 415-615-4254 jbeach@sfhp.org
Improving Diabetes Care	Member reminder card (Chinese, English, Russian, Spanish, Vietnamese) Member incentive card (Chinese, English, Russian, Spanish, Vietnamese) Eye exam reminder card (Chinese, English, Russian, Spanish, Vietnamese) Nurse Case Managers call members	Measures the percentage of members 18-75 years of age with diabetes (type1 and type 2) who had each of the following: Hemoglobin A1c (HbA1c) testing HbA1c poor control (>9.0%) HbA1c good control (<7.0%) Eye exam (retinal) performed LDL-C screening LDL-C control (<100mg/dL) Medical attention for nephropathy	Megan Petrich, QI Clinical Program Coordinator 415-615-4420 mpetrich@sfhp.org
Improving Hypertension and Hyperlipidemia Care	Know Your Numbers flyer (Chinese, English, Russian, Spanish, Vietnamese) Nurse Case Managers call members	None	Megan Petrich, QI Clinical Program Coordinator 415-615-4420 mpetrich@sfhp.org
Improving Asthma Care	Nurse Case Managers call members Member mailing (health education materials)	Measures the percentage of members 5 through 56 years of age who have persistent asthma and have been prescribed at least one controller medication.	Megan Petrich, QI Clinical Program Coordinator 415-615-4420 mpetrich@sfhp.org
Improving Women’s Health	Young Woman mailer (Chinese, English, Spanish, Vietnamese) Well Woman mailer (Chinese, English, Russian, Spanish, Vietnamese) mammogram reminder (Chinese, English, Russian, Spanish, Vietnamese) PAP test reminder (Chinese, English, Russian, Spanish, Vietnamese)	Measures the percentage of women 40 to 69 years of age who had one or more mammograms during the measurement year or the year prior to the measurement year. Measures the percentage of women 21 to 64 years of age who received one or more Pap tests during the measurement year or the two years prior to the measurement year. Measures percentage of women 16 to 25 years of age who were identified as sexually active and who had at least one test for Chlamydia during the measurement year.	Megan Petrich, QI Clinical Program Coordinator 415-615-4420 mpetrich@sfhp.org
Improving Prenatal Care	Provide member incentive (Chinese, English, Spanish)	Measures the percentage pregnant members who have had their prenatal checkup within timeframe - 42 days for new members and 1st trimester for existing members	Megan Petrich, QI Clinical Program Coordinator 415-615-4420 mpetrich@sfhp.org