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

Member Outreach Programs

Contact: Member Outreach

Quality Improvement Programs	Outreach and Incentive	How do we measure it?
Improving Childhood Immunizations	Member reminder card (Chinese, English, Spanish, ) Member incentive card (Chinese, English, Spanish, Form Only) 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.
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.
Improving Well Child Visits	Member incentive card (Chinese, English, Spanish, Form Only) 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
Improving Well Adolescent Visits	Member incentive card (download, Form Only) 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
Improving Diabetes Care	Member reminder card (Chinese, English, Russian, Spanish, Vietnamese) Member incentive card (Chinese, English, Russian, Spanish, Vietnamese, Form Only) Eye exam reminder card (Chinese, English, Russian, Spanish, Vietnamese)	Measures the percentage of members 18-75 years of age with diabetes (type 1 or type 2) who had each of the following: Hemoglobin A1c (HbA1c) testing HbA1c poor control (>9.0%) LDL-C screening LDL-C control (<100mg/dL) Eye exam (retinal) performed Medical attention for nephropathy
Improving Hypertension and Hyperlipidemia Care	Know Your Numbers flyer (Chinese, English, Russian, Spanish, Vietnamese) Nurse Case Managers call members	None
Improving Asthma Care	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.
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.
Improving Prenatal Care	Member incentive card (Chinese, English, Spanish, Form Only)	Measures the percentage pregnant members who have had their prenatal checkup within timeframe - 42 days for new members and 1st trimester for existing members

Quality Improvement Programs

Outreach and Incentive

How do we measure it?

Improving Childhood Immunizations

Childhood Immunization

Member reminder card
(Chinese, English, Spanish, )
Member incentive card
(Chinese, English, Spanish, Form Only)
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.

Improving Well Baby

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.

Improving Well Child Visits

Well Child

Member incentive card
(Chinese, English, Spanish, Form Only)
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

Improving Well Adolescent Visits

Well Adolescent

Member incentive card (download, Form Only)
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

Improving Diabetes Care

Member reminder card
(Chinese, English, Russian, Spanish, Vietnamese)
Member incentive card
(Chinese, English, Russian, Spanish, Vietnamese, Form Only)
Eye exam reminder card
(Chinese, English, Russian, Spanish, Vietnamese)

Measures the percentage of members 18-75 years of age with diabetes (type 1 or type 2) who had each of the following:

Hemoglobin A1c (HbA1c) testing
HbA1c poor control (>9.0%)
LDL-C screening
LDL-C control (<100mg/dL)
Eye exam (retinal) performed
Medical attention for nephropathy

Improving Hypertension and Hyperlipidemia Care

Know Your Numbers flyer
(Chinese, English, Russian, Spanish, Vietnamese)
Nurse Case Managers call members

None

Improving Asthma Care

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.

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.

Improving Prenatal Care

Member incentive card
(Chinese, English, Spanish, Form Only)

Measures the percentage pregnant members who have had their prenatal checkup within timeframe - 42 days for new members and 1st trimester for existing members