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Member Outreach Programs

Quality Improvement Programs

Outreach and Incentive

How do we measure it?

Lead Contacts

Improving Childhood Immunizations

 Childhood Immunization

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

 Well Baby

 

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

 Well Child

 

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

Well Adolescent

  • 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

 

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

 

None

Megan Petrich, QI Clinical Program Coordinator
415-615-4420
mpetrich@sfhp.org

Improving Asthma Care
 

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

 

  • 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

 

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