Improving Quality

Healthcare Effectiveness Data & Information Set (HEDIS)

San Francisco Health Plan works to promote preventive health care and to improve chronic care for our members. The effectiveness of our efforts is measured by Healthcare Effectiveness Data and Information Set (HEDIS), a set of quality improvement indicators set forth by the National Committee on Quality Assurance (NCQA). HEDIS results are used to compare health plans both statewide and nationally. Our goal is to reach the national Medicaid 90th percentile on all measures, which will result in bringing more patients to our providers.

2015 HEDIS Measures: Quick Reference Guide

2015 HEDIS and PIP Code Set Guide (including ICD-10 codes)

For more information: Our Journey to Improve Quality and the Health of Our Population