The Alliance is pleased to announce our Healthcare Effectiveness Data and Information Set (HEDIS) award winners for Measurement Year 2023 (MY2023). Based on National Committee of Quality Assurance (NCQA) clinical measure guidelines, HEDIS awards represent how well the Alliance network of providers deliver services to Alliance members.
Please join us in congratulating the following providers for earning the Award of Excellence!
Acacia Family Medical Group
What Acacia shared about administering chlamydia screening for women:
“At every well-child check and well-woman exam, we collect a urine sample before the member is seen by the clinician to screen our patients for STI’s including chlamydia and gonorrhea. We do this regardless of if a member has a pelvic exam. We also have an alert in the patient’s chart to collect urine at the next visit.”
Alisal Health Center
What Alisal shared about cervical and breast cancer screening and well-child visits:
“We achieved this incredible recognition with the support of our Quality Department and Clinic Staff. We focused on improving quality metrics by implementing new workflows and dedicating hours of staff time to population health outreach.”
Brennan Medical
What Brennan Medical shared about cervical and breast cancer screenings and treating diabetes:
“For patients with uncontrolled diabetes, we implemented a standing order for them to visit every four to six months to monitor their HbA1c levels. Many patients were unaware of their last screening dates, so we leveraged resources like SCHIO and CCAH to update spreadsheets and identify those members who were due for screenings.”
George L. Mee Memorial Clinic
What George L. Mee Memorial Clinic shared about childhood immunizations:
“It starts with empowering the clinical staff and giving them the tools they need to be successful. The 2023 focus was on pre-visit planning, optimizing clinical workflows, value driven care and increasing availability and access for our patients. We also invested in a population health software solution that allows us to identify patients who have care gaps and contact them in a timely manner.”
Laurel Vista
What Laurel Vista shared about child and adolescent well-child checks, cervical cancer screening and postpartum care measures:
“We added two providers to Vista in 2023 to improve access to care. Our staff performs chart scrubbing ahead of appointments, identifying gaps in care and ensuring that necessary screenings are pended in the EMR for provider review.
We have a dedicated QI team that conducts outreach to patients who have missed appointments.
In 2023, we scheduled several Saturday WCC clinics. We also held dedicated pap smear clinics.
Postpartum care is a shared effort with hospital staff and our call center who block time on provider schedules for postpartum visits. visit slots on provider schedules.”
Montage Medical Group
What Montage shared about child & adolescent well-check exams:
“Our primary strategy is to prioritize our adolescent members for outreach. We reach out to these members every month until they are scheduled for an appointment. Once scheduled, we send reminders to members to ensure they attend their visit. We also try to schedule appointments during standard school closures (i.e. summer, Thanksgiving and Christmas breaks). One of our biggest challenges has been the 18+ patients who are away at college, so timing our outreach around breaks has been successful.”
Pediatric Medical Group
What the Pediatric Medical Group shared about immunizations in adolescents:
“We have a dedicated vaccine coordinator. Each month she will use the spreadsheet from the Quality Improvement Reports from the Alliance Provider Portal and compare the names of the non-compliant members with our EMR database and the California Immunization Registry. She continues to monitor the list to make sure that all eligible patients have appointments for needed vaccinations.
Our staff reaches out to these members at least three times by phone to schedule a vaccination appointment. If they are unsuccessful in contacting the patient by phone, a letter is mailed to the patient’s home. The vaccination coordinator will continue to monitor lists to make sure that not only did the patient make an appointment but that they went and received a vaccinated.
At every patient visit vaccination status is reviewed. If it is a well visit, the vaccination is given at that time. If it is an ill visit, the vaccination is scheduled for a future date. We also have a policy that an appointment is not necessary for a vaccination. For vaccine-hesitant individuals, we will create a vaccination schedule that is acceptable to both physician and patient.
We review vaccination status at every patient visit and will administer vaccines at visits. We have a policy that an appointment is not necessary for a vaccination.”
Romie Lane Pediatrics
Romie Lane Pediatrics shared about child and adolescent immunizations and well-child checks:
“We text patients who have missed a well-check or are due for one in the next two months. We perform lead screening at well-checks for 1- and 2-year-olds and check vaccine status at every well-check regardless of age.”
Rural Health Network, Inc.
What Rural Health Network shared about attention to members:
“Our staff and providers work together to make sure our patients are meeting all their measures. From calling patients, to sending them reminders of their appointments, we work hard to make sure we don’t miss anything.”
St. Junipero Children’s Clinic
What St. Junipero Children’s Clinic shared about developmental screening rates for children 0-3 years old:
“We screen the appointments one to two days before and prepare all the paperwork needed. We run reports on the CCAH provider portal to target the non-compliant patients.
When the patient arrives, we provide the developmental screening paperwork to parents and the provider sends any necessary referrals.
We provide developmental screening paperwork to parents and our provider goes over any questions. We make sure the patients leave the office with the next appointment scheduled.”
