Care1st Health Plan - Quality Improvement

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HSP Program

“Your doctor can freely communicate with you about your care and treatment options regardless of any benefit coverage limitations.”

Care1st Health Plan wants to make sure you get good care and services. To help make this happen, we have created a complete Quality Improvement Program.
The goal of the program is to make sure that our promise of giving good care to our members in being met. The program measures many different parts of the care and services we offer. We have provided you some of our results on the links provided.

You can request the results by calling us at (800) 605-2556 and ask for Vijay Chandran, RN.

These measures include:


	Studies to ensure that appointments are available
	Studies to ensure that after-hours services are available
	Studies to measure how long patients wait in the office for an appointment
	Facility site reviews. This includes looking at access for disables people
	Making sure that the network of doctors in your area fits your needs
	Patient satisfaction surveys
	Doctor satisfaction surveys
	Quality of care studies to assure appropriate:
	Well child visits Immunizations Cervical cancer screening Breast cancer screening Diabetes Care1st Health Plan Asthma Care High blood pressure Prenatal and postpartum care Cholesterol management
	SERVICES
	Access to Care Standards
	Accessibility to Care and Services
	Member Satisfaction Survey Results (CAHPS®)
	Quality Study Results (HEDIS®)
	Care1st CARES Programs
	Healthy Start Prenatal and Postpartum Program

Care1st also has developed programs to help members with their medical conditions, which includes:

• Asthma Program (Medi-Cal)

• Congestive Heart Failure Program (Medi-Cal and Medicare)

• Coronary Heart Disease Program (Medi-Cal)

• Chronic Obstructive Pulmonary Disease (Medicare)

• Healthy Start Comprehensive Prenatal and Postpartum Program (Medi-Cal)

Quality Improvement (QI) Department Information.

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