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Medi-Cal Quality Improvement and Health Equity Transformation Program (QIHETP)

Kaiser Permanente is committed to the Medi-Cal QIHETP. The QIHETP is a plan to make healthcare better for everyone. It’s a team effort to check how well healthcare is working. It also helps find ways to improve it. The goal is to make sure everyone has the same chance to be healthy.

QIHETP involves many people working together to keep healthcare fair. This includes doctors, patients, and community leaders. We’re making sure everyone, including you, gets the best care possible.

Quality Improvement and Health Equity Committee (QIHEC) Quarterly Report 

The QIHEC is a group of people from Kaiser Permanente and the community. We work together to make sure everyone gets the right healthcare. No matter their race, ethnicity, gender, or who they love. We focus on keeping people healthy and preventing disease. We do this by making sure everyone gets the care they need. The QIHEC helps us make healthcare better for Medi-Cal members.

Here's a summary of what was talked about, decided, and done in recent meetings.

Consumer Assessment of Healthcare Plans and Systems (CAHPS®) Result Summary – coming in 2025

The Department of Healthcare Services (DHCS) wants to know how happy people are with their Medi-Cal health plans. So, they ask adults and parents of kids in the plans to fill out a survey. This survey is called CAHPS. It's like a report card that tells DHCS if the plans are doing a good job taking care of people. The results help DHCS make the plans even better.

QIHETP Work Plan

The QIHETP work plan lists the projects and goals we’re working on. It keeps track of how well we’re improving the fairness and quality of health care for our members.
 

The 5 projects are:

#1 Kaiser Permanente Statewide Department of Health Care Services (DHCS) Clinical Performance Improvement Project

Goal: Improve Well-Child Visits in the First 30 Months of Life. Well-Child Visits in the First 15 Months of Life. Six or More Well-Child Visits (W30-6). Measure among Black and African American Kaiser Permanente Medi-Cal members.

Health disparity: Improve the health of Black and African American Medi-Cal Members 0-30 months of age.

Timeline:

  • Share baseline data with DHCS for 2023. Well-Care Visits in the first 30 months of Life. 0-15 months: 6 or more Well-Child Visits (W30-6).
  • Quality improvement (QI) activities will include:
    • Establish a stakeholder group
    • Obtain, validate, and organize data
    • Conduct a needs assessment
    • Develop Plan-Do-Study-Act (PDSA) cycles with work group
    • Track the progress of activities completed to date

       
  • Share a progress report with DHCS for 2024
  • Track the progress of activities completed to date

  • Meet the target set in 2024
  • Share the final progress report with DHCS for 2025
#2 Kaiser Permanente Statewide DHCS Non-Clinical Performance Improvement Project

Goal: Improve the number of provider alerts within 7 days of an emergency department (ED) visit for members with these diagnoses: Substance Use Disorder (SUD),  Specialty Mental Health (SMH)

Timeline:

  • Share baseline data with DHCS for 2023. Number of provider alerts for KP PLAN Members with SUD/SMH within 7 days of an ED visit
  • QI activities will include:
    • Establish a stakeholder group
    • Obtain and validate data
    • Develop PDSA cycles with work group
    • Find and enact technology solutions
  • Share a progress report with DHCS for 2024
  • Track the progress of activities completed to date
  • Meet the target set in 2024
  • Share the final progress report with DHCS for 2025
#3 DHCS Managed Care Accountability Set (MCAS) Measure: Child and Teen Well-Care Visits

Measure: Improve rates of child and teen well-care visits for Kaiser Permanente Medi-Cal members.

Goal: Meet or exceed the 2024 Minimum Performance Level (MPL) for child and teen well-care visits.

Metric: Increase the percentage of members 3–21 years old who had at least one comprehensive well-care visit with a provider during the year.

QI activities will include:

  • Establish a stakeholder group
  • Obtain and validate data
  • Develop PDSA cycles with work group
  • Track the progress of activities completed to date
#4 DHCS MCAS Measure: Lead Screening in Children

Measure: Improve lead screening rates among Kaiser Permanente Medi-Cal Members by their second birthday.

Goal: Meet or exceed the 2024 Minimum Performance Level (MPL) for lead screening in children.

Metric: Increase the number of children who had one or more blood tests for lead poisoning by their second birthday.

QI activities will include:

  • Establish a stakeholder group
  • Obtain, validate, and organize data
  • Develop PDSA cycles with work group
  • Track the progress of activities completed to date
#5 DHCS Comprehensive Quality Strategy Bold Goals 50 x 2025

Goal: Help achieve DHCS’ vision of ending health care disparities. Exceed 2021 metrics for Bold Goal Specific Measures. Exceed the MPL by 2025.

Close racial and ethnic disparities in well-child visits and immunizations. Exceed 2021 metrics. Achieve MPL by 2025.

Measures:

  • Infant, child, and teen well-child visits
  • Childhood and teen vaccinations

Close maternity care disparity for Black and Native American persons by 50%.

Measures:

  • Prenatal and postpartum visits
  • C-section rates
Improve maternal and teen depression by 50%.
 
Measures
  • Prenatal and postpartum depression screening
  • Teen depression screening and follow-up

Improve mental health and SUD follow-up by 50%. 

Measures:

  • Follow-up after ED visits for SUD within 30 days
  • Depression screening and follow-up for adults
  • Start and follow-up of alcohol and SUD treatment

Exceed the 50th percentile for all children’s preventive care measures. 

Measures:

  • Infant, child, and teen well-child visits
  • Childhood and teen vaccinations
  • Blood lead and developmental screening
  • Chlamydia screening for teens

Metric: Pending DHCS 2024 goals and targets

QI activities will include:

  • Enact programs to improve health equity metrics in these areas:
    • Children’s health
    • Preventive care
    • Mental health and wellness integration
    • Maternity care
  • Share reports on goal progress
  • Work group and committees will review, support, and guide QI activities