Quality Measures

  • Tobacco Screening and Smoking Cessation Counseling

  • Controlling High Blood Pressure (Hypertension) 

  • Routine Cervical Cancer Screening

  • HIV Viral Load Suppression

  • Appointment access - Number of days until third next available appointment


Tobacco Screening and Smoking Cessation Counseling

Percent of adult patients who were screened for tobacco smoking and received follow up for cessation in the last two years: 78.1% Number of Patients Age 18+ seen in the last 12 months: 48,245

Percent of adult patients who were screened for tobacco smoking and received follow up for cessation in the last two years: 78.1%

Number of Patients Age 18+ seen in the last 12 months: 48,245

The U.S. Preventive Services Task Force (USPSTF) (2015) recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide interventions with established effectiveness and safety, including behavior-based and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation of tobacco use.

(AHRQ, National Quality Measures Clearinghouse, 2016).


Controlling High Blood Pressure (Hypertension)

Percent of patients with hypertension with appropriate BP control: 72.8% Number of hypertensive patients age 18-75 seen in the last 12 months: 12,006

Percent of patients with hypertension with appropriate BP control: 72.8%

Number of hypertensive patients age 18-75 seen in the last 12 months: 12,006

Approximately 67 million Americans have high blood pressure. Treatment to improve hypertension includes dietary and lifestyle changes, as well as appropriate use of medications. Controlling blood pressure has been proven to lower morbidity and mortality (AHRQ, National Quality Measures Clearinghouse, 2013).


Routine Cervical Cancer Screening

Percent of patients with cervices age 21-64 who received at least 1 Pap Test within the last 3 years: 72.0% Number of patients with cervices age 21-64 seen in the last 12 months: 20,549

Percent of patients with cervices age 21-64 who received at least 1 Pap Test within the last 3 years: 72.0%

Number of patients with cervices age 21-64 seen in the last 12 months: 20,549

Cervical Cancer can be detected in its early stages by regular screening using a Pap (cervical cytology) test. A number of organizations, including the American College of Obstetricians and Gynecologists (ACOG), the American Medical Association (AMA) and the American Cancer Society (ACS), recommend Pap testing every one to three years for all patients with cervices who have been sexually active or who are over 21 (ACOG, 2003; Hawkes et al., 1996; Saslow et al., 2002; AHRQ, National Quality Measures Clearinghouse, 2014)


HIV Viral Load Suppression

Percent of patients older than 24 months, with a diagnosis of HIV/AIDS with a viral load less than 200 copies/mL: 88.7% Number of patients, over the age of 24 months, with a diagnosis of HIV/AIDS with at least one medical visit with a provider with prescribing privileges in the measurement year: 971

Percent of patients older than 24 months, with a diagnosis of HIV/AIDS with a viral load less than 200 copies/mL: 88.7%

Number of patients, over the age of 24 months, with a diagnosis of HIV/AIDS with at least one medical visit with a provider with prescribing privileges in the measurement year: 971

By taking antiretroviral medications regularly, people living with HIV/AIDS can achieve viral suppression, meaning a very low level of HIV in their blood. Lowering the amount of virus helps them stay healthy, live longer, and greatly reduce the chances of passing HIV on to others.


Appointment access - Number of days until 3rd next available appointment (TNAA)

Average number of days a patient can expect to wait for the 3rd next available appointment: 8.1 days

Average number of days a patient can expect to wait for the 3rd next available appointment: 8.1 days

This measure has been accepted as the industry standard for measuring access to appointments, the third next appointment best represents appointment access as it accounts for last minute cancellations. (National Quality Measures Clearinghouse, 2013).

TNAA is the number of days between today and the third next available appointment for a regular return visit for each provider. [More information]

 


Notes:

  • Dates along the bottom of each graph reflect the end of a 12 month reporting period.

  • "SFCCC" refers to 10 participating SFCCC clinics.

  • "HEDIS® 90th" is a comparison to other Medcaid (Medi-Cal) Health Maintenance Organization (HMO) results nationally.  HEDIS® stands for the Healthcare Effectiveness Data Information Set, a tool developed by the National Committee for Quality Assurance (NCQA) and used by more than 90%of America's health plans to measure performance on important dimensions of care and service. The 90th percentile is the level at which an organization would be performing better than 90% of every other organization.

  • HP2020 stands for Healthy People 2020, a set of science-based, 10-year national objectives for improving the health of all Americans set by the US Department of Health and Human Services.