Providers

Healthcare
Effectiveness
Data & Information  Set

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.

HEDIS 2012 Measure Descriptions

HEDIS 2012 Measure Criteria (Guidance Documents)

• Cervical Cancer Screening 
• Childhood Immunization Status
• Comprehensive Diabetes Care
• Immunizations for Adolescents 
• Low Back Pain 
• Postpartum 
• Prenatal 
• Procedure and Diagnosis Reference Guide 
• Weight Assessment and Counseling for Children and Adolescents 
• Well-Child Visits 3-6 years