Southern California Select Network
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Californiachoice® Small Group Advantage PPO Three-Tier Hospital Network
CaliforniaChoice® Small Group Advantage PPO three-tier hospital network With the CaliforniaChoice Advantage PPO plans, you have a choice of tiers (or levels) of hospitals to visit. Tier one hospitals offer the greatest savings to you. Tier two hospitals have the second best level of savings. Tier three hospitals — or out-of-network hospitals — offer the least out-of-pocket savings, but you’ll still be covered. Keep in mind that the tier levels aren’t based on the quality of care given at each hospital. They’re based on which hospitals have shown they’re better able to give quality care that’s also cost effective. Our three-tier levels* are: }}Tier 1 — PPO network hospitals with lower-negotiated hospital reimbursement rates. }}Tier 2 — the remaining PPO network hospitals. }}Tier 3 — non-network hospitals. * The tier levels are not based on the quality of care given at each hospital. Instead, each level stands for the hospitals that show 19685CABENABC 08/15 the best use of health care dollars. CaliforniaChoice® Small Group Advantage PPO three-tier hospital network Here is a list of the Tier-1 and Tier-2 hospitals included in the network. Any hospital not listed is considered out of network. Hospital County Tier St Rose Hospital Alameda 1 Alameda Hospital Alameda 1 Children’s Hospital Oakland Alameda 2 Valleycare Medical Center Alameda 2 Washington Hospital Alameda 2 Sutter Amador Health Center Pioneer 1 Sutter Amador Health Center Plymouth 1 Sutter Amador Hospital Amador 1 Oroville Hospital & Medical Center Butte 1 Feather River Hospital -
Access+ HMO 2021Network
Access+ HMO 2021Network Our Access+ HMO plan provides both comprehensive coverage and access to a high-quality network of more than 10,000 primary care physicians (PCPs), 270 hospitals, and 34,000 specialists. You have zero or low copayments for most covered services, plus no deductible for hospitalization or preventive care and virtually no claims forms. Participating Physician Groups Hospitals Butte County Butte County BSC Admin Enloe Medical Center Cohasset Glenn County BSC Admin Enloe Medical Center Esplanade Enloe Rehabilitation Center Orchard Hospital Oroville Hospital Colusa County Butte County BSC Admin Colusa Medical Center El Dorado County Hill Physicians Sacramento CalPERS Mercy General Hospital Mercy Medical Group CalPERS Methodist Hospital of Sacramento Mercy Hospital of Folsom Mercy San Juan Medical Center Fresno County Central Valley Medical Medical Providers Inc. Adventist Medical Center Reedley Sante Community Physicians Inc. Sante Health Systems Clovis Community Hospital Fresno Community Hospital Fresno Heart and Surgical Hospital A Community RMCC Fresno Surgical Hospital San Joaquin Valley Rehabilitation Hospital Selma Community Hospital St. Agnes Medical Center Glenn County Butte County BSC Admin Glenn Medical Center Glenn County BSC Admin Humboldt County Humboldt Del Norte IPA Mad River Community Hospital Redwood Memorial Hospital St. Joseph Hospital - Eureka Imperial County Imperial County Physicians Medical Group El Centro Regional Medical Center Pioneers Memorial Hospital Kern County Bakersfield Family Medical -
California Hospitals: an Evolving Environment
California Hospitals: An Evolving Environment AUGUST 2015 California Hospitals Introduction Overview California’s general acute care (GAC) hospitals discharged more than 3.3 million patients and had nearly 44 million outpatient visits in 2013. California Hospitals: An Evolving Environment examines the state’s GAC CONTENTS hospitals, including bed supply and capacity, use of services, financial health, and selected quality measures. Supply and Capacity .................... 3 Use of Services .........................11 KEY FINDINGS INCLUDE: • The number of general acute care hospitals declined by 4% between 2004 and 2013, while Finances ................................25 the number of beds remained largely unchanged. Critical Access Hospitals ................33 • Skilled nursing and acute psychiatric beds declined significantly during that decade, while both adult and newborn intensive care beds increased. Quality .................................35 • The eight largest hospital systems accounted for 40% of hospitals and beds in California. Seismic Safety ..........................40 • A larger percentage of hospitals were profitable in 2013 than in 2014 as reflected by both Methodology ...........................41 total and operating margins. Appendices ............................42 • The costs of uncompensated care, as measured by charity care and bad debt, rose by 45% between 2004 and 2013 to $2.8 billion. • Preventable adverse events reported at California hospitals increased each year from 2009 to 2013. • California performed slightly -
NICU Data Updates
CPQCC 2016 Data Finalization Summary and Updates Santa Clara Valley Medical Center , San Jose October 3, 2017 – Janella Parucha CPQCC Member- ship CPQCC Quarterly Data Close-Out Help Desk Finalization Initiatives Summary CPQCC Website Data Center Overview Topics ì Membership ì Data Finalization Summary ì Close-Out Checklist updates ì Data Management Award comparisons by year and award type ì Quarterly Close-Out initiatives ì CPQCC Help Desk – new look ì CPQCC Updating Directories ì CPQCC Website Highlights – Where would I find? ì Downloads ì Data Trainings ì Data Finalization etc. CPQCC Participants Membership ì 2017: 138 active members ì 2016: 137 members participating in data finalization DF Resources: Close-Out Check List The Close-out Check List re-cap ì The CPQCC database automatically checks each deliverable as they are completed. ì Items 3-6 ì Items 9-14 ì The following items MUST be manually checked: ì Item 1 – Membership Dues (completed by Data Center) ì Item 2 – Confirmation of DF Guidelines ì Item 7 – Contact Report ì Item 8 – VON Membership Survey ì Once any of these items are checked, you must click the Set Confirmation status button below to complete. Close-Out Check List Manually check off 3% April 1st Deliverables Manually check off April 1st Deliverables June 1st Deliverables New HRIF eligibility criteria will be added to Item 13 for infants who: • received a diagnosis of moderate or severe HIE • surgery for Congenital Heart Disease • received Inhaled Nitric Oxide >4 hours • experience seizures June 1ST Deliverable Item #11 Confirmed Unknown Report The Close-Out Check List UPDATE ì Item# 10 included both the Error & Warning Reports and the Confirmed Unknown Report. -
California Hospitals
California Hospitals Background The information found in this data set was gathered from multiple sources. A list of Trauma Hospitals was found at http://www.emsa.ca.gov/emsdivision/trma_ctr.pdf. Additional hospitals were found using a GDT database. Another source was the California GNIS database. Finally, a search on the internet by county was conducted to find any remaining hospitals. Next, addresses and phone numbers for the GDT and CAGNIS database hospitals were found on the internet. After the initial list was gathered, it was typed into an Excel spreadsheet. Then each hospital was contacted by phone to verify that it was still in existence, the address and phone number was correct, and that it had emergency facilities. This information was last updated 12-2007. The X,Y coordinates were found by inserting each address into DeLorme Street Atlas 2005. This information was added to the Excel spreadsheet. The Excel spreadsheet was saved as a .dbf 4 file then added as a table to a new data frame in ArcGIS 9.1. The X,Y coordinates were added and given the follow projection and coordinate system: Projected coordinate system name: NAD_1983_California_Teale_Albers Geographic coordinate system name: GCS_North_American_1983 This dataset includes coastal counties for the most part. A few inland county hospitals are included but not referenced. Individual maps are by county with a description on the reverse side of each map giving the hospital name, address, phone number and trauma level. By: Joanne Sanders Research Analyst I GIS DFG – OSPR – GIS Services 916 327-9962 Date: 12-2007 What is the difference between a Level I, II, III, IV Trauma Center? The four levels refer to the kinds of resources available in a trauma center and the number of patients admitted yearly. -
Blue Shield of California Is Proud to Collaborate with the Following Medical Groups and Hospitals Through Our Accountable Care Organization Program
Blue Shield of California is proud to collaborate with the following medical groups and hospitals through our Accountable Care Organization Program. Group Name Hospital(s) Name Region HMO PPO Access Medical Group N/A Los Angeles X X Adventist Health Simi Valley Hospital Mendocino/ X Ukiah Valley Medical Center Simi Valley Frank Howard Memorial AllCare IPA N/A Stanislaus X Allied Pacific San Gabriel Valley Medical Center Los Angeles X X Garfield Medical Center AppleCare Medical Group PIH Hospital – Downey Regional Medical Los Angeles X X Center Axminster Medical Group Providence Little Company-San Pedro; Los Angeles X X Providence Little Company-Torrance; Providence Tarzana Medical Center Brown & Toland / CCSF only UCSF SF (CCSF only) X St. Mary’s Medical Center St. Francis Memorial Hospital Brown & Toland X Dignity Health St. Johns Pleasant Valley South Coast / X St. Johns Regional Ventura / SB Mercy Ventura Dignity Health Medical Group-Inland St. Bernardine Medical Center Inland Empire/ X Empire Community Hospital of San Bernardino San Bernardino Dignity Health Medical Network Dominican Santa Cruz Hospital Santa Cruz X Dignity Health Medical Network- Dominican Santa Cruz Hospital Santa Cruz X Santa Cruz Dignity Health Medical Network- Bakersfield Memorial Hospital Kern X X GEMCare Mercy Hospital Bakersfield Dignity North State Mercy Medical Center Shasta / Tehama X St. Elizabeth Community Hospital / Trinity EPIC: N/A San Bernardino/ X X Beaver Medical Group Riverside Alliance Desert Physicians Pinnacle Medical Group Chaffey Medical Group Facey Medical Group Providence Holy Cross Los Angeles X X Providence Saint Joseph Medical Center Providence Tarzana Medical Center Good Samaritan Medical Group Good Samaritan Hospital Los Angeles X Practice Hill Physicians-Sacramento Mercy General Hospital Sacramento X X Methodist of Sacramento Mercy San Juan Hospital Mercy Hospital of Folsom Hill Physicians-San Francisco Medical Center at UCSF San Francisco X X UCSF Medical Center at Mission Bay UCSF Medical Center at Mount Zion St. -
2021 Molina Covered CA OEP Kick Off Presented By: Amy Demarco, CA Marketplace Sales Manager
2021 Molina Covered CA OEP Kick Off Presented by: Amy DeMarco, CA Marketplace Sales Manager 1 Your CA Molina Broker Rep Amy DeMarco 657-243-7461 [email protected] 2 2021 Regional Rates Lowest Cost Silver, Gold and Platinum plans in: • Region 16 – Los Angeles County (West) • Region 17 – Riverside and San Bernardino Counties Los Angeles • Region 19 – San Diego County • Region 13 – Imperial County San Bernardino Riverside San Imperial Diego 3 3 $0 Telehealth Benefit for 2021 Virtual medical visits via TelaDoc • Easy access – Register once, three ways to engage • Convenient – 24/7/365 – visit with doctors in 45 secs • Affordable – Co-pays waived for Molina members 4 4 COVID-19 Resources for Molina Marketplace Members • Waiving ALL out-of-pocket expenses related to the treatment of COVID-19 for all Marketplace, Medicare, and Medicaid members through December 31, 2020 • Waiving ALL cost-shares associated with COVID-19 testing in 2020 • Waiving ALL Teladoc service cost-sharing fees for Covered CA members • Free access to a 24-hour Nurse Advice Line: • English: (888) 275-8750 • Spanish: (866) 648-3537 • Free home Rx delivery through CVS Pharmacy 5 5 Online Provider Search https://providersearch.molinahealthcare.com/ 6 6 Hospitals – Los Angeles and Orange Counties Los Angeles County: • Kindred Hospital San Gabriel Valley Orange County: • Adventist Health Glendale • Kindred Hospital South Bay • AHMC – Anaheim Regional Medical Center • Adventist Health White Memorial, Los Angeles • LA County USC Medical Center-DHS • South Coast Global -
PPO Select Narrow Hospital Network
PPO Select Narrow Hospital Network Hospital County Tier ALAMEDA HOSPITAL ALAMEDA 1 ST ROSE HOSPITAL ALAMEDA 1 CHILDREN'S HOSPITAL OAKLAND ALAMEDA 2 VALLEYCARE MEDICAL CENTER ALAMEDA 2 WASHINGTON HOSPITAL ALAMEDA 2 SUTTER AMADOR HOSPITAL AMADOR 1 BIGGS MEMORIAL HOSPITAL BUTTE 1 FEATHER RIVER HOSPITAL BUTTE 1 OROVILLE HOSPITAL & MEDICAL CENTER BUTTE 1 ENLOE MEDICAL CENTER INC BUTTE 2 MARK TWAIN ST JOSEPH'S HOSPITAL CALAVERAS 1 COLUSA REGIONAL MEDICAL CENTER COLUSA 1 DOCTORS MEDICAL CENTER – SAN PABLO/PINOLE CONTRA COSTA 1 SAN RAMON REGIONAL MEDICAL CENTER CONTRA COSTA 1 JOHN MUIR MEDICAL CENTER – CONCORD CAMPUS CONTRA COSTA 2 JOHN MUIR MEDICAL CENTER – WALNUT CREEK CONTRA COSTA 2 SUTTER COAST HOSPITAL DEL NORTE 1 MARSHALL MEDICAL CENTER EL DORADO 1 BARTON MEMORIAL HOSPITAL EL DORADO 2 CLOVIS COMMUNITY HOSPITAL FRESNO 1 COALINGA REGIONAL MEDICAL CENTER FRESNO 1 COMMUNITY MEDICAL CENTER – FRESNO FRESNO 1 FRESNO HEART HOSPITAL FRESNO 1 FRESNO SURGICAL HOSPITAL FRESNO 1 SAN JOAQUIN VALLEY REHABILITATION HOSPITAL FRESNO 1 SIERRA KINGS DISTRICT HOSPITAL FRESNO 1 ST AGNES MEDICAL CENTER FRESNO 1 KINGSBURG DISTRICT HOSPITAL FRESNO 2 GLENN MEDICAL CENTER GLENN 1 MAD RIVER COMMUNITY HOSPITAL HUMBOLDT 1 JEROLD PHELPS COMMUNITY HOSPITAL HUMBOLDT 2 REDWOOD MEMORIAL HOSPITAL HUMBOLDT 2 ST JOSEPH HOSPITAL – EUREKA HUMBOLDT 2 EL CENTRO REGIONAL MEDICAL CENTER IMPERIAL 1 PIONEERS MEMORIAL HEALTHCARE DISTRICT IMPERIAL 1 NORTHERN INYO HOSPITAL INYO 1 SOUTHERN INYO HOSPITAL INYO 1 GOOD SAMARITAN HOSPITAL KERN 1 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL -
Current Members List As of 11/15/19
Current Members List As of 11/15/19 Trauma Center Name Facility Level Job Title Email Anderson, Anabella Mission Hospital Regional Medical Center II Trauma Program Manager [email protected] Anderson, Melissa Children's Hospital Los Angeles I Trauma Program Manager [email protected] Artinger, Lorraine Natividad Medical Center II Injury Prevention Coordinator [email protected] Ashland, William Los Robles Hospital & Medical Center II Trauma Program Director [email protected] Ayers, Kathi Sharp Memorial Hospital II Trauma Program Manager [email protected] Bartleson, BJ California Hospital Association VP Nursing & Clinical Services [email protected] Beatty, Karen Ventura County EMS Specialty Systems Coordinator [email protected] Becker, Debra Central California EMS Agency Specialty Services Coordinator [email protected] Behr, Lynne Kaiser San Rafael EDAT Trauma Program Director [email protected] Bennink, Lynn (Retired) [email protected] Brammer, Amy Kaiser Vacaville Medical Center II Trauma Program Director [email protected] Brown, Sharon Arrowhead Regional Medical Center II Trauma Program Manager [email protected] Carroll, Meaghan Marin General Hospital III Trauma Program Manager [email protected] Cartner, Jan Doctors Medical Center II Trauma Program Manager [email protected] Case, Melinda Palomar Medical Center II Trauma Program Manager [email protected] Chand-kumar, Ashwini Mercy San Juan Medical Center II Trauma Program Manager [email protected] -
Safe Prescribing Partners
Safe Prescribing Partners • Alameda-Contra Costa Medical Association • Alameda County Health Care Services Agency • Alameda Health Consortium • Alvarado Hospital • Arch Health Partners • California Hospital Association • California Medical Association • Camp Pendleton Emergency Department • Central California Alliance for Health • Community Hospital of the Monterey Peninsula • Contra Costa Health Services • County of Monterey • Doctors on Duty Medical Clinics • El Centro Hospital • Emergency Nurses Association - California State Council • Fallbrook Hospital • Hospital Association of San Diego and Imperial Counties • Hospital Association of Southern California • Hospital Council of Northern and Central California • Kaiser Foundation Hospital - Anaheim • Kaiser Foundation Hospital - Baldwin Park • Kaiser Foundation Hospital - Downey • Kaiser Foundation Hospital - Irvine • Kaiser Foundation Hospital - Los Angeles • Kaiser Foundation Hospital - Mental Health Center • Kaiser Foundation Hospital - Moreno Valley • Kaiser Foundation Hospital - Panorama City • Kaiser Foundation Hospital – Riverside • Kaiser Foundation Hospital - San Diego • Kaiser Foundation Hospital - South Bay • Kaiser Foundation Hospital - West Los Angeles • Kaiser Foundation Hospital - Woodland Hills • Kaiser Ontario Medical Center Campus • Kaiser Permanente Southern California • Kaiser Permanente Southern California Urgent Care Clinics • Mee Memorial Hospital Safe Prescribing Partners • Monterey County District Attorney • Monterey County Fire Chiefs Association • Monterey -
The Hospitals Listed Here Push Hard to Make Sure Their Heart Disease and Stroke Patients Get the Benefits of Up-To-Date Scientific Guidelines-Based Treatment
WHEN HOSPITALS GO THE EXTRA MILE, PATIENTS DO TOO The hospitals listed here push hard to make sure their heart disease and stroke patients get the benefits of up-to-date scientific guidelines-based treatment. How? By actively participating in our healthcare quality programs. We thank them for all they do to get patients back on track. One day, you might too. Learn more at Heart.org/USNWR2015. A BIG THANKS TO OUR SPONSORS We appreciate these sponsors for funding our healthcare quality programs and for respecting our clinical independence. AWARD LEVELS SILVER ACHIEVEMENT These hospitals are recognized for 12 consecutive months of 85% or higher adherence on all achievement measures applicable to atrial fibrillation (AFIB) GOLD PLUS ACHIEVEMENT GOLD ACHIEVEMENT SILVER PLUS ACHIEVEMENT SILVER ACHIEVEMENT These hospitals are recognized for two These hospitals are These hospitals are recognized for These hospitals are or more consecutive years of 85% or recognized for two or more 12 consecutive months of 85% or recognized for 12 consecutive higher adherence on all achievement consecutive years of 85% higher adherence on all achievement months of 85% or higher measures applicable and 75% or higher or higher adherence on all measures applicable and 75% or higher adherence on all achievement adherence with four or more select achievement measures adherence with four or more select measures applicable to heart quality measures in heart failure (HF) applicable to heart failure (HF) quality measures in heart failure (HF) failure (HF) GOLD ACHIEVEMENT -