Appendix S2 CLABSI Rates
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Blue Shield of California PPO Specialties: All Physicians and Specialists Medical Groups: County: Butte
October 1, 2015 Search Criteria: Plan name: Blue Shield of California PPO Specialties: All Physicians and Specialists Medical Groups: County: Butte Prepared For: City of Oroville PPO Participants 1735 Montgomery St., Oroville, CA, 95965 Prepared By: Liz Ehrenstrom Phone #: (530) 538-2407 Visit us at blueshieldca.com 1 An Independent Member of the Blue Shield Association INTRODUCTION This regional directory lists the physicians and healthcare facilities in the Blue Shield of California PPO network and the Blue Shield Life Provider Network. All of the providers in this directory have agreed to accept our payment, plus any applicable coinsurance or co payments for which you may be responsible, as payment-in-full for the covered services described in your plan's Evidence of Coverage or Certificate of Insurance. Making quality part of the equation We have made quality measures an essential part of how we categorize hospitals. We use quality data compiled from two leading independent performance initiatives: the Leapfrog Group survey, which focuses on hospital quality and safety practices, and the hospital performance ratings used by the California Hospital Assessment and Reporting Taskforce (CHART). The Leapfrog Group is an initiative driven by organizations that buy health care who are working to initiate breakthrough improvements in healthcare safety, quality and affordability. The Leapfrog Group's growing consortium of major companies and other large private and public healthcare purchasers provide health benefits to more than 37 million Americans in all 50 states. The Leapfrog Group survey is a voluntary program in which hospitals report on the quality and safety practices they have implemented. -
Performance Network Plan Medical Groups
Performance Network Plan medical groups The Performance Network offers more choice for people A plan medical group (PMG) is a designated group living in the North County area of San Diego. In addition of doctors, hospitals, specialty care and urgent care to our regional partners, we offer affordable access to centers associated with a network. It is important to Sharp’s award-winning medical groups, all dedicated to keep in mind that referrals and prior authorizations do 1 meeting your health care needs. not transfer between PMGs. You have access to only one PMG at a time. Your PMG will be listed on the front of your member ID card.2 1,700+ Doctors Sharp Rees-Stealy Medical Group This PMG includes more than 500 primary care 13 Hospitals physicians and specialists. Admitting hospitals are Sharp HealthCare facilities and Rady Children’s Hospital. Sharp Rees-Stealy Medical Group 7 Medical Groups physicians serve: • Carmel Valley • Mt. Helix • Chula Vista • Murphy Canyon 40 Urgent Care Centers • Del Mar • Otay Ranch • Downtown San Diego • Point Loma • El Cajon • Rancho Bernardo 450+ Pharmacies • Frost Street / • San Carlos Frost Street North • San Diego • Genesee • Scripps Ranch 15 MinuteClinics® • La Mesa / • Sorrento Mesa La Mesa West • Mira Mesa Find a doctor Visit sharphealthplan.com and click “Find a doctor” to see if your current doctor is in one of the listed plan medical groups, or to find one that fits your needs. 1 The data shown here reflects the Performance Network as of March 31, 2019. Coverage area includes but is not limited to the locations in this document. -
Savings Plus OA Managed Choice® POS Network Overview
Savings Plus OA Managed Choice® POS network overview The Savings Plus service area consists of all of Los Angeles, Orange, San Diego and Ventura counties and portions of Riverside and San Bernardino counties (excluding ZIP codes that begin with 922 and 923). All nonemergency services performed outside of the California Savings Plus OA Managed Choice POS network of doctors and hospitals will be paid at the out-of-network benefits level. Information updated June 2020 and is subject to change without notice. For a list of doctors and hospitals that participate in the Savings Plus OA Managed Choice POS network, log in to your member website on Aetna.com and use our provider search. Adventist Health Glendale Good Samaritan Hospital (Los Angeles) Adventist Health Simi Valley Healthbridge Children’s Hospital Adventist Health White Memorial Hemet Global Medical Center AHMC Anaheim Regional Medical Center Henry Mayo Newhall Memorial Hospital Alhambra Hospital Medical Center Hoag Hospital Irvine Alvarado Hospital Medical Center Hoag Memorial Hospital Presbyterian Anaheim Global Medical Center Hoag Orthopedic Institute Antelope Valley Hospital Hollywood Presbyterian Medical Center Beverly Hospital Huntington Beach Hospital Centinela Hospital Medical Center Huntington Memorial Hospital Chapman Global Medical Center Keck Hospital of USC CHOC Children’s at Mission Hospital La Palma Intercommunity Hospital Children’s Hospital Los Angeles Laguna Beach Campus of Mission Hospital CHOC Children’s Lakewood Regional Medical Center Chino Valley Medical Center -
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 -
The Impact of a Birth Clerk Training Program on California Birth Data Quality 1998-2009
THE IMPACT OF A BIRTH CLERK TRAINING PROGRAM ON CALIFORNIA BIRTH DATA QUALITY 1998-2009 By Linda L Remy, MSW PhD Geraldine Oliva, MD MPH Ted Clay, MS Geraldine Oliva, MD MPH, Director UCSF Family Health Outcomes Project 500 Parnassus Ave. Room MU-337 San Francisco, California 94143-0900 Phone: 415-476-5283 Fax: 415-476-6051 Web: http://www.ucsf.edu/fhop January 2013 Blank page intentionally inserted UCSF Family Health Outcomes Project Page ii TABLE OF CONTENTS Executive Summary 1 Background 3 Study Design and Methods 4 Results 9 Discussion 29 Recommendations 31 Appendix A: Hospital Crosswalk 35 Appendix B: Hospitals Combined Due to Consolidations or Moves 37 Appendix C: Trainings 38 Appendix D: Excluded Hospitals 40 Appendix E: Hospitals Carried Forward 42 Appendix F: Dependent Variables Prepared for Analysis 46 Endnotes 50 This work was carried out under Contract A107398, with the California Department of Public Health. The authors particularly appreciate the support of Gwyn Doebbert and Scott Fujimoto at California’s Office of Health Informatics and Research, Alan Oppenheim at the California Center for Health Statistics, and Joyce Martin and her staff at the Centers for Disease Control, National Center for Health Statistics. Suggested Citation: Remy LL, Oliva G, Clay T (2013). The impact of a birth clerk training program on California birth data quality 1998-2009. Family Health Outcomes Project, University of California, San Francisco. Available at: fhop.ucsf.edu/ UCSF Family Health Outcomes Project Page iii ACRONYMS AVSS Automated -
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 Statewide Trauma System Triage and Transfer Resource Guide 2019
California Statewide Trauma System Triage and Transfer Resource Guide 2019 Emergency Medical Services Authority State Trauma Advisory Committee Howard Backer, MD, MPH, FACEP Director EMS Authority Daniel R. Smiley Chief Deputy Director EMS Authority Thomas McGinnis Chief, EMS Systems Division EMS Authority Elizabeth Winward State Trauma Systems Coordinator EMS Authority x For an electronic copy of this publication, please visit California Emergency Medical Services Authority’s website (http://www.emsa.ca.gov/XXXXX ii January 2019 CONTENTS INTRODUCTION 1 CALIFORNIA STATUTORY/REGULATORY AUTHORITY 2 Article 1. Local EMS Agency 2 Article 3. Transfer Agreements 2 Code of Regulations, Title 22, Division 9, Chapter 7 2 BACKGROUND 3 RE-TRIAGE AGREEMENTS, GUIDELINES, AND POLICIES 4 PERFORMANCE IMPROVEMENT 5 EDUCATION 6 REFERENCES 7 APPENDICES INTRODUCTION 8 Appendix 1: Hospital Council of Northern & Central California Patient 9 Transfer Agreement Appendix 2: Central California Regional Trauma System 18 Suggested Criteria for Consideration of Transfer to a Trauma Center Appendix 3: Riverside County EMS Agency Continuation of Trauma Care 20 Appendix 4: City and County of San Francisco Trauma Re-Triage 23 Appendix 5: Contra Costa EMS 24 iii CONTENTS Appendix 6: Inland Counties EMS Agency Continuation of Care 27 Appendix 7: Los Angeles County EMS Agency Trauma Triage 32 Appendix 8: North Regional Trauma Coordinating Committee 33 Guidelines for Transfer to a Trauma Center Appendix 9: Routine Follow-up Communication Form 37 iv INTRODUCTION This resource is designed to assist the local EMS agencies (LEMSA) in the development of transfer and triage policies, guidelines and processes throughout California.1 In particular, this resource focuses on the concept of emergency transfer of critical trauma patients also commonly called re-triage. -
Medi-Cal Managed Health Care Options in San Diego County
Medi-Cal Managed Health Care Your Medi-Cal Managed Care Health Plan Choices Options in San Diego County This material is being provided to help you better understand your choices. It is not an endorsement of any specific Medi-Cal Health Plan. Standard Medi-Cal Covered Services Welcome to Medi-Cal Managed Care Benefits Alvarado Hospital & Medical Center Scripps Mercy Hospital Chula Your Medi-Cal benefits can now be provided by a Medi-Cal Managed Care Health Plan. A Palomar Medical Center Vista Managed Care Health Plan gives you access to a network of doctors, clinics, specialists, Plan Network Paradise Valley Hospital Sharp Chula Vista Medical Center pharmacies and hospitals. Hospitals* Pomerado Hospital Sharp Coronado Hospital How Does Managed Care Work? Rady Children’s Hospital San Diego Sharp Grossmont Hospital Each Medi-Cal Managed Care Health Plan has a list of primary care providers you can choose *Call your Scripps Green Hospital Sharp Mary Birch Hospital for from. If you have a doctor now, you will need to find out if that doctor belongs to a Medi-Cal provider about Scripps Memorial Hospital Women & Newborns Managed Care Health Plan. Your primary care provider will be responsible for managing your using other Encinitas Sharp Memorial Hospital overall health care and referring you to other doctors if needed. locations in an Scripps Memorial Hospital La Jolla Sharp Mesa Vista Hospital Who Can Join a Medi-Cal Managed Care Health Plan? emergency. Scripps Mercy Hospital San Diego Tri-City Medical Center Anyone who is on Medi-Cal, lives in San Diego County, and has a qualifying aid code may UCSD Medical Center – Hillcrest choose a Medi-Cal Managed Care Health Plan. -
Hospital Organ Donation Campaign Recognition for Outreach
Hospital Organ Donation Campaign Recognition for Outreach The hospitals listed below reached gold, silver, and bronze recognition levels for their organ, eye, and tissue donation and registration efforts between August 1, 2014, and April 30, 2015. The hospitals worked closely with their organ procurement organizations and Donate Life America affiliates to educate and register new donors. In many states, the participation of state hospital associations was pivotal to the hospitals’ efforts. DLA and hospital association participation is indicated in the title line for each state. OPO participation is listed in the OPO recogni- tion list at the end of the document. SEARCH BY STATE: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z OPO RECOGNITION ALABAMA • Donate Life Alabama 1 0 0 East Alabama Medical Center Y ARIZONA • Donate Life Arizona 3 11 28 • Arizona Hospital and Healthcare Association Abrazo Arizona Heart Hospital Y Abrazo Central Campus Y Abrazo Scottsdale Campus Y Abrazo West Campus Y American Liver Foundation Y Banner Boswell Medical Center Y Banner Casa Grande Regional Medical Center Y Banner Del E. Webb Medical Center Y Banner Desert Medical Center and Cardon Children’s Medical Center Y Banner Estrella Medical Center Y Banner Gateway Medical Center and Banner MD Anderson Cancer Center Y Banner Goldfield Medical Center Y Banner Ironwood Medical Center Y Banner Thunderbird Medical Center Y Banner University Medical Center—Tucson and South Campus* Y Barnet Dulaney Perkins Eye Center Y Carondelet St. Mary’s Hospital Y Chandler Regional Medical Center Y Cobre Valley Regional Medical Center Y Flagstaff Medical Center Y * denotes transplant centers 1 HonorHealth Deer Valley Medical Center Y HonorHealth John C. -
County Hospital CMQCC Member Maternal Data Center Participant
Maternal Data Center County Hospital CMQCC Member Participant System Yuba Adventist Health and Rideout Yes Yes Adventist Kern Adventist Health Bakersfield Yes Yes Adventist Lake Adventist Health Clear Lake Yes Yes Adventist Los Angeles Adventist Health Glendale Yes Yes Adventist Kings Adventist Health Hanford Yes Yes Adventist San Joaquin Adventist Health Lodi Memorial Yes Yes Adventist Fresno Adventist Health Reedley Yes Yes Adventist Ventura Adventist Health Simi Valley Yes Yes Adventist Tuolumne Adventist Health Sonora Yes Yes Adventist Tulare Adventist Health Tulare Yes No Adventist Mendocino Adventist Health Ukiah Valley Yes Yes Adventist Los Angeles Adventist Health White Memorial Yes Yes Adventist Alameda Alta Bates Yes Yes Sutter Health Orange Anaheim Global Medical Center Yes Yes KPC Health Orange Anaheim Regional Yes Yes AHMC Healthcare Los Angeles Antelope Valley Hospital Yes Yes San Bernardino Arrowhead Regional Medical Center Yes Yes Kern Bakersfield Memorial Hospital Yes Yes Dignity Health Lassen Banner Lassen Medical Center Yes Yes San Bernardino Barstow Community Hospital Yes Yes Quorum Health El Dorado Barton Memorial Hospital Yes Yes Los Angeles Beverly Hospital No No Los Angeles California Hospital Yes Yes Dignity Health Los Angeles Cedars-Sinai Medical Center Yes Yes Los Angeles Centinela Hospital Medical Center Yes No Prime Healthcare Services Fresno Clovis Community Medical Center Yes Yes Community Medical Centers Monterey Community Hospital Monterey Yes Yes San Bernardino Community Hospital of San Bernardino Yes Yes Dignity Health Ventura Community Memorial Hospital Yes Yes Fresno Community Regional Yes Yes Community Medical Centers Contra Costa Contra Costa Regional Yes Yes Updated January 12, 2021: There are 213 CMQCC members with 207 members actively submitting data to the Maternal Data Center. -
Community Health Needs Assessment
Sharp Memorial Hospital Community Health Needs Assessment Fiscal Year 2019 Committed to Improving the Health and Well-Being of Our Community Sharp Memorial Hospital 2019 CHNA1 Executive Summary Introduction and Background Sharp HealthCare (Sharp) has been a long-time partner in the process of identifying and responding to the health needs of the San Diego community. This partnership includes a broad range of hospitals, health care organizations, and community agencies that have worked together to conduct triennial Community Health Needs Assessments (CHNAs) for more than 20 years. Previous collaborations among not-for-profit hospitals and other community partners have resulted in numerous well-regarded CHNA reports. Sharp hospitals, including Sharp Memorial Hospital (SMH), base their community benefit and community health programs on both the findings of these needs assessments and the combination of expertise in programs and services offered and the knowledge of the populations and communities served by each Sharp hospital. SMH prepared this CHNA for Fiscal Year 2019 (FY 2019) in accordance with the requirements of Section 501(r)(3) within Section 9007 of the Patient Protection and Affordable Care Act (“Affordable Care Act”) enacted in March 2010, and IRS Form 990, Schedule H for not-for-profit hospitals.2 Per the federal regulations, the SMH 2019 CHNA also includes needs identified for communities served by Sharp Mary Birch Hospital for Women & Newborns (SMBHWN), as the two hospitals share a license, and report all utilization and financial data as a single entity to the Office of Statewide Health Planning and Development. The SMH 2019 CHNA summarizes the processes and findings for communities served by both hospital entities. -
Appendix S3 C Diff Rates
Clostridium Difficile Infection (CDI) Standardized Infection Ratios (SIRs) in California General Acute Care Hospitals California Department of Public Health 2016 Data Lower is better, goal is 1.0 or less Infections Infections Patient SIR CI 95 Lower SIR CI 95 Upper Year CDPH Facility ID Facility Name County SIR Score Comparison SIR in 2015 Reported Predicted Days Limit Limit 2016 930000060 Glendora Community Hospital Los Angeles 8 2.81 5849 2.85 1.32 5.41 Worse 0.95 2016 60000007 Children's Hospital of Orange County Orange 58 21.96 47689 2.64 2.02 3.39 Worse 1.5 2016 930000035 Silver Lake Medical Center Los Angeles 20 7.74 16124 2.58 1.62 3.92 Worse 1.5 2016 250000344 Southwest Healthcare System, Wildomar Riverside 47 18.35 33228 2.56 1.9 3.38 Worse 2.3 2016 110000056 Sonoma Valley Hospital Sonoma 7 2.85 4759 2.45 1.07 4.85 Worse 1.79 2016 250000507 Southwest Healthcare System, Murrieta Riverside 27 11.26 24726 2.4 1.61 3.44 Worse 1.51 2016 930000082 Community Hospital Long Beach Los Angeles 20 8.96 15786 2.23 1.4 3.39 Worse 1.25 2016 930000108 Monterey Park Hospital Los Angeles 13 5.89 20399 2.21 1.23 3.68 Worse 2.29 2016 250000101 San Gorgonio Memorial Hospital Riverside 34 15.52 12601 2.19 1.54 3.03 Worse 1.63 2016 930000105 Olympia Medical Center Los Angeles 59 27.59 27338 2.14 1.64 2.74 Worse 1.89 2016 40001397 Fresno Heart and Surgical Hospital Fresno 13 6.44 11680 2.02 1.12 3.37 Worse 2.11 2016 30000123 Memorial Medical Center Stanislaus 85 43.6 77513 1.95 1.57 2.4 Worse 2.01 2016 60000015 Huntington Beach Hospital Orange 13 6.88