KAISER PERMANENTE QIHEC Quality Improvement and Health Equity Committee Instructions

KAISER PERMANENTE QIHEC Quality Improvement and Health Equity Committee

Product Information

• Specifications:
  • Brand: Kaiser Permanente (KP)
  • Model: California Quality Improvement and Health Equity Committee (QIHEC)
  • Departments: NCAL and SCAL
  • Approval Date: March 22, 2024
  • Publication Date: April 01, 2024

Product Usage Instructions

• Overview:
  • The Kaiser Permanente California Quality Improvement and Health Equity Committee (QIHEC) is a committee overseeing various departments and sub-committees related to quality improvement and health equity in Northern California (NCAL) and Southern California (SCAL).
• Setting Up:
  • Before using the product, review the charter, membership, and reporting calendar of QIHEC. Make sure you have the necessary documents and approvals in place.
• Operation:
  • Attend scheduled meetings, participate in quality improvement projects, and contribute to health equity transformation programs as outlined by QIHEC.
• Maintenance:
  • Regularly check for updates on performance improvement projects, sanctions, corrective action plans, and quality accountability projects to ensure compliance with QIHEC standards.

FAQs

• Q: What is the purpose of QIHEC?
  • A: QIHEC aims to drive quality improvement initiatives and promote health equity within Kaiser Permanente’s California regions.
• Q: How can I join the Community Advisory Committee (CAC)?
  • A: Contact the respective email addresses provided for NCAL and SCAL to express your interest in joining the CAC.
• Q: When do the NCAL Medi-Cal Quality Oversight Committee and SCAL Medi-Cal Quality Committee sunset?
  • A: The NCAL MQOC and SCAL MCQC sunset in December 2023.

QIHEC Meetings

• Northern California (NCAL): February 14, 2024
• Southern California (SCAL): February 28, 2024

Following Departments

The following departments and sub-committees reported to QIHEC in Q1 NCAL and SCAL:

1. The Permanente Medical Group (TPMG) and Southern California Permanente Medical
   • Group (SCPMG) – Managed Care Accountability Set (MCAS)
2. Medi-Cal Regulatory Line of Business (LOB)
   • a. Regulatory Update: All Plan Letters (APLs)
   • APL 23-012: Enforcement Actions: Administrative and Monetary Sanctions: Details the enforcement actions, including administrative and monetary sanctions, that the Department of Health Care Services (DHCS) may take to enforce compliance with Managed Care Plan (MCP) contractual provisions and applicable state and federal laws.
   • APL 23-021: Population Needs Assessment (PNA) and Population Health Management (PHM) Strategy: Guidance on the PNA and PHM Strategy requirements; supporting documentation is also contained in the PHM Policy Guide.
   • APL 23-025: Diversity, Equity, and Inclusion Training Program Requirements: Expanded guidance on Diversity, Equity, and Inclusion (DEI) training program requirements, including content and implementation timelines.
   • b. Regulatory Update: Policies & Procedures. Medi-Cal QIHEC: The QIHEC policy was created for DHCS Direct Contract Readiness to demonstrate compliance with the QIHEC contract requirements.
3. Community Advisory Committee (CAC)
   • a. The charter has been submitted and the first meeting is scheduled for June 2024
   • b. CAC member (patient and/or caregiver) will join the QIHEC in Q3 2024
   • c. NCAL Medi-Cal Quality Oversight Committee (MQOC) and SCAL Medi-Cal Quality Committee (MCQC) sunset in December 2023
4. Regional Medi-Cal Quality
   • a. QIHEC Charter, Membership, & Reporting Calendar
   • b. Quality Improvement and Health Equity Transformation Program (QIHETP) and Committee Structure
   • c. Performance Improvement Projects (PIPs): Clinical and Non-Clinical
   • d. Sanction and Corrective Action Plan (CAP)
   • e. Quality Accountability Projects
   • SCAL: Population Health Management (PHM) and Population Need Assessment (PNA)

Voted and Approved

NCAL and SCAL

1. 2024 QIHEC Charter and Membership
2. 2024 Medi-Cal Provider Manual
3. 2024 Medi-Cal Networking Provider Training
4. 2024 PHM Strategy
5. 2024 QIHETP Workplan

NCAL

• 2023 Medi-Cal Geographic Managed Care (GMC) Workplan Evaluation

SCAL

1. Q4 2023 Minutes SCAL Medi-Cal Quality Committee (MCQC)
2. San Diego Medi-Cal & State Sponsored Programs Committee Q4 2023 Minutes
3. Medi-Cal Regulatory LOB Report
4. KP Medi-Cal Membership – SCAL

QIHEC Meeting Minutes are submitted to:

• NCAL: Quality Oversight Committee (QOC)
• SCAL: SCAL Quality Committee (SCQC)
• Frequency: Quarterly

Next QIHEC Meetings

• NCAL: April 09, 2024
• SCAL: April 24, 2024

Submitted by:

• Hajnal Avery, MBA, FACHE, CPHQ
  • Regional Managing Director, Northern California Medi-Cal Quality
• Susan Mattera, RN, MN CHA, IA, CPHQ
  • Regional Director Quality & Safety, Southern California Medi-Cal Quality

Approved by:

• Dr. Claire Horton, Vice President, Associate Chief Medical Officer, National Medicaid and State Programs (Co-chair)
• Dr. Richard Rabens, Medical Director for Medi-Cal and State Programs for NCAL, The Permanente Medical Group (Co-chair)
• Dr. Timothy Ho, Medical Director for Medi-Cal and State Programs for SCAL, The Southern California Permanente Medical Group (Co-chair)
• Dr. Esme Cullen, Chief Health Equity Officer, National Medicaid & State Programs, Kaiser National Health Plan and Hospitals Quality (Vice-chair)
• Approved on: March 22, 2024
• Publication date: April 01, 2024
• Address questions to:
  • For NCAL: NCAL-QIHEC@kp.org.
  • For SCAL: SCAL-QIHEC@kp.org.

Kaiser Permanente (KP) California Quality Improvement and Health Equity Committee (QIHEC) Summary – Q1 2024

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