October 7, 2024
1:30 – 3:00 p.m., Pacific Time​​
Registration is now closed

Overview

California’s local health plans work tirelessly to improve quality of care for their members. From data collection and measurement to interventions and reporting, local plans are advancing quality improvement (QI) efforts that will lead to better care, better outcomes and better performance.

Join us for this introductory webinar where you will learn the fundamentals of quality in Medi-Cal managed care. 

Who should attend:
Local health plan staff across all departments who are interested in better understanding the role and importance of quality in serving Medi-Cal members and how all areas of plan operations contribute to promoting quality.

Agenda

Essential Quality Concepts

• What is quality and why is it important?
• The business case for quality

Tools and Practices for Monitoring & Improving Quality

• How plans execute on quality
• State requirements and expectations for quality improvement
  • Managed Care Accountability Set (MCAS)/Healthcare Effectiveness Data and Information Set (HEDIS)
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS)
  • Mandated quality improvement activities
  • Annual Department of Health Care Services (DHCS) audit
• Other State-required plan activities — committee structure, staffing and reporting
• DHCS mechanisms for promoting quality — penalties, corrective actions plans, et al.

Intersection Between Quality & Health Equity

• What is health equity and what does DHCS require?
• How quality and health equity intersect
• How plans support quality and health equity — roles of the Quality Department and Chief Diversity/Health Equity Officer
• How the various plan departments and staff support and contribute to the plan’s quality and health equity efforts and activities

Challenges & Opportunities for Plans in Quality Improvement

• DHCS quality oversight and reporting
• Expanding role of population health management
• NCQA accreditation requirement
• Dual Eligible Special Needs Plans and Medicare Stars

Faculty

Chris Esguerra, MD
Chief Medical Officer
Health Plan of San Mateo

Dr. Esguerra has led systems transformation, program evolution, and public/private partnerships leading to outcomes meeting the quadruple aim of improving health, cost effectiveness, enhancing patient experience and supporting provider well-being. His experience encompasses health care provider and systems leadership, managed care operations, novel payment models, public-private partnerships and health care transformation.

Dr. Esguerra is board certified in both Psychiatry and Health Care and Quality Management. He received his bachelor’s and medical degree from USC, and an MBA from the University of Massachusetts at Amherst.

Registration

This is an LHPC members-only program.

Fees* (per connection)
Members                       $50
Plan Registration^       $150
*Special registration pricing will be offered while health plan staff work remotely. Standard pricing will resume once staff return to work on-site.
^ Select this option if plan staff will view the webinars communally on-site. Plans with multiple sites must register each site separately and identify whom at each site should receive the webinar access information upon registering. When registering, please enter unique email addresses for each additional site as the system may not allow duplicate logins.​

Registration closed Oct. 3 at 5:00 p.m.

Registration Confirmation: Registrants will receive two emails — a registration confirmation email and a separate email that contains access information for the webinar. 

Participating in the Webinar: You will only need a computer with an updated web browser (Google Chrome, Microsoft Edge, Mozilla Firefox or Safari is recommended). Participants may opt to listen to the webinar via telephone or device. 

Cancellation Policy: Cancellation notification must be submitted in writing to institute@lhpc.org seven or more days prior to the course date. Refunds will not be given after that date. Substitutions are encouraged. Payment will be due for registered individuals that do not attend or participate in the event, and for which a cancellation notice is not received.