Clinician Documentation & Quality Resources

Please review these required topics for HPSM providers.

Healthcare Effectiveness Data and Information Set (HEDIS)

Provide access to all medical records in a timely manner on an annual basis for the Healthcare Effectiveness Data and Information Set (HEDIS) reporting requirements.

Phone: 650-616-5016
Email: healtheducationrequest@hpsm.org

Resources

Initial Health Assessment (IHA)

Conduct an IHA with all newly enrolled HPSM members within 120 days.

Nurse Advice Line

Understand how HPSM’s Nurse Advice Line Service supports existing phone triage systems at your clinic or office. Providers must offer members access to a phone triage service 24 hours a day, 7 days per week.

Potential Quality Issue (PQI)

Understand HPSM’s method for the identification, reporting and processing of a Potential Quality Issue to determine opportunities for improvement in the provision of care and services to our members. Direct the appropriate actions for improvement based upon outcome, risk, frequency and severity.

Seniors and Persons with Disabilities (SPD)

Identify and address barriers to access and care (physical access, communication, etc.) for seniors and/or persons with disabilities (SPD).

Tobacco Prevention and Cessation Services

Identify (initially and annually) all members (of any age) who use tobacco products and note this on the Staying Healthy Assessment (SHA).