Potential Quality Issues (PQIs)

A PQI is a suspected deviation from provider performance, clinical care or outcome of care. HPSM uses a method to identify, report and process PQIs. If a PQI is detected, we take appropriate actions based upon outcome, risk frequency and severity. This helps us improve the care provided to our members. 

Use the resources below to understand HPSM’s method of handling PQIs and refer PQI cases to HPSM. 

Resources

• Introduction to Potential Quality Issues
• PQI Referral Form
• PQI Case Leveling Grid

Contact

• Phone: 650-616-2170
• Email: pqireferralrequest@hpsm.org