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Resources to Help Improve Quality of Care

Information and Tools for Healthcare Providers to Improve Clinical Quality Measures

Elevating Clinical Quality

Find resources and information that will help you to provide the highest quality care to your patients and L.A. Care members. 

Pay-for-Performance (P4P) Program

L.A. Care Health Plan’s Physician Pay-for-Performance (P4P) Program offers performance-based incentives to qualified high-volume physicians and higher-volume Community Clinics that provide high-quality preventive and chronic care to L.A. Care members.

Go to the P4P Program

HEDIS® Resources

We have HEDIS® (Healthcare Effectiveness Data and Information Set) reference guides for selected priority measures. These guides are designed to help your practice provide the best quality care, in alignment with the HEDIS® standards as well as with evidence-based clinical practice guidelines.

Go to HEDIS® Guides

Quality Improvement

The Quality Improvement (QI) program serves to support the practitioner-patient relationship. QI measures progress and quality of care through HEDIS®and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey. We also offer providers opportunities to collaborate with L.A. Care and improve services to members.

Go to Quality Improvement

Health Education Tools

L.A. Care offers free resources to help you educate patients on health topics. These include materials (to order and to print) and classes at our Family Resource Centers that you can refer patients to attend. 

Go to Health Ed Tools

Clinical Practice Guidelines

View the Clinical Practice and Preventive Health Guidelines adopted by L.A. Care. You can also download preventive health guideline brochures to display in patient areas.

Go to Practice Guidelines

Facility Site Review Resources

The California Department of Health Care Services (DHCS) Policy Letter 14-004 requires a review of all primary care provider (PCP) sites upon entering our provider network and at minimum every three years thereafter.

The site review process is part of L.A. Care Health Plan’s Credentialing and Quality Improvement programs that focuses on the capacity of the provider site to ensure and support the safe and effective provision of clinical services provided within the L.A. Care provider network.

The review includes a site review survey, medical record review survey, and physical accessibility review survey assessment.

In order to assist PCP offices and office staff to prepare for the survey, the following information needs to be provided to offices for review:

DHCS Site Review Survey
DHCS Medical Record Review Survey
DHCS Physical Accessibility Review Survey
FSR Audit Preparation Checklist
Facility Resource Request Form
Critical Element “Checklist” - Site Review Survey
MMCD Policy Letter 14-004
The Americans with Disabilities Act Checklist