Achieve key performance goals through data-driven insights and regional collaboration
Wellcare encourages hospitals to leverage expert-led programs and analytics-based tools to drive measurable improvements in patient safety.
Focus areas include:
- Healthcare-associated infections (HAIs)1
- Sepsis care
- Leapfrog Safety Grades
- Cal Hospital Compare’s Honor Rolls for Patient Safety and Substance Use Disorder (SUD) Care
Programs and tools to accelerate patient safety performance
Eligible hospitals receive customized support through HSAG’s QIN-QIO Program – The Health Services Advisory Group (HSAG) leads the Centers for Medicare & Medicaid Services (CMS)-funded Quality Innovation Network–Quality Improvement Organization (QIN-QIO) program in California and other western states.
- Opportunities:
- Tailored, data-driven support from HSAG’s expert team.
- Focus on improving high-impact quality outcomes. Identify sustainable, manageable approaches.
- Next step:
- Reach out to HSAG to check your hospital’s eligibility for this program. Contact Christine Bailey, HSAG’s Senior Executive Director at CBailey@hsag.com.
Leverage HQI’s data analytics featured on its Hospital Quality Improvement Platform
The Hospital Quality Institute offers easy-to-use dashboards and analytics to help hospitals monitor patient safety performance. Compare trends within your own facility and across hospitals.
- Get support:
- Learn from the Hospital Quality Institute’s team to support your strategic planning and tracking needs.
- Contact the Hospital Quality Institute’s analytics team at hqianalytics@hqinstitute.org.
In L.A. County: Join regional collaborative to improve infection prevention
Hospitals in Los Angeles County can connect with neighboring health care sites to improve local communication about infection prevention and antimicrobial stewardship.
- Program highlights:
- Quarterly meetings convened by region within the County (17 regions total) include hospitals, skilled nursing facilities and dialysis clinics.
- Opportunities for data sharing and best practice exchange.
- Led by L.A. County Department of Public Health and cities of Long Beach and Pasadena.
- Learn more:
- Contact the L.A. County Department of Public Health’s Healthcare Outreach Unit at RHN@ph.lacounty.gov.
Recognition and visibility for high-performing hospitals
Promote high performance on your Leapfrog Hospital Safety Grade, a consumer-friendly composite of patient safety metrics.
- Action steps:
- Review your current grade and survey results.
- Identify opportunities for improvement. Make sure you participate in Leapfrog’s Annual Survey: https://bit.ly/Leapfrog_Survey.
- Promote your grade in your community and online.
- Resources:
- Contact Leapfrog at https://bit.ly/Leapfrog_Help_Desk.
Showcase your Cal Hospital Honor Roll recognition
Hospitals recognized for excellence in patient safety or SUD care can showcase their achievements to staff and within the community to build trust and support.
- Key points:
- SUD Honor Roll requires submission of a self-assessment to be eligible.
- Honor Roll recognition can enhance public confidence and staff engagement.
- Learn more:
- Visit Cal Hospital Compare at https://bit.ly/CalHospitalCompare.
Empowering patients to choose high-quality care
The Plan provides members access to tools to guide informed hospital choices based on quality performance and safety data. These resources, available through our provider directory, can improve member awareness about high-performing hospitals in their plan.
Let’s work together to improve patient safety
We are committed to supporting your efforts to achieve excellence in patient safety. For more information about our hospital quality programs, contact Barb Wentworth, Ph.D. at barbara.wentworth@healthnet.com.
Need help? Contact us
Relevant sections of the Wellcare Provider Manual have been revised to reflect the information contained in this update as applicable. The manual is available online at www.wellcare.com/California/Providers/Medicare.
If you have questions regarding the information contained in this update, contact 866‑999‑3945.
This information applies to Hospitals.
1Priority HAIs include catheter-associated urinary tract infections, central
line-associated bloodstream infections, Clostridioides difficile, methicillin-resistant Staphylococcus aureus, and colorectal surgical site infections.
