Member Safety and Quality Assurance

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In keeping with Partnership HealthPlan of California's mission statement to help our members and the communities we serve be healthy, a key component is member safety.  

Member safety and quality assurance activities include:

  • Conducting site reviews to ensure that primary c​​are providers have the capacity to maintain member safety standards and practices
  • Monitoring quality of health care provided through primary care medical record review
  • Assessing the level of physical accessibility of provider sites, including specialist and ancillary providers that serve a high volume of seniors and persons with disabilities
  • Monitoring Initial Health Appointment (IHA) rate
  • Investigation of potential quality issues
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Contact Us

Site Review Fax: (530) 999-6950
Site Review Email: FSR@partnershiphp.org

Potential Quality Issue Fax: (707) 863-4316
Potential Quality Issue Email: PQI@partnershiphp.org​​

 

​Site Rev​iew
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A Site Review (SR) is comprised of a Facility Site Review (FSR) and a Medical Records Review (MRR) using tools developed by the California Department of Health Care Services and Medi-Cal managed health care plans collectively.

Learn More about Site Review

Site Rev​iew Resources

​Click here for Educational Videos
Educational videos cover changes to the Site Review Tools and Standards effecitve July 1, 2022.

​Potential ​Quality Issues
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The review process for Potential Quality Issues is a comprehensive and effective program with mechanisms in place to ensure member safety and quality assurance.

​​Learn More about Potential Quality Issues​

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