Skip to main content

Notice: One of our vendors, NationsBenefits, LLC, experienced a cybersecurity incident that affected certain members’ personal information. Learn more.

1-800-260-2055

Quality Improvement Program

Quality is important to us, and that’s why Santa Clara Family Health Plan (SCFHP) has a strong Quality Improvement Program. The purpose of the program is to make sure we constantly improve quality, safety, and satisfaction of care for all of our members.

The Quality Improvement process helps to:

  • Identify areas that need improvement for member care and customer service
  • Set priorities for review
  • Develop effective ways to address the areas to ensure improvement

SCFHP identifies areas that need improvement through the following methods:

To learn more about the SCFHP’s Quality Improvement Program, read the Quality Improvement Program Description.

Provider incentives

Medi-Cal Provider Performance Program

SCFHP's Medi-Cal Provider Performance Program (PPP) was designed to align with our mission to provide high quality, comprehensive healthcare and to close gaps in care for our members.

The PPP is based on a combination of the following measures:

• The National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS)
• Department of Health Care Services (DHCS) quality requirements
• SCFHP developed measures

For more information on the Provider Performance Program, click here.