Smart Care California

Smart Care California

Smart Care California is a public-private partnership working to promote safe, affordable health care in California. The group currently focuses on three issues: C-sections, opioid overuse and low back pain. Collectively, Smart Care California participants purchase or manage care for more than 16 million Californians—or 40 percent of the state. Smart Care California is co-chaired by the state’s leading health care purchasers: DHCS, which administers Medi-Cal; Covered California, the state’s health insurance marketplace; and CalPERS. IHA convenes and coordinates the partnership with funding from CHCF.
 

 What's New

2018 Hospital C-Section Honor Roll Media Coverage

News Release: Smart Care California Announces Third Annual C-Section Honor Roll (October 23, 2018)

2018 Hospital C-Section Honor Roll List

Fact Sheet: Reducing Low-Risk C-Section Births in California, updated October 2018

2018 Smart Care California Opioid Survey Results: Summary by Purchaser and Summary of 2017 vs 2018 Results 

My Birth Matters: C-Section Consumer Education Campaign

Opioid Safety Resource Catalog
 

Smart Care California Background Information

By some estimates, up to 30 percent of all patient care in the United States is at best ineffective or at worst harmful while increasing costs for everyone. In order to address concerns regarding the increased use of wasteful medical services, Smart Care California, previously known as the Statewide Workgroup on Reducing Overuse, was formed in 2015. Smart Care California engages participants representing physicians, hospitals and health systems, health plans and other payers, purchasers, and consumer organizations to tackle the issue of overuse.

Smart Care California Progress

The dashboard below contains data on select measures from existing sources to highlight statewide progress for Smart Care California’s three focus areas. The dashboard currently includes data from 2015, which serves as baseline, and 2016, as well as the percent relative change between baseline and 2016. This dashboard will be updated on an annual basis.

Measure
Total morphine milligram equivalents (MME) per resident per year
Target
Lower total volume of prescribed opioids by 50% by 2020
2015
544.22
MME per resident
per year
2016
495.65
MME per resident
per year
2017
420.75
MME per resident
per year
% Change
 
22.7%
(lower is better)
Measure
Residents on >90MME Daily
(>= 30 days)
per 1000 pts
Target
Lower number of people on high-dose opioids (>90mg MME) by 50% by 2020
2015
24.72
per 1000pts
2016
21.92
per 1000pts
2017
18.55
per 1000pts
% Change
 
25.0%
(lower is better)
Measure
Residents on Opiods/Benzos
(>= 30 days)
per 1000 pts
Target
Lower number of people receiving both benzodiazepines and opioids by 50% by 2020
2015
20.06
per 1000pts
2016
18.88
per 1000pts
2017
15.50
per 1000pts
% Change
 
22.7%
(lower is better)
Measure
Number of buprenorphine prescriptions per 1000 residents
Target
Buprenorphine prescriptions quadruple by 2020
2015
12.29
per 1000pts
2016
13.19
per 1000pts
2017
14.31
per 1000pts
% Change
 
16.4%
(higher is better)
Measure
Nulliparous, Term, Singleton, Vertex (NTSV) C-Secion rate
Target
Statewide average of 23.9% by 2020
Data Source
2015
25.6%
2016
25.0%
2017
24.5%
% Change
 
4.3%
(lower is better)
Measure
Hospitals recognized for achieving or surpassing the national Healthy People 2020 target of 23.9% for low-risk first birth C-section.
Target
Every hospital that provides maternity care services in California will be recognized on the Hospital Honor Roll by 2020
2015
42.6%
104 out of 244 hospitals
2016
45.9%
111 out of 242 hospitals
2017
50.8%
122 out of 240 hospitals
% Change
 
19.2%
(higher is better)
Measure
Hospitals who are members of the California Maternal Quality Care Collaborative (CMQCC)
Target
Every hospital that provides maternity care services in California will be a CMQCC member by 2020
2015
60.6%
151 out of 249 hospitals1
2016
74.9%
182 out of 243 hospitals1
2017
83.0%
200 out of 241 hospitals1
% Change
 
40.0%
(higher is better)
Measure
In Development
Target
Data Source
2015
2016
% Change

1 CMQCC membership numbers from December of the corresponding year.