Meeting Materials

Smart Care California: Workgroup Meeting Materials

Workgroup Meeting #8: January 2018

The main purposes of the eighth workgroup meeting were to 1) assess Smart Care California's progress to date as an initiative, 2) evaluate progress on Smart Care California's three focus areas, and 3) discuss strategies to continue advancing the work of the initiative. 

Workgroup Meeting #7: October 2017

This meeting’s main focus was to discuss ways in which Smart Care California can support payers and provider groups to adopt an organization-wide opioid safety initiative. Additionally, participants heard updates about the development and consumer testing of C-section patient education materials and engaged in a discussion on measures for low back pain.

Workgroup Meeting #6: June 2017

Aligning payment to reduce C-sections for low-risk first time births was the focus of the sixth workgroup. Dr. Elliott Main, Medical Director for the California Maternal Quality Care Collaborative (CMQCC) and a nationally recognized leader in improving maternal and neonatal outcomes, emphasized the need for a multi-lever approach, including payment, to reduce unnecessary C-section. Following, Covered California, Health Net, Hoag Memorial Presbyterian Hospital and MemorialCare Health System presented on the lessons learned and impact of implementing value-based payment for birth. The group also heard updates on efforts to reduce overuse for low back pain and opioids. 

Workgroup Meeting #5: January 2017

The main topic for the fifth workgroup meeting was low back pain. Participants heard presentations on two treatment innovations for several populations ranging from initial screening of low back pain to those with chronic, complex, high cost care needs and began preliminary discussions on priorities for low back pain interventions and measures. The group also discussed activities underway for addressing the overuse of opioids and a menu of value-based payment options for C-section. 

Workgroup Meeting #4: August 2016

Discussion for the fourth workgroup meeting primarily focused on priorities for action on opioids, anchored by recent work by the California Health Care Foundation recommending four key strategies.  The focus for the meeting was on 1) resources for reducing opioid overuse for providers, consumers/patients, and payers/plans; and 2) a soon-to-be-launched dashboard on opioid indicators from CDPH.  Workgroup members also discussed the development of  an “honor roll” award that recognizes hospitals with C-section rates for low-risk, first-time birth under the “Healthy People 2020” threshold of 23.9%.

 Workgroup Meeting #3: February 2016

The workgroup discussed a proposed action plan for each of the three focus areas, as well as heard about results of related projects underway: Doing What Works, a project led by the Center for Health Care Decisions, and Consumer Reports’ efforts to inform and educate patients about overuse.

Workgroup Meeting #2: October 2015

Presentations and discussion for the second workgroup meeting focused on three target areas: Cesarean section for low-risk first time births, imaging for low back pain without red flags, and opioid dependence. The focus for the meeting was 1) intervention pathways with potential to affect overuse; and 2) activities most promising for the Workgroup and its members to pursue.

Workgroup Meeting #1: June 2015

Discussion for the first workgroup meeting focused on opportunities to improve quality and reduce costs by targeting overuse. Workgroup members include purchasers, providers, health plans, consumer representatives, and other stakeholders. Representatives from Cedars-Sinai Health Systems, Sutter Health, and Blue Shield of California presented on their organizations’ approaches to reducing overuse.