Health Net conducts performance improvement projects (PIPs) in accordance with Department of Health Care Services (DHCS) contractual requirements as part of its ongoing efforts to improve the health outcomes of Medi-Cal members. PIPs focus on specific health issues identified as areas of concern or opportunity and may also address underutilized services where targeted interventions have the potential to increase utilization and significantly enhance health outcomes.

For each DHCS initiated PIP cycle, DHCS defines the project topic, scope, requirements, and duration of the cycle.

PIPs are developed and implemented by the Health Net Quality Improvement division in collaboration with Health Net's Medi-Cal medical directors. Projects may be implemented on a regional basis and may target both members and providers. PIPs are designed to identify barriers to improved health outcomes through the application of quality improvement methodologies and to test and evaluate interventions aimed at addressing those barriers.

Progress, findings, and outcomes of all PIPs are reported to the Department of Health Care Services (DHCS), Health Net Quality Improvement Health Equity Committee, and Health Services Advisory Group (HSAG), which serves as Health Net’s External Quality Review Organization (EQRO), for Health Net senior leadership, medical directors, and the Health Net Board of Directors.

For additional information regarding current Performance Improvement Projects, contact the QI Department.