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California Alignment for Hospital Quality

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About Cal HQ

California Alignment for Hospital Quality (Cal HQ) is an emerging statewide collaborative focused on improving hospital quality through aligned action. This initiative is led by Covered California, CalPERS, and Cal Healthcare Compare, with oversight from steering committee members from state agencies, hospitals, health plans, improvement organizations, and patients to identify and advance a common set of hospital quality measures. The Cal HQ Steering Committee provides strategic guidance, ensures industry alignment, promotes Cal HQ’s activities, and advises on statewide scaling and dissemination efforts. 

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Cal HQ Goals by December 2027

Prevent 2,000 additional infections
Over 100 lives saved
$64 million saved in healthcare costs

Connect. Learn. Lead. Join Upcoming Cal HQ Meetings & Virtual Events.

DateVirtual EventRegistration Link
August 19, 202611 am to 12 pm PSTGetting to Goal: Understanding How to Use Cal HQ Data to Guide Your Improvement EffortsRegister here

Cal HQ’s Vision

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Elevate Patient Care for ALL Californians

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Unlock the Power of Data: Accelerating Digital Quality Measures

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Build a Network of Excellence

  • Meaningfully impact hospitals statewide
  • Cultivate strong relationships with purchasers, state agencies, hospitals and other stakeholders for unified outcomes
  • Strategic Tiers: Optimizing engagement based on performance outcomes
  • Potential areas to target in future years: Care Transition, 30-Day All Cause Readmissions, Sepsis
  • Initial area of focus: Hospital Acquired Infections (e.g. C. Diff, CAUTI, CLABSI, MRSA)

How will we get there?

At Cal HQ, we believe statewide transformation starts with aligned infrastructure, shared goals, and powerful collaboration. Our phased approach begins with building the framework, laying the foundation for hospital performance alignment and piloting core quality measures. From there, we iterate with early adopters and high performers to refine strategies, accelerate digital reporting, and create clear pathways toward improvement. In the final phase, we focus on innovation and sustainability by expanding successful strategies, increasing data transparency, and supporting long-term adoption across hospitals. Underpinning all of this are four core contributions: alignment across partners, co-design of strategies and tools, enabling innovation through collaboration, and public recognition for performance. Combined with robust technical assistance, from peer-to-peer learning to practical implementation resources, Cal HQ drives real, measurable quality improvement across California hospitals.

triangle with 4 sections, one that says Public Recognition in state-wide collaborative at the top, one in the middle that says Alignment across organizations and initiatives, one on the bottom right that says Enable innovation through collaboration and one on the bottom left that says Co-design improvement strategies and resources

How you can contribute

Hospitals

  • Implement and Test: Co-design and deploy Cal HQ tools and resources
  • Data & Measurement: Use organizational data to track improvement and compare against Cal HQ benchmarks for peer learning and shared progress
  • Education & Culture: Disseminate learnings from Cal HQ offerings throughout organization
  • Collaboration: Share best practices, learn from peer facilities, and collaborate with health plans to drive improvement

Health Plans

  • Member engagement: Educate members, encourage shared decision-making, provide patient safety resources
  • Data & Reporting: Utilize member data and hospital performance to identify opportunities for improvement and track progress
  • Payer-Provider Partnerships: Enhance partnerships to improve workflows and care delivery models
  • Quality Improvement Strategy: Apply learnings from Cal HQ to co-design strategies linking payment to achieving goals

Other Organizations

  • Alignment: Ensure Cal HQ is aligned with other initiatives across the state to reduce duplication and minimize burden
  • Promote: Build awareness of Cal HQ across the state and encourage participation in Cal HQ’s events
  • Collaborate: Provide tools and resources to support achieving state-wide goals

Cal HQ’s Resources




Data Dashboard

Developed in partnership with Hospital Quality Institute, our Cal HQ dashboard helps hospitals track progress toward California’s goal of preventing 2,000 additional HAIs by the end of 2027. It includes hospital-specific reduction targets, progress tracking, quarterly actual vs. projected results, infection trend graphs, and statewide progress summaries.

Your next steps:

  • Join the HQI NHSN Group instructions here
  • Ensure your NHSN and HCAI data are current
  • Review the Cal HQ Dashboard, to explore trends, benchmarks, and your hospital’s progress to goal
  • Questions? Contact HQI directly at hqianalytics@hqinstitute.org to confirm access or get support


Resources from Past Events

Meetings and Virtual EventsTopicResources
February 18, 2026About Cal HQSlides I Recording
April 2026Cal HQ In Person Kick-Off Meeting – Northern and Southern CaliforniaMeeting Materials | Slides | Kickoff Summary
May 21, 2026Let’s Get Started: Ideas to Reinvigorate Infection Prevention Practices (IP Affinity Group #1)Slides | Recording
June 22, 2026HAI Measure AlignmentSlides | Recording
July 21, 2026Stewardship and Sustainability
(IP Affinity Group #2)
Slides | Recording

This initiative is led by Covered California, CalPERS, and Cal Healthcare Compare
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