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HSS board pushes member notice after heated debate over Cal Index clinical data sharing

Health Service System Board, City and County of San Francisco · January 14, 2016
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

After extensive public and commissioner concern about Cal Index/Calendex sharing member clinical data via an opt‑out model, the Health Service System board directed staff to draft a member notice and asked Blue Shield to cover mailing costs. Public commenters and some commissioners called for opt‑in consent and clearer outreach.

President Scott opened a lengthy public discussion on Cal Index (Calendex), a California integrated clinical data exchange that Blue Shield and Anthem helped found in 2014. Blue Shield and Calendex representatives said the system collects clinically relevant, non‑financial claim and clinical data to create a longitudinal patient record intended to support emergency care, care coordination and limited research. Diamond Jones of Blue Shield described scenarios—such as an autistic patient in an emergency department—where rapid access to clinical history could materially change care.

Several commissioners, retiree representatives and union speakers pushed back sharply over process and…

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