Member
Providers
Shop For a Plan

Provider Quality

Provider-Quality


To ensure a continued focus on quality, Fidelis Care is dedicated to engaging with providers to ensure our members get the best care possible. Quality is a critical component of the work we do at Fidelis Care. The Provider Relations Department works diligently to support providers in quality improvement initiatives.


Hearthands

If you have any questions, please contact your Quality Improvement Specialist.

Quality Improvement Specialists
New York Regions:

Name Coverage Area Assigned Providers
 Yen Min Yau

✉ Email Address

Kings County CAIPA & Excelsior EmpireHealth Brooklyn Providers
 Zinaida Khavasova
✉ Email Address 
Various Counties in the NYC Region Maimonides and affiliates, One Brooklyn Health System: (Interfaith, Brookdale and Kingsbrook), South Asian IPA
Stanley Laforest

✉ Email Address

Various Counties in the NYS Region Bronx United IPA, Hudson Heights IPA

 Adebunmi (Bunmi) Browne

✉ Email Address

Various Counties in the NYC Region Balance Medical IPA
 Rui Kang (Ray) Lin

✉ Email Address

Queens County CAIPA & Excelsior EmpireHealth Queens Provider
 Rosemond Guillaume

✉ Email Address

Various Counties in the NYC Region AdvantageCare, Jamaica Hospital, Prominis Care IPA LLC DBA STAR, YUVO IPA
 Haneefah Mahdi

✉ Email Address

Richmond and Bronx Counties Amboy Medical Practice Bon Secours NYC Health & Hospitals Refuah Health Center, Emilio Perez
 Robert Dean

✉ Email Address

Suffolk and Nassau Counties Healthcare Partners, CHS Physician Partners, Quest Medical Care, PC, Central Queens IPA
 Kay Stewart-Benjamin

✉ Email Address

Kings County NYU and Affiliates, Doral Medical and Multi Specialty Facility, The Brooklyn Hospital, SUNY Downstate, New York Network Management

 Nadia Oleniak

✉ Email Address

Various Counties in the NYC Region Queens Medical Services, PLLC, New York Senior Medical Group, Empire Physicians IPA
 Steven Lee

✉ Email Address

Manhattan and Richmond Counties Charles B. Wang Community Health Center, CAIPA Manhattan Providers, Excelsior EmpireHealth Manhattan Providers, CAIPA Staten Island Providers
Barbara Bentley-Morrill

✉ Email Address

Counties: Albany, Clinton, Columbia, Essex, Green, Warren, All Vermont; Saratoga, Schenectady, Rensselaer Northwell and Nuvance, NYPHS and Affiliates, Whitney M. Young, Saratoga Hospital, Saratoga Regional Medical, Twin Rivers Medical, NY Presby; Nuvance
 Jaime Laube

✉ Email Address

Counties: Orange, Putnam, Sullivan, Ulster; Dutchess Hudson Valley Regional Community Health, Montefiore Medical Center, Union Community Health Center
 Christine Jendraszek

✉ Email Address

Various Counties in the Buffalo Region, Cattaraugus and Yates Counties CINQ Upstate: EHS, INC., Care Medical Practice, Community Health Center of Buffalo, Jericho Road Ministries, Medical Health Associates for Western NY, INC.  Southertier Community Health Center Networks, INC., The Chautauqua Center, INC, Tri-County Family Medicine Program, INC., Lakeshore Family Medicine Associates, Liberty Resources, Ted J. Triana, Urban Family Practice, Westfield Family Physicians, John Mulawka-dba Southtowns Pediatrics, Lynne Ross dba Canalside Primary Care, Mobile Physicians Services PLLC, Robert Ericson Do &Jennifer Ericson Do dba Inspired Health Group, Highgate Medical Grop, PC. Northeast Medical, PC. Kenmore Family Medicine.
 Karen Yonkers-Santy

✉ Email Address

Counties: Cortland, Oswego, Schuyler, Seneca, Tioga, Tompkins, Westchester FLIPA- Family Health Network of CNY, Northern Oswego County Health Servies Inc, Upstate Family Health Center, Inc. Other: Cayuga Medical Associates, Oswego County OB-GYN, New York Senior Medical Group; William F. Ryan Community Health Center, Ryan Chelsea Clinton Community Health , Cayuga Health Partners
 Maureen Hudson

✉ Email Address

Erie and Chautauqua Counties

Catholic Medical Partners (CMP) Sisters Of Charity Hospital, Mount St. Mary's Hospital , Trinity Medical of WNY, PC., WNY Medical PC, Primary Care of WNY, Summit Pediatrics, Lockport Pediatrics, Frank Laurri, M.D. & Associates, Southgate Medical Group; Family Health Medical Services, UPMC Chautauqua WCA, Jamestown Pediatrics, Southerntier Pediatrics, Great Lakes Physicians Practice, PC. (GLPP), Community Inclusion
 Penny Patterelli

✉ Email Address

Counties: Oneida, Onondaga, Otsego, Schoharie IPA: Trinity Health
Providers: St. Peters' Health Partners Medical Associates, Samaritan Hospital of Troy, St. Peter's Hospital, St. Joseph's Hospital Health Center, St. Joseph Medical PC.  Other: Family Care Medical Group, Crouse Medical Practice,  Family Care Medical Group, Mary Imogene Bassett, Little Falls Hospital, Mohawk Valley Health System, Rome Health
 Nicole Heldson
✉ Email Address
Counties: Genesse, Livingston, Niagara, Ontario, Orlean, Wyoming, Allegany, Steuben, Chemung GLIN: Bertrand Chaffee Hospital, Bradford Regional Medical Associates (Upper Allegany Health System), ECMC, General Physicians,  Kaleida Health , Niagara Falls Memorial Medical Center, Olean General Hospital, UB Family Medicine INC dba UBMD Primary Care, Wyoming Community Hospital, Paul DeJac, Christopher Beney , Amandeep Pal, Oak Orchard Health, Anthony Jordan, FLH, Geneva Hospital, Finger Lakes Health Center, Soliders and Sailors,Jones Memorial, Jones Memorial, PC. Mt Sinai, Arnot Ogden, Arnot Medical Services.
 Nicole Lloyd

✉ Email Address

Cayuga and Jefferson Counties All Main Street Rural Providers, Auburn Community Hospital
 Penny Patterelli

✉ Email Address

Counties: Oneida, Onondaga, Otsego, Schoharie Trinity Health: St. Peters' Health Partners Medical Associates, Samaritan Hospital of Troy, St. Peter's Hospital, St. Joseph's Hospital Health Center, St. Joseph Medical PC.  Other: Family Care Medical Group, Crouse Medical Practice,  Family Care Medical Group, Mary Imogene Bassett, Little Falls Hospital, Mohawk Valley Health System, Rome Health
 Peter Stone

✉ Email Address

Counties: Broome, Chenango, Delaware, Lewis, Madison; Franklin, Fulton, Hamilton, Herkimer, Montgomery, Saint Lawrence United Health Services (UHS) Chenango Memorial Hospital INC, Delaware Valley Hospital INC, United Health Services Hospitals, INC, United Medical Associates. Concordia- Oneida Medical Practice PC, Oneida Health Systems INC, Oneida Medical Associates PLLC. Other: Endwell Family Physicians, Lewis County General Hospital, St. Regis Mohawk Tribe, Benardot Tribe, Nathan Littauer Hospital, North County Family, Carondelet, St. Mary's
 Robert Chantra

✉ Email Address

Monroe and Wayne Counties Rochester Regional Health System- (RRHS) Rochester General Hospital, The Unity Hospital of Rochester United Memorial Medical Center, Western New York Medical Practice, Clifton Springs Hospital & Clinic, Newark Wayne Community Hospital (St. Lawrence Health Systems) Massena Hospital, Canton Potsdam Hospital & Medical Practice, Gouverneur Hospital Guthrie Health-Guthrie Corning Hospital, Guthrie Cortland Medical Center, Guthrie Robert Packer Hospital, Guthrie Troy Hospital University of Rochester (U of R) Strong Memorial Hospital

Provider Quality News


Back to School Basics: Preparing for a Safe and Healthy School Year
9/1/2023 • Posted by By Drs. Letha Daniel, Steve Materetsky, Lisa Moreno, and Saurabh Bahl, Pediatricians and Fidelis Care Medical Directors in Children's Health

children running

The summer is quickly ending, and the busy back-to-school season is upon us! As children return to the classroom, it’s important to make sure they are ready physically and emotionally. Here are some tips to help your children be healthy, safe, and successful this school year.

1.  Safety

Have a plan to get children safely to and from school. Children are usually ready to walk to school without an adult when they are in fifth grade or around 10 years old. Younger children are less aware around traffic, so stay alert when walking with them.

Walking with a young child to and from school:

  • Hold your child’s hand and follow traffic safety laws when crossing streets.
  • Obey all traffic signals and let the crossing guard help you.
  • Look all ways before crossing the street and watch for cars. Remind children that drivers may not see them.
  • Consider walking in groups.

For older students walking to school without an adult:

  • Make sure they stick to a safe route that has crossing guards. In areas and towns without crossing guards, have them look both ways before crossing the street.
  • Teach your child to cross only at designated intersections and corners. Most pedestrian accidents occur mid-block and not at intersections.
  • Have your child walk with at least one other child.
  • Tell children to say “no” if a stranger offers to give them a ride and to yell and run for help if needed.
  • Explain that it’s not safe to use a cellphone while walking. It can cause distractions and make them less aware of traffic.
  • Choose brightly colored backpacks and jackets with reflective materials.

Biking to school:

  • Parents and caregivers should practice riding the route before the first day of school to make sure their child can manage the trip.
  • Always wears a helmet and understand the rules of the road.
  • Ride on the right side in the same direction as traffic and use bike lanes when available.
  • Stop and look both ways before entering the street.
  • Stop at all intersections, whether marked or unmarked.
  • Obey traffic lights and stop signs.
  • Use hand signals and look in every direction before turning.

Riding the bus:

  • Go early to the bus stop and stand away from the curb.
  • If needed, always cross in front of the bus to ensure the driver sees you.
  • Wait until the bus has stopped and the door opens to go to the bus.
  • Use the handrail while entering the bus.
  • Buckle up!
  • Always stay in your seat and keep your head and arms inside the bus.

2.  Healthy Lifestyle

Staying healthy is key during the busy back-to-school season. Prepare your children for all their academics and activities by making sure they eat nutritious meals, get plenty of rest, and keep moving.

Nutrition

  • Children who eat a nutritious breakfast perform better in school and have better concentration and more energy.
  • Many children qualify for free or reduced price meals at school, including breakfast.
  • Provide healthy eating options during the school day. Learn what is offered in the school cafeteria.
  • Choose healthier options such as water to send in your child's lunch.

Sleep

  • Help your child adjust to earlier bedtimes.
  • Create a consistent bedtime routine that will help your child settle down and fall asleep.
  • Have your child turn off electronic devices well before bedtime.

Fitness

  • Encourage healthy habits—including exercise—for your children.
  • Remind them that sports and activities are not only fun but can promote good health.

3.  Annual Checkup

Kick the school year off with a visit to your pediatrician and ensure your child is up to date on immunizations, including the COVID-19 and flu vaccines. The pediatrician may also:

  • Screen for hearing and vision problems.
  • Check developmental milestones.
  • Perform blood pressure and other screenings.

4.  Mental Health

Going back to school may make some children anxious or nervous. Listen to children’s feelings and talk to them about their concerns.

If your child’s anxiety becomes a persistent issue and interferes with school, it may be time to get support from a mental health professional. A mental health professional can help you figure out why your child is struggling and provide the support they need.

5.  Routines

Regular daily routines are important to a child’s healthy development. They provide children with a sense of safety and the opportunity to learn important life skills like self-discipline.

When creating a routine, think about what a typical day in your family looks like. Consider the most important goals for the day and areas for improvement.

Tasks to include in your routine:

  • Bedtime
  • Meal times
  • Exercise
  • Homework/studying
  • Time to relax
  • Family time
  • Put electronics away
  • Prepare for tomorrow (pack lunches, pick out clothes)

Have a great school year!

Provider Office Hours

Fidelis Care hosts webinars called “Provider Office Hours” several times each month to share information and answer any of your questions. 

Provider Satisfaction Survey

Your provision of quality care and services to our members contributes greatly to Fidelis Care’s success. One of the ways Fidelis Care prioritizes quality is making sure you are satisfied with your experiences. Our annual Provider Satisfaction Survey identifies areas to focus on for further improvement in the coming year. The Provider Relations Department works diligently to identify an action plan to address areas of improvement, while continuing to develop actions and interventions to improve the provider experience.

HEDIS® Measurement Toolkit

HEDIS® is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. We've developed this toolkit to help identify required preventive services.


Resources

Fidelis Care offers resources including Provider Bulletins, tip sheets, educational materialsblog posts, and more to keep you informed.

Provider Tip Sheets - Quality

Quality

Adult Wellness Visit Tip Sheet

Behavioral Health Case Management Services Tip Sheet

Behavioral Health Follow-Up Measures

Breast Cancer Screening Tip Sheet

Child and Adolescent Well Care Visits Tip Sheet

Childhood Immunization Status Tip Sheet

Closing the Gap on Follow-Up Care After Discharge

Colorectal Cancer Screening Tip Sheet

Continuity of Care Tip Sheet

Controlling High Blood Pressure Tip Sheet

Depression Screening and Follow-Up for Adolescents and Adults

Flu Shot for Adults Tip Sheet

Follow-up Care for Children Prescribed ADHD Medication (ADD) Tip Sheet

Glycemic Status Assessment for Patients with Diabetes (GSD) Tip Sheet

HEDIS® Tip Sheet 2021 Antidepressant Medication Management (AMM)

HEDIS® Immunizations for Adolescents Combination 2 (IMA-2)

Importance of Chlamydia Screening Tip Sheet

Importance of Follow-Up Care for Mental Illness

Improving Cardiometabolic Health for Members with Diabetes Tip Sheet

Kidney Health Evaluation for Patients with Diabetes (KED) Tip Sheet

Low Back Pain Tip Sheet

Metabolic Monitoring for Children and Adolescents on Antipsychotics Tip Sheet

Patient Satisfaction Surveys Tip Sheet

Postpartum Depression Screening and Follow-up Tip Sheet

Preventive Cancer Screenings and Vaccines Tip Sheet

Primary Care Provider (PCP) Quality Tip Sheet

Psychiatric Collaborative Care Model

Smoking Cessation Provider Tip Sheet

Telehealth Guide for Health Home Care Managers

Telehealth Tip Sheet

Transitions of Care (TRC) Tip Sheet

Viral Load Suppression Tip Sheet

Well Child - Birth to 30 Months Well Care Visits Tip Sheet

Wellcare Partnership for Quality Program - 2026

Quality Policies

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


Fidelis-Care-Summer-Health-Newsletter