Pinpoint: California Specialty Care

Specialty Care Initiative Sites and Clinics Offering Diabetic Retinopathy Screening

Specialty Care Initiative (SCI) sites and clinics with diabetic retinopathy screening move the needle on access to specialty care. A map shows the reach of these efforts and provides contact information.

February 2012

Diabetic retinopathy is the leading cause of blindness among working-age adults, yet early detection and treatment can reduce vision loss by 90%. A CHCF initiative spurred screening at more than 100 clinics by funding specialized cameras and developing a network for remote interpretation of results.

The SCI is a statewide collaboration between CHCF and Kaiser Permanente Community Benefit to improve access to specialty care services for vulnerable populations in California. Beginning in 2007, more than 20 SCI coalitions began implementing strategies to address regional specialty care access needs.

This map is not meant as a tool to locate specialty care providers, but rather to help providers that want to improve access to connect with coalitions and other clinics. For information on SCI coalitions, contact the lead agency, named at the top of each coalition list below and marked with a dotted pinpoint on the map.

Key to the SCI Clusters

While each SCI coalition pursued multiple approaches to address their community's specific needs, the initiative strategies coalesce into four clusters:

  1. Embedding guidelines into the referral process: Manage demand for specialty care appointments better by ensuring more-appropriate referrals.
  2. Building/expanding specialty care networks: Increase the availability of specialty care appointments for the safety-net population.
  3. Increasing primary care provider (PCP) capacity / scope of practice: Manage demand for specialty care appointments better by increasing PCP capacity to manage basic specialty care needs.
  4. Integrating care coordination: Manage demand for specialty care appointments better by improving referral coordination and reducing no-shows.

More information about the SCI project, including an evaluation and case studies, and for the Diabetic Retinopathy Screening initiative, is available through the Related CHCF Pages below.