Care protocols
Caliber-curated, evidence-based, updated by clinical leadership
SMI · ESCALATION
Pre-decompensation playbook
Triggered when composite risk ↑ ≥30% in 14d. Outreach → in-person visit → med review → caregiver loop.
Updated 4/12 · v2.3
SMI · ADHERENCE
Clozapine gap response
≥3 day refill gap → pharmacy verify → care manager call → ANC reschedule if >48hr missed.
Updated 3/29 · v1.7
DEPRESSION
PHQ-9 step-up
Stepped care decision tree: scores ≥15 trigger MD review and protocol-driven titration.
Updated 4/01 · v3.0
SUD
14-day initiation pathway
HEDIS IET measure pathway: assessment → MAT eval → first f/u within 14d.
Updated 5/10 · v1.2
CHF + SMI
Weight trend response
Co-managed pathway for members with CHF and SMI. Daily home scale → 3lb/5d alert → diuretic adjustment workflow.
Updated 3/14 · v2.0
UNREACHABLE
3-strike outreach
Member not reached in 14d via SMS+voice → escalation to caregiver → home visit consideration.
Updated 5/02 · v1.4