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Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its IntegratedCare System Partnerships (ICSP) model. Enhance federal advance care planning requirements. Select Measures for Serious Illness Care.
One thing I had been educated in is process improvement for hospitals, but not for ambulatorycare systems. And so when I started seeing a lot of the work being done there and how we could improve things, I got really excited in that. And so I was really thrilled as my first real career in healthcare to get started there.
In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performanceimproves. Health Care Access in Rural Areas: Evidence that Hospitalization for AmbulatoryCare-Sensitive Conditions in the United States May Increase with the Level Of Rurality.”
I honor all healthcare professions and the roles we play, but I do know that nurse practitioners bring very real value in terms of quality focus on patient care, efficiency, and really making that human connection to ensure that our patients are healing and able to live their best possible life.’’
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