NCQA

FEBRUARY 25, 2025

NCQA proposes to update the program name from Managed Behavioral Healthcare Organization Accreditation to Behavioral Health Accreditation, and update the standard categories to more closely align with Health Plan Accreditation, as follows: Create a separate category for Network Adequacy. Create a Population Health Management category.

Primary Care 52

Primary Care Quality Improvement Patient Safety Quality of Care 52

NCQA

JANUARY 27, 2025

Pursuing NCQA Health Equity Accreditation was a natural progression for WellSpan57 of its medical practices have earned Patient-Centered Medical Home Recognition, and its Population Health services have earned Case Management and Utilization Management Accreditation. Data Collection.

Patient Experience 59

Patient Experience Population Health Prevention Process improvement 59

NCQA

JULY 16, 2024

Data Is Key to Unlocking Quality Improvement Another focal point of the conversation was the need to standardize quality measures across Medicaid programs and improve health care data.

Medicaid 98

Medicaid Quality Improvement Integration Population Health 98

GoMoHealth

OCTOBER 20, 2022

Partnering with Managed Care Organizations and Provider Networks to reduce costs and better manage utilization of health services. By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. “The Why”. Ability to Foster Trust within Community-Based Organizations and Providers.

Quality Improvement 88

Quality Improvement Medicaid Population Health Medicare 88

HIT Consultant

SEPTEMBER 26, 2024

– The survey, conducted by Reaction Data in June 2024 among clinical data abstractors, highlighted the critical role of registries in evaluating care quality and population health outcomes. . Data Accuracy and Completeness: The Roadblocks However, the study also highlighted concerning obstacles.

Population Health 52

Population Health Process improvement Quality Improvement Healthcare 52

HIT Consultant

JUNE 3, 2024

Vital information can be found in electronic health record (EHR) data, health information exchange (HIE) feeds, claims data, payer reports, and population health system reports. For this scattered data to improve patient outcomes, it must be readily accessible to care teams. The information overload is real.

Quality Improvement 98

Quality Improvement Population Health Prevention Healthcare 98

HIT Consultant

OCTOBER 1, 2023

Unlocking data silos using Federated Computing (FC) has the potential to achieve a positive impact across the healthcare industry, ranging from clinical care quality improvement and accreditation to population health management, precision public health and equitable drug development.

Life Sciences 64

Life Sciences Population Health Quality Improvement Healthcare Providers 64

Cloud Blogs

FEBRUARY 28, 2022

But the principal purpose of adopting these foundational technologiesthose that make interoperability more achievable and lower barriers to creating fluid, secure, and realistic patient journeysis to place healthcare data near the most powerful and extensible population health platform on the planet, Microsoft Azure.

Integration 133

Integration Healthcare Quality of Care Regulations 133

HIT Consultant

AUGUST 17, 2023

Payers need to meet providers where they are and develop a framework that allows providers to offer the highest quality care and improved health outcomes with an eye toward cost management.

Healthcare 98

Healthcare Prevention Quality Improvement Quality of Care 98

NCQA

OCTOBER 31, 2023

And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

NCQA

AUGUST 30, 2024

We asked Allison Lance, NCQA’s Director, Digital Quality Community, to give us her insight into the challenges health care organizations are facing during the process. These systems will need to be replaced with Clinical Quality Language (CQL) engines to calculate measures.

Population Health 52

Population Health Quality Improvement Integration Healthcare 52

NCQA

MARCH 22, 2023

Adding the Population Health Roadmap for Chronic Kidney Disease to our Kidney Health Toolkit means there’s a fifth free resource from NCQA to help manage chronic kidney disease (CKD) or end-stage renal disease (ESRD). As part of our drive to improve health equity , most toolkit resources are available in Spanish.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

Cloud Blogs

FEBRUARY 28, 2022

But the principal purpose of adopting these foundational technologiesthose that make interoperability more achievable and lower barriers to creating fluid, secure, and realistic patient journeysis to place healthcare data near the most powerful and extensible population health platform on the planet, Microsoft Azure.

Integration 80

Integration Healthcare Quality of Care Regulations 80

NCQA

JANUARY 25, 2024

Technology is also being used to expand behavioral health care capacity through virtual care. The expansion of services and provider types in behavioral health creates a need for quality standards and quality improvement. Costs Costs of behavioral health care continue to rise.

Primary Care 52

Primary Care Quality Improvement Population Health Integration 52

HIT Consultant

APRIL 26, 2023

The final list of participants represented a range of roles, including data analytics, quality improvement, accreditation, quality management and improvement. Each participating organization was asked to identify key stakeholders to participate in the interview process.

Quality Assurance 52

Quality Assurance Quality Improvement Medicaid Medicare 52

Accountable Care Doctors

OCTOBER 21, 2020

Home monitoring systems, often developed as part of population health efforts to manage patients who are at risk or who have chronic illnesses. Such programs include: Nascent hospital-at-home programs, in which a patient’s care is managed at home instead of in the hospital.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

Lexis Nexis

JULY 20, 2022

To remediate these care gaps, payers must improve their ability to access data by making significant changes to their health IT infrastructure. Closing gaps in care via interoperability mirrors the risk adjustment process currently challenging health plans engaged in population health programs.

Prevention 52

Prevention Medicare Medicaid Health Data 52

NASHP

OCTOBER 20, 2022

As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population. Data are central to both direct care coordination service provision, as well as care coordination system monitoring and quality improvement efforts.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

Health Blawg

NOVEMBER 12, 2018

From the perspective of trying to build a learning health system, a key challenge is the way in which patient care, quality improvement and research are siloed. Working in academic medicine comes with its own special set of challenges and opportunities.

Doctors 60

Doctors Healthcare Healthcare Innovation Population Health 60

HIT Consultant

NOVEMBER 29, 2021

Yolande Pengetnze, MD, MS, FAAP, is PCCI’s Vice President of Clinical Leadership where she leads multiple projects including population health quality improvement projects focusing on preterm birth prevention and pediatric asthma at the individual and the population level. #GiveItAShot. About Yolande Pengetnze.

Prevention 52

Prevention Hospitals Quality Improvement Population Health 52

NASHP

DECEMBER 10, 2021

. §7022), in existence for over fifteen years, is a statewide network of NCQA certified Patient Centered Medical Homes (PCMHs) which are supported by regional program managers, quality improvement managers, self-management program coordinators, and a regional Community Health Team (CHT).

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

NOVEMBER 22, 2021

Most of the CoP states use IIS data to determine pockets of need (LA, TX, WA, WI, WY), including specifically for mapping and data visualization purposes (TX, WA, WI, WY), as well as for Medicaid quality improvement reporting (LA, MI, WA, WI, WY).

Medicaid 52

Medicaid Quality Improvement Prevention Integration 52

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” State Strategy: Expand Accountable Health Approaches Amidst the shift toward greater accountability for patient outcomes, accountable health payment models have emerged as promising tools.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

JUNE 22, 2023

paid for by Medicaid, there is growing interest in exploring how Medicaid service delivery systems can be adapted to help improve maternal health outcomes.[5] 6] VBPs, or alternative payment models, focus on reimbursement based on the quality of care provided as well as rewarding lower cost.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

Sheppard Health Law

OCTOBER 27, 2021

Innovation Center models can define success as encouraging lasting transformation and a broader array of quality investments, rather than focusing solely on each individual model’s cost and quality improvements.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

AUGUST 23, 2021

For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Lessons Learned Using PCCM Programs to Improve Primary Care Innovations Need to be Designed to Achieve Specific Goals and Objectives.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Healthcare It News

JANUARY 9, 2023

They told Healthcare IT News that RPM enables quicker and more intelligent interventions that improve health outcomes, prevent avoidable emergency and inpatient utilizations and reduce costs. ON THE RECORD.

Remote Care 346

Remote Care Population Health Prevention Quality Improvement 346

Healthcare It News

DECEMBER 13, 2022

Uncontrolled chronic disease is another issue, said Dr. Robert Fields, executive vice president and chief population health officer. "We conducted an internal quality-improvement-matched cohort analysis of 218 patients, examining the effects of RPM on blood pressure control and healthcare utilization versus usual care in-clinic.

Ambulatory Care 344

Ambulatory Care Population Health Telemedicine Prevention 344

NASHP

NOVEMBER 29, 2021

. §7022), in existence for over fifteen years, is a statewide network of NCQA certified Patient Centered Medical Homes (PCMHs) which are supported by regional program managers, quality improvement managers, self-management program coordinators, and a regional Community Health Team (CHT).

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

MARCH 14, 2023

The mandate of these healthcare networks is clear – to improve patient experiences and population health outcomes while simultaneously reducing costs. This is evident in the US with the insurgence of both IDNs and ACOs, in France with the development of GHTs, and in the UK with the growth of ICSs (Integrated Care Systems).

Healthcare 52

Healthcare Patient Safety Population Health Integration 52