Healthcare It News

SEPTEMBER 25, 2023

But they're also gaining big benefits in quality improvement, cost efficiency, and more. By Andrea Fox | July 13, 2023 News The new nursing challenge: Adapting to AI-enabled workflows for quality improvement Jung In Park, a professor at the University of California Irvine’s School of Nursing and a. The process.

Quality Improvement 247

Quality Improvement Nursing Primary Care Patient Experience 247

NCQA

NOVEMBER 6, 2024

PCOs Are Gaining Acceptance NCQA began developing PCO measures for older adults in Medicare plans, but in response to the groundswell of interest in meaningful measurement, expanded the measures to include behavioral health, serious illness, primary care and long-term services and supports.

Primary Care 59

Primary Care Medicare Quality Improvement Medicaid 59

NCQA

FEBRUARY 25, 2025

LTSS Comprehensive Care Plan and Update (LTSS-CPU). LTSS Shared Care Plan with Primary Care Practitioner (LTSS-SCP). LTSS Reassessment/Care Plan Update After Inpatient Discharge (LTSS-RAC). Integrate Care Coordination into Quality Improvement and Management.

Primary Care 52

Primary Care Quality Improvement Patient Safety Quality of Care 52

NCQA

MARCH 18, 2025

Join us in Baltimore on April 78 to connect and engage with the quality improvement community! NCQAs Health Quality Forum is a 2-day event where you can explore strategies to increase access, reduce disparities and tackle the unique challenges faced by people with complex and chronic health conditions.

Quality Improvement 59

Quality Improvement Telemedicine Population Health Primary Care 59

HIT Consultant

SEPTEMBER 19, 2024

While advancements in treatments and technologies have improved diabetes management, the complexity of these options necessitates better support and training for primary care providers. The shortage of endocrinologists often leads to inadequate care for many patients, particularly in rural areas.

Primary Care 98

Primary Care Quality Improvement Healthcare Providers Healthcare 98

NCQA

MARCH 25, 2025

NCQAs person-centered outcome (PCO) measures continue to attract the interest of the quality improvement community: The measures were recently recommended for inclusion in the Merit-Based Incentive Payment System (MIPS) for Medicare. MIPS Value Pathways: Primary care and neurology.

Medicare 52

Medicare Primary Care Process improvement Quality Improvement 52

NCQA

APRIL 7, 2025

OKane also reflected on 35 years of quality improvement at NCQA, and announced her new Quality Talks podcast before joining Dr. Meena Seshamani, incoming Secretary of the Department of Health for Maryland, for a Fireside Chat about the future of health care quality. Details coming soon!

Prevention 52

Prevention Accountability Primary Care Quality Improvement 52

HIT Consultant

NOVEMBER 17, 2023

What You Should Know: – The National Committee for Quality Assurance (NCQA) has initiated the Virtual Care Accreditation Pilot program, a significant step in developing a quality improvement framework for organizations offering care through telehealth or digital platforms.

Urgent Care 97

Urgent Care Quality Assurance Primary Care Quality Improvement 97

NCQA

JULY 16, 2024

Despite ongoing challenges such as workforce limitations and federal support for staffing, Medicaid programs have made strides in improving access and quality of behavioral health services. Peggy emphasized that without standardized measures, states miss the opportunity for benchmarking, mutual learning and driving quality improvement.

Medicaid 98

Medicaid Quality Improvement Integration Population Health 98

HIT Consultant

DECEMBER 15, 2022

Sidel’s background includes working in clinical environments of behavioral health, primary care and quality improvement. Kristi Sidel serves as the Director of Behavioral Health Services at Avel eCare in Sioux Falls, SD. She joined the Avel eCare team in 2019.

Telemedicine 98

Telemedicine Primary Care Remote Care Medicare 98

HIT Consultant

APRIL 1, 2024

– The strategic collaboration aims to improve health outcomes and primary care access for older adults living independently with multiple chronic conditions. By focusing on early detection and personalized care plans, they aim to empower older adults to live healthier, more independent lives.

Primary Care 72

Primary Care Quality Improvement Prevention Hospitals 72

NCQA

SEPTEMBER 19, 2024

NCQA’s Virtual Care Accreditation program provides a quality improvement framework for organizations that deliver primary care and/or urgent care through virtual modalities. Benefits of Virtual Care Accreditation Virtual health care is now a core function of the care delivery system.

Urgent Care 59

Urgent Care Primary Care Quality Assurance Patient Experience 59

NCQA

OCTOBER 31, 2023

The Innovation Center also released the Making Care Primary (MCP) model and the GUIDE model this year, innovative solutions to achieve multi-payer alignment and focus on populations that have historically been underfunded in health care.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Health Populi

FEBRUARY 9, 2021

But letting a virulent public health crisis manage the downturn in American health spending is hardly an optimal hands-on, strategic approach to improving a nation’s health system, let alone a vision to drive health equity, quality improvement and sustainability for patients and care providers.

Primary Care 71

Primary Care Prevention Hospitals Quality Improvement 71

Home Health Care

MARCH 1, 2024

Internally, we’re really trying to support the PACE community to continue to put in place internal quality improvement activities. This is a model of care that’s known for yielding unprecedented outcomes. We’re very good at delivering care with a high degree of satisfaction.

Medicaid 124

Medicaid Medicare Primary Care Quality Improvement 124

Health Care Leader News

AUGUST 25, 2022

The Fuller Report published earlier this year signalled that Primary Care Networks (PCNs) should ‘evolve’ into Integrated Neighbourhood Teams (INTs). This evolution is to happen quickly, aiming ‘ to move to universal coverage (of INTs) throughout 2023 and by 2024 at the latest ’. Establish who will coordinate the support for PCNs/INTs.

Integration 115

Integration General Practice Secondary Care Primary Care 115

Cloud Blogs

FEBRUARY 28, 2022

To improve care coordination, close gaps of care, and accelerate both quality and financial agendas, tactics to access, exchange, and analyze datain near real-timefrom disparate and disconnected systems are required. Shortage of primary care professionals, unequal access to care.

Integration 129

Integration Healthcare Quality of Care Regulations 129

NASHP

SEPTEMBER 28, 2022

Despite the importance of oral health, state officials cited challenges with persistent silos between primary and oral health care , often exacerbated by the inoperability of medical and dental electronic health records. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 64

Integration Primary Care Medicaid Prevention 64

HIT Consultant

JUNE 14, 2024

The Challenge: Time-Consuming and Fragmented Reporting The HRSA Health Center Program, encompassing nearly 1,400 health centers and 15,000 service delivery sites, plays a vital role in providing affordable and accessible primary care.

Quality Improvement 52

Quality Improvement Primary Care Healthcare Providers Healthcare 52

HIT Consultant

SEPTEMBER 10, 2024

Key Features of the Virtual Care Accreditation Program Comprehensive Standards: The program covers both primary care and urgent care settings, providing organizations with a framework for evaluating their virtual care services.

Quality Assurance 52

Quality Assurance Urgent Care Primary Care Quality Improvement 52

NCQA

OCTOBER 9, 2024

You’ll learn how TennCare transformed its primary care delivery model using HEDIS ® measures and total cost of care to gauge success. Keynote Speakers: Daniel A. You’ll see how their activities played out in a real-life use case of addressing racial disparities in severe maternal morbidity.

Primary Care 52

Primary Care Medicaid Integration Quality Improvement 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Health Dialog

SEPTEMBER 6, 2012

Group Health implemented decision aids on a large scale in an unusual way: through working directly with specialty care providers and their staff. . At first thought, primary care seemed like the ideal place for Group Health to implement decision aids to support shared decision making in many of these areas.

Primary Care 40

Primary Care Quality Improvement 40

NCQA

MARCH 22, 2023

As part of our drive to improve health equity , most toolkit resources are available in Spanish. Have you used the toolkit? Let us know how it’s going! We welcome your feedback.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

Accountable Care Doctors

OCTOBER 21, 2020

Recognize that primary care and prevention are the tools that will keep Americans healthy and build a health care system to support it. The patient experience also significantly improves when care is coordinated versus delivered piecemeal. Today, health care is a team sport.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NASHP

MARCH 22, 2024

Quality improvement and evaluation approaches can capitalize on outcome metrics associated with improved access to high quality care. Routine transparent information exchange and collaborative policy design with key partners facilitates improvements. Foster intergovernmental and external partnerships.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

Healthcare ECONOMIST

SEPTEMBER 24, 2024

However, CMS has already had a number of integrated care initiatives such as accountable care organizations (e.g., Medicare Shared Savings Program) and the Multi-payer Advanced Primary Care Practice Demonstration.

Accountability 40

Accountability Quality Improvement Accountable Care Integration 40

Cloud Blogs

FEBRUARY 28, 2022

To improve care coordination, close gaps of care, and accelerate both quality and financial agendas, tactics to access, exchange, and analyze datain near real-timefrom disparate and disconnected systems are required. Shortage of primary care professionals, unequal access to care.

Integration 76

Integration Healthcare Quality of Care Regulations 76

Accountable Care Doctors

FEBRUARY 1, 2021

demanding more transparency from insurers and other intermediaries.

Primary Care 52

Primary Care Accountability Patient Experience Integration 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

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. Strategic Objective 1: Drive Accountable Care. FOOTNOTES. [1] Department of Health and Human Services.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Health Care Leader News

AUGUST 25, 2022

The Fuller Report published earlier this year signalled that Primary Care Networks (PCNs) should ‘evolve’ into Integrated Neighbourhood Teams (INTs). This evolution is to happen quickly, aiming ‘ to move to universal coverage (of INTs) throughout 2023 and by 2024 at the latest ’. Establish who will coordinate the support for PCNs/INTs.

Integration 52

Integration General Practice Secondary Care Primary Care 52

HIT Consultant

OCTOBER 26, 2021

As utilization, measured by visits to primary care and specialist doctors, dipped during the pandemic, providers who had invested largely in value-based care were better able to weather the storm and the economic downturn by having a consistent source of revenue despite low utilization. Another benefit of RPM?

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. Other states, such as Colorado, establish advisory committees that provide input on all aspects of a state’s quality improvement program , including measure selection. It is often factored into plan payment, and it supports public reporting.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

HIT Consultant

MARCH 14, 2023

Today, many hospitals are already part of healthcare networks combined with primary care clinics, allied care providers, insurers, and other agencies working together to coordinate and deliver a range of care services within their communities.

Healthcare 52

Healthcare Patient Safety Population Health Integration 52

NASHP

MARCH 22, 2024

In addition, through its new 1115 demonstration extension and “Roadmap for Behavioral Health Reform,” the state is phasing in a new integrated primary care payment and reimbursement structure. Georgia has a long history of including peer support in its behavioral health system.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52