Illinois Health Connect Quality Assurance Tools
|
|
- Aileen Skinner
- 6 years ago
- Views:
Transcription
1 Illinois Health Connect Quality Assurance Tools Margaret Kirkegaard, MD, MPH Medical Director, Illinois Health Connect ICAAP Medical Home Collaborative
2 Disclosure for CME I am employed by Automated Health Systems, the administrator of Illinois Health Connect. I do not intend to discuss off label uses of FDA approved products.
3 Learning Objectives At the end of this session participants will be able to: Identify and access two Quality Tools available through IHC. Define one Claims History Report item that could be used to improve your practice. Describe one use for panel roster preventative services.
4 IHC Quality Tools Claims History Panel Rosters IHC Bonus Payment program Provider Profiles
5 Accessing IHC QA Tools QA tools can only be accessed through the HFS MEDI (Medical Electronic Data Interchange) system. Complete instructions for MEDI registration available on under Provider Information or by contacting IHC Provider Service Representative at Large groups can designate a MEDI administrator at each clinic site to assign username and password to appropriate clinical staff.
6 Illinois Health Connect Link
7 Illinois Health Connect Provider Portal
8 Illinois Health Connect Claims History
9 Report Screen Shot - Child
10 Claims History Report Contents Prescription Summary (2 years of data) Prescription Date Prescription Quantity Prescription Description Immunization Summary (currently 5 years of data, will expand to 7 years) Immunization Date Immunization Code Immunization Description Claim Summary (2 years of data) Service Date Claim Date Provider Name Diagnosis Code Procedure Code Claim Type
11 Illinois Health Connect Provider Portal
12 IHC Panel Roster
13 IHC Panel Rosters Available online to download in CSV (Excel format), can be sorted, can request a mailed paper copy Disease Management Eligibility Clients who meet definition of persistent asthma are noted Clients who have had 6 or more ED visits in past 12 months without an admission are indicated by frequent ED user
14 Panel Roster-Preventive Services Well-child visit, developmental screening, vision and lead screening, mammogram and pap currently reflect date of last paid claim, reflect due status based on HFS recommendations Last page of Panel Rosters defines the information provided for each patient Captures claims data from other providers
15
16 Panel Roster in CSV Format sorted by due for mammogram
17 IHC Bonus Payment Program $2.8 million paid 2008, $3.2 million paid 2009 Measures selected by Quality Management Subcommittee Obj dev screening, immunizations, mammograms, HBA1C, asthma controller meds Benchmarks established by national norms Based on claims data No special reporting Claim is counted whether or not it was the current PCP or another provider who rendered the service during the measurement period
18 Bonus Data available on IHC Portal
19 Provider Profiles Sent semi-annually to all IHC PCPs Spring-fall cycle Core primary care measures selected by QM subcommittee
20 Provider Profile Clinical Measures Immunizations Developmental screening Diabetes Management Asthma management Well child care Adolescent well care Vision screening Breast cancer screening Cervical cancer screening Lead screening ages 1 and 2 yrs
21 Provider Profile Example
22 Take-Home Messages Refer eligible pts to Your Healthcare Plus at : for additional services Obtain a MEDI username and password so you can access the Claims History Review your Panel Rosters Sort by due for outreach Review the Provider Profiles to assess opportunities for clinical quality improvement Select a bonus measure for a QI project with a financial pay-off Take advantage of IHC QA Nurse and Provider Service Representatives
Care1st Health Plan Taking Quality to the Next Level REPORTING YEAR HEDIS Summary - MPL (Measurement Year 2012)
Care1st Health Plan s Quality Improvement Department has been diligently working towards improving the Healthcare Effectiveness Data and Information Sets (HEDIS) results across all lines of business. HEDIS
More information2018 P4P Overview 0518.PR.P.PP.1 6/18
2018 P4P Overview Agenda MHS Pay For Performance (P4P) Ambetter P4P Program Secure Web Reporting Question and Answer What You Will Learn 1. Measure Overviews & Specifications 2. Documentation Requirements
More informationSuccesses in Regional Collaboration to Achieve the Triple Aim Oregon. Pay for Performance Summit San Francisco March 24, 2014
Successes in Regional Collaboration to Achieve the Triple Aim Oregon Pay for Performance Summit San Francisco March 24, 2014 Agenda Oregon Health Care Quality Corporation (Q Corp) Background Priority Projects
More informationQIP/HEDIS Measure Webinar Series
QIP/HEDIS Measure Webinar Series September 26, 2017 Presenters: Partnership HealthPlan Quality Department Partnership HealthPlan of California To avoid echoes and feedback, we request that you use the
More information16 th Annual IHA Stakeholders Meeting Session 2C
16 th Annual IHA Stakeholders Meeting Session 2C September 19, 2017 Hilton Los Angeles Airport Thank you to our Content Partner: Medication Adherence AppleCare Pharmacy Programs Confidential and proprietary.
More informationElectronic Health Records (EHR) HP Provider Relations October 2012
Electronic Health Records (EHR) HP Provider Relations October 2012 Agenda Session Objectives Electronic Health Record (EHR) EHR Incentive Program Certified Technology EHR Meaningful Use EHR Incentive Program
More informationFluSafe: Tool for Tracking Healthcare Worker Immunizations in IIS
FluSafe: Tool for Tracking Healthcare Worker Immunizations in IIS Aaron Bieringer Data Quality Analyst, MIIC Program September 20, 2012 Outline FluSafe Overview Current Process Proposed Enhancements Next
More information2017 HEDIS PMAP & MNCare
2017 HEDIS PMAP & MNCare DESCRIPTION Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used in the United States to measure performance on important dimensions of care and service. HEDIS
More informationJan Feb Mar Apr May Jun Jul Aug Sep X X X X X X X. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov X X X X X X X X X X X X X
Primary Prevention Breast Cancer Prevention Member: Mammography reminder letters to female members ages 51.5-74 who are overdue to get a mammogram Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Providers:
More informationMY 2018 BENEFITS. From the Plan that Cares About Me!
MY 2018 BENEFITS From the Plan that Cares About Me! Just take a look at some of the great benefits you have with Passport. As always, you pay for most of your benefits. BENEFITS YOU CAN GET Primary Care
More informationUsing Big Data to Empower Consumer Choice. Oregon State of Reform Health Policy Conference September 24, 2014
Using Big Data to Empower Consumer Choice Oregon State of Reform Health Policy Conference September 24, 2014 Agenda Big data Ideal state for consumers The best and worst of health information What is coming
More informationmehealth for ADHD Parent Manual
mehealth for ADHD adhd.mehealthom.com mehealth for ADHD Parent Manual al Version 1.0 Revised 11/05/2008 mehealth for ADHD is a team-oriented approach where parents and teachers assist healthcare providers
More informationDiabetes Quality Improvement Initiative
Diabetes Quality Improvement Initiative Community Care of North Carolina 2300 Rexwoods Drive, Ste. 100 Raleigh, NC 27607 (919) 745-2350 www.communitycarenc.org 2007 Background The Clinical Directors of
More informationWhat s New. Don t Forget! There are 2 different influenza vaccines available. Flu Vaccine. Michigan Newsletter Fall 2009
What s New Michigan Newsletter Fall 2009 Flu Vaccine Don t Forget! There are 2 different influenza vaccines available this year (one for seasonal flu and one for Novel H1N1 or swine flu). Both vaccines
More informationSupplementary Online Content
Supplementary Online Content Friedberg MW, Rosenthal MB, Werner RM, Volpp KG, Schneider EC. Effects of a medical home and shared savings intervention on quality and utilization of care. Published online
More informationAlameda Alliance For Health Provider Visit Form st Quarter Provider Packet
Alameda Alliance For Health Provider Visit Form 2017 1st Quarter Provider Packet Provider Name: Date of Visit: PCP Specialist CBAS Home Health SNF Ancillary Other Provider s At-A-Glance Guide to the Provider
More informationHEDIS 2014 (CY 2013) GOAL MET OR EXCEEDED
Buckeye Health Plan 2016 Medicaid Ratings: The Healthcare Effectiveness Data and Information Set () is a tool that helps health plans measure the quality of care their members receive. Buckeye uses data
More informationUsing Analytics for Value-Based Care
Using Analytics for Value-Based Care John Cuddeback, MD, PhD Elizabeth Ciemins, PhD, MPH, MA AMGA Northwest Regional Meeting February 3, 2017 Seattle A Fundamental Change Is Underway Fee for Service MIPS
More informationNCC Pediatrics Continuity Clinic Curriculum: Medical Home Module 2 Well Visits
NCC Pediatrics Continuity Clinic Curriculum: Medical Home Module 2 Well Visits Overall Goal: To identify strategies for providing comprehensive care during a well visit. The provision of comprehensive
More informationPrevents future health problems. You receive these services without having any specific symptoms.
PREVENTIVE CARE To help you live the healthiest life possible, we offer free preventive services for most Network Health members. Please refer to your member materials, which you received when you enrolled
More informationOREGON STATEWIDE SNAPSHOT
OREGON STATEWIDE SNAPSHOT May 1, 2017 Q Corp continually tracks performance on a number of quality, resource use and cost metrics. The table on the following page provides a snapshot of s overall clinic
More informationSpring 2018 Health and Wellness Newsletter
Spring 2018 Health and Wellness Newsletter Check out what Molina offers online Have you logged in to the Molina website lately? You have many resources to help you learn more about how Molina works. One
More informationCancer Prevention and Control, Provider-Oriented Screening Interventions: Provider Incentives Cervical Cancer (2008 Archived Review)
Cancer Prevention and Control, Provider-Oriented Screening Interventions: Provider Incentives Cervical Cancer (2008 Archived Review) Table of Contents Review Summary... 2 Intervention Definition... 2 Summary
More informationLibreHealth EHR Student Exercises
LibreHealth EHR Student Exercises 1. Exercises with Test Patients created by students a. Create a new Encounter using the Bronchitis form (template) i. While your patient s chart is open, go to either
More informationThe MetroHealth System. Creating the HIT Organizational Culture at MetroHealth. Creating the HIT Organizational Culture
CASE STUDY CASE STUDY The MetroHealth System Optimizing Health Information Technology to Increase Vaccination Rates The MetroHealth System in Cleveland, Ohio, was the first safety-net health care system
More informationConnecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information
Provider access Covered Benefits Deductible General information All providers who accept If covers a charge, then the TRB plan covers that charge The 2019 deductible is $185. The member pays the Part B
More information2017 Davies Award. Kressly Pediatrics Case Studies SUSAN J. KRESSLY, MD, FAAP
2017 Davies Award Kressly Pediatrics Case Studies SUSAN J. KRESSLY, MD, FAAP Who We Are Founded in 2004 by Dr. Kressly with a clear vision: 3 Board Certified Pediatricians Susan J. Kressly, MD Karen W.
More informationStepped Approach to Preventive Services Outreach in Primary Care Shana Ratner, MD Lindsey Franks, MSW Brooke McGuirt, MBA
IHQI Seed Grant Program Symposium May 5, 2015 Stepped Approach to Preventive Services Outreach in Primary Care Shana Ratner, MD Lindsey Franks, MSW Brooke McGuirt, MBA The Problem A 58 year old healthy
More informationabout the flu vaccine. We have included tips for addressing patient concerns with responses that clarify the facts about the flu vaccine.
ProviderReport Message from the CEO On behalf of the California Health & Wellness family, I would like to extend our best wishes to our providers as we enter the holiday season. Thank you for your partnership
More informationArkansas Blue Cross and Blue Shield (ABCBS) Patient Centered Medical Home (PCMH) Specifications Manual
Arkansas Blue Cross and Blue Shield (ABCBS) Patient Centered Medical Home (PCMH) Specifications Manual 2017 This document is a guide to the 2017 Arkansas Blue Cross and Blue Shield Patient-Centered Medical
More informationSchedule of Benefits
3 Patient Protection and Affordable Care Act ( PPACA ) Compliance: The Plan will at all times be in compliance with PPACA rules and regulations. Notes regarding the Plan This Plan provides coverage for
More informationStephen C. Joseph, M.D., M.P.H.
MAR 05 1996 MEMORANDUM FOR: ASSISTANT SECRETARY OF THE ARMY (M&RA) ASSISTANT SECRETARY OF THE NAVY (M&RA) ASSISTANT SECRETARY OF THE AIR FORCE (MRAI&E) SUBJECT: DoD Participation in Clinical Cancer Trials
More informationClinical Quality Measures - Colorado SIM, TCPI
Clinical Quality s - Colorado SIM, TCPI Aniety AOD Aniety Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Not yet endorsed by 0004 e- - - 137v4 305 General Aniety Disorder GAD-7
More informationSFDPH Responds to Hepatitis C: Strategic Directions for and Beyond
SFDPH Responds to Hepatitis C: Strategic Directions for 2015-2016 and Beyond Presented by: Kelly Eagen, MD Physician Specialist Tom Waddell Urban Health San Francisco Health Network Katie Burk, MPH Viral
More informationThe clinical quality measures as selected by the Clinical Management subcommittee for 2016 for the adult population are:
For 2016 the Clinical Integration Program is moving its clinical quality measures from the Verisk Healthcare Quality and Risk Measures to the National Committee for Quality Assurance HEDIS based measures.
More informationTHERAPY DOCUMENTATION GUIDELINES FOR THE NEW MEXICO DEVELOPMENTAL DISABILITIES WAIVER
DEVELOPMENTAL DISABILITIES SUPPORTS DIVISION NEW MEXICO DEPARTMENT OF HEALTH THERAPY DOCUMENTATION GUIDELINES FOR THE NEW MEXICO DEVELOPMENTAL DISABILITIES WAIVER TABLE OF CONTENTS Page 1 TABLE OF CONTENTS
More informationSupplemental materials for:
Supplemental materials for: Dahrouge S, Hogg W, Younger J, Muggah E, Russell G, Glazier RH. Primary care physician panel size and quality of care: a population-based study in Ontario, Canada. Ann Fam Med.
More information1Oxford Contact Overview. Contact Information at a Glance... 11
1Oxford Contact Overview Contact Information at a Glance.......... 11 Oxford Contact Overview Section 1 10 www.oxfordhealth.com Oxford Contact Overview Section 1 Contact Information at a Glance Electronic
More informationHPV Call-to-Action SEPTEMBER 13, 2017
HPV Call-to-Action SEPTEMBER 13, 2017 Agenda Welcome & Housekeeping Speaker Introductions Increasing HPV Rates in South Dakota- Lexi Pugsley, RN, BSN Sanford Health Comprehensive Cancer HPV Vaccination
More informationBCCCNP NEW PROGRAM FORMS WEBINAR. January 8, 2019 E.J. Siegl, Program Director Breast and Cervical Cancer Control Navigation Program
BCCCNP NEW PROGRAM FORMS WEBINAR January 8, 2019 E.J. Siegl, Program Director Breast and Cervical Cancer Control Navigation Program NEW GRANT CHANGE IN FOCUS New Clinical Data Requirements by CDC for BCCCNP
More informationGreater Financial Rewards: IEHP s 2017 Global P4P Program
Volume 6 Fall 017 Greater Financial Rewards: IEHP s 017 Global PP Program Financial Overview IEHP is pleased to announce the 017 Global Quality PP (GQ PP) Program for Medi-Cal IPAs and PCPs. An expansion
More informationCost-Effective Process to Improve Drug Adherence for Medicare 5-Star
Cost-Effective Process to Improve Drug Adherence for Medicare 5-Star HEALTH ALLIANCE PLAN Presented by Vanita K. Pindolia, Pharm.D. VP, Ambulatory Clinical Pharmacy Programs_PCM Medicare 5-Star Rating
More informationUsing the Patient Activation Measure to Improve Outcomes and Control Costs
Using the Patient Activation Measure to Improve Outcomes and Control Costs Judith H. Hibbard, DrPH Health Policy Research Group University of Oregon 2014 University of Oregon What is Activation? An activated
More informationAn Overview of HIB Grades: Understanding the Self-Assessment Process & Data Entry Requirements. Office of Student Support Services Spring 2016
An Overview of HIB Grades: Understanding the Self-Assessment Process & Data Entry Requirements Office of Student Support Services Spring 2016 Goals for this Training To provide participants: 1) An understanding
More informationAdventist HealthCare Washington Adventist Hospital Community Health Needs Assessment Implementation Strategy. Adopted May 15, 2017
Adventist HealthCare Washington Adventist Hospital 2017-2019 Community Health Needs Assessment Implementation Strategy Adopted May 15, 2017 Implementation Strategy Development & Adoption Adventist HealthCare
More informationThe Potential For Teleophthalmology in the Patient-Centered Medical Home Model
The Potential For Teleophthalmology in the Patient-Centered Medical Home Model Christina Sheppler, PhD Legacy Research Institute Devers Eye Institute NRTRC Telemedicine Conference March 26, 2014 Disclosures
More informationBlue Cross Complete of Michigan Performance Recognition Program Incentive Materials 2017
Performance Recognition Program Incentive Materials 2017 Blue Cross Complete of Michigan 2017 Performance Recognition Program Dear Blue Cross Complete of Michigan-affiliated primary care physician or group
More informationNew: Health Incentive Credits In 2012, Health Incentive Credits can be earned to use toward the calendar year deductible.
Core s LifeStyles Management Program is a program which identifies and assists individuals with known and unknown chronic illnesses. The purpose of the LifeStyles Management Program is to promote member
More informationFrom National to Local: Building HPV Vaccination Capacity in Primary Care
From National to Local: Building HPV Vaccination Capacity in Primary Care Audrey Fine, Senior Manager Primary Care Jenica Palmer, MPH Primary Care Health Systems Manager May 31, 2018 HPV nationwide pilot
More informationEmpirical Evidence of P4P
Effect of Physician Pay-for-Performance (P4P) Incentives in a Large Primary Care Group Practice Presenter: Laurel Trujillo, MD 1 Collaborators: Harold Luft, PhD 2,3 Sukyung Chung, PhD 2,3 Latha Palaniappan,
More informationUnderstanding CMS PQRS New Pathology Measures: How CAP Members Can Participate
Understanding CMS PQRS New Pathology Measures: How CAP Members Can Participate Jonathan L. Myles, MD, FCAP Chair, CAP Economic Affairs Committee Pathology Advisor, AMA RUC Emily E. Volk, MD, FCAP Chair,
More informationBroward Health s Breast Cancer Navigation Program Meeting the needs of underserved patients
Broward Health s Breast Cancer Navigation Program Meeting the needs of underserved patients by Pia Delvaille, ARNP, MSN Broward Health, a nonprofit community health system, is one of the ten largest public
More informationQuick Reference Guide for Health Care Providers
Quick Reference Guide for Health Care Providers Breast and Cervical Cancer Screening and Treatment in Kentucky Kentucky Cancer Program Kentucky Department for Public Health For more information, contact:
More informationIncreasing Patient Activation to Improve Health and Reduce Costs
Increasing Patient Activation to Improve Health and Reduce Costs Judith H. Hibbard, DrPH Institute for Policy Research and Innovation University of Oregon 2008 University of Oregon There is great variation
More informationOC TOBER 19, Quality Payment Program Overview
OC TOBER 19, 2 016 Quality Payment Program Overview Quality Payment Program Panel TOM S. LEE, PHD CEO & Founder SA Ignite BETH HOUCK, MBA Vice President, Client Services SA Ignite MATTHEW FUSAN Director,
More informationNew Patient Form Welcome!
New Patient Form Welcome! Last First Middle Initial DOB Address City ST ZIP Phone (H) (C) Email Occupation Employer Relationship Status S M W D Spouse s Name DOB Children s Names and Ages Have you had
More informationPractical Predictive Analytics. John Cuddeback, MD, PhD AMA IPPS November 11, 2016
Practical Predictive Analytics John Cuddeback, MD, PhD AMA IPPS November 11, 2016 AMGA s Work in Analytics Advocacy: Align payment incentives around population health Programs: Help members redesign delivery
More informationMeaningful Use Overview
Eligibility Providers may be eligible for incentives from either Medicare or Medicaid, but not both. In addition, providers may not be hospital based. Medicare: A Medicare Eligible Professional (EP) is
More informationMedicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c.
Medicare & SUBMITTING PROGRESS NOTES OR EMR You may use your own progress notes or Electronic Medical Record (EMR) to document the annual comprehensive examination. The EMR must include the elements indicated
More information2017 Preventive Health Care Guidelines
2017 Preventive Health Care Guidelines NEXT All Adults 4 Women 6 Pregnant Women 8 Children 10 Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date
More informationMonitoring Psychotropic Use Among Foster Children EMPAA
State Plans for Monitoring Psychotropic Use Among Foster Children EMPAA October 30, 2012 Child and Family Services Improvement and Innovation Act of 2011 Required Components of Psychotropic Oversight and
More informationIntegrating the HAB Core Clinical Performance Measures into Your Quality Management Program
Integrating the HAB Core Clinical Performance Measures into Your Quality Management Program Aug 28, 2008 Roger Chaufournier, NQC Consultant Panel: Jay Adams, West Virginia Rebecca Hutcheson, W ashington
More informationSan Francisco Eligible Metropolitan Area 2012 Summary Report of HIV/AIDS Bureau's Quality Management Performance Measures
San Francisco Eligible Metropolitan Area 2012 Summary Report of HIV/AIDS Bureau's Quality Management Performance Measures HIV Health Services Planning Council September 23, 2013 Prepared By: Celinda Cantú,
More informationGO GOLD. with Go365 GET ACTIVE LIVE HEALTHY ENJOY REWARDS
GO GOLD with Go365 GET ACTIVE LIVE HEALTHY ENJOY REWARDS Start earning points and living your healthiest life January 1, 2018 Gold is the New Silver We appreciate you participating in the Humana Go365
More informationPCMH 2018 Enrollment and Update August 25, 2017
PCMH 2018 Enrollment and Update August 25, 2017 Enrollment Requirements Anne Santifer HealthCare Innovations Department of Human Services 2018 Enrollment Requirements A physician practice that is enrolled
More informationWhat s New in Urology: A Primer for the Primary Care Provider SATURDAY, JUNE 9, 2018
What s New in Urology: A Primer for the Primary Care Provider SATURDAY, JUNE 9, 2018 This activity is intended for primary care physicians, urologists and allied healthcare professionals. CONFERENCE LOCATION
More informationSUMMARY OF P BENEFITS AND SCHEDULE OF COPAYMENTS
SUMMARY OF P-10-15-250 BENEFITS AND SCHEDULE OF COPAYMENTS THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. THE EVIDENCE OF COVERAGE AND PLAN CONTRACT SHOULD
More informationBridges to Excellence Physician Incentive Program. SuperiorHealthPlan.com SHP_
Bridges to Excellence Physician Incentive Program 2015 SuperiorHealthPlan.com SHP_2014851 Bridges to Excellence (BTE) is a physician recognition program from Health Care Incentives Improvement Institute
More information2017 Bankmed Personal Health Assessment (PHA) and HIV/AIDS Counselling and Testing (HCT) Provider Manual
2017 Bankmed Personal Health Assessment (PHA) and HIV/AIDS Counselling and Testing (HCT) Provider Manual Bankmed Personal Health Assessment and HIV/AIDS Counselling and Testing Handbook 2017 The World
More informationNRT Contractor Safety Management System Portal User Guide Registering your company and purchasing new cards
NRT Contractor Safety Management System Portal User Guide Registering your company and purchasing new cards 1 Table of Contents Table of Contents 2 Overview 2 Purchasing a RIW or NRT card 3 Registering
More informationMonthly Campaign Webinar. May 19, 2016
Monthly Campaign Webinar May 19, 2016 WEBINAR REMINDERS Webinar will be recorded today and available the week of May 23 rd Together2Goal.org Website (Improve Patient Outcomes Webinars) Email distribution
More informationPositive Airway Pressure (PAP) Devices Physician Frequently Asked Questions December 2008
Positive Airway Pressure (PAP) Devices Physician Frequently Asked Questions December 2008 Based on questions received from the clinical community, the following Frequently Asked Questions will address
More informationSCHEDULE OF BENEFITS PLAN M7
SCHEDULE OF BENEFITS PLAN M7 Effective September 1, 2016 All benefits, unless otherwise specified, are based on Usual, Customary and Reasonable (UCR) charges, or the network contracted amounts, and are
More informationOSCAR EMR Cancer Screening Guidelines
OSCAR EMR Cancer Screening Guidelines Version 2.3 November 2018 Cancer Care Ontario Primary Care Lead (HNHB LHIN) Table of Contents OSCAR EMR Cancer Screening Guidelines 1. INTRODUCTION GETTING READY...
More informationQuality Improvement through HIT
Quality Improvement through HIT What is quality in healthcare? Safe Effective Patientcentered Timely Efficient Equitable Overview Reinforce a vision for using HIT to improve quality Share our approach
More informationFAMILY MEDICINE PRACTICES
2018 Primary Care Provider Quality Improvement Program (PCP QIP) Measurement Specifications FAMILY MEDICINE PRACTICES Developed by: The QIP Team QIP@partnershiphp.org Published: November 28, 2017 Updated:
More informationThe Journey towards Total Wellbeing A Health System s Innovative Approach
The Journey towards Total Wellbeing A Health System s Innovative Approach Company Profile Wellness A state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity
More informationQuality Care Plus 2015 Primary Care Physician Incentive Program. Now includes Medicare patients!
Quality Care Plus 2015 Primary Care Physician Incentive Program Now includes Medicare patients! Health Partners Plans (HPP) would like to express our appreciation for the invaluable role our primary care
More information16 th Annual IHA Stakeholders Meeting Session 1A
16 th Annual IHA Stakeholders Meeting Session 1A September 19, 2017 Hilton Los Angeles Airport Thank you to our Platinum Sponsor: IHA & PBGH ACO Measurement & Benchmarking Initiative September 19, 2017
More informationReducing Opioid Over- Prescribing in a Large Integrated Health Care System
Session L6 This presenter has nothing to disclose It Takes a Village to Curb the Prescription Opioid Epidemic: Reducing Opioid Over- Prescribing in a Large Integrated Health Care System Joel D. Hyatt,
More information2017 Physician Incentive Program by Payer
2017 Physician Incentive Program by Payer BCN Commercial Payout Summary TARGET AMOUNT per SERVICE Breast screening 80%+ $125^ Childhood immunizations ( % of who children who turn 2 in Flat fee $50 the
More informationSan Francisco Eligible Metropolitan Area 2013 Summary Report of HIV/AIDS Bureau's Quality Management Performance Measures
San Francisco Eligible Metropolitan Area 2013 Summary Report of HIV/AIDS Bureau's Quality Management Performance Measures HIV Health Services Planning Council September 22, 2014 Prepared By: Celinda Cantú,
More information2012 Chronic Respiratory. Program Evaluation. Our mission is to improve the health and quality of life of our members
2012 Chronic Respiratory Program Evaluation Our mission is to improve the health and quality of life of our members 2012 Chronic Respiratory Program Evaluation Program Title: Chronic Respiratory Program
More informationQuality Corp Measures Description and Methodologies
Quality Corp Measures Description and Methodologies Overview: The Oregon Health Care Quality Corporation (Q Corp) is dedicated to improving the quality and affordability of health care in Oregon by leading
More information2016 Care. Quality Basic. Health
Data Year 2015 16 2016 Care Quality Summary Basic Health Measures Santa Barbara County Public Health Department 2016 Medical Quality Improvement Summary Basic Health Measures Data Year 2015 2016 Prepared
More informationQuality Corp Measures Description and Methodologies
Quality Corp Measures Description and Methodologies Overview: The Oregon Health Care Quality Corporation (Q Corp) is dedicated to improving the quality and affordability of health care in Oregon by leading
More informationClinical Integration Quality Measures
Clinical Integration Quality Measures Valley Integrated Care Network (VIPN) is physician-driven, with physicians determining which quality measures will be used to improve overall quality of care. Purpose:
More informationOverview. Alberta Aids to Daily Living (AADL) Primary Module B Part 2 OT/PT/RN
Alberta Aids to Daily Living (AADL) Primary Module B Part 2 OT/PT/RN Small Bathing & Toileting Equipment (B) Transfer Aids & Mattress Overlays (E) Musculoskeletal Supports (S) Module B Part 2 Outline :
More informationMeaningful Use Simple Guide
Meaningful Use Simple Guide 2011-2012 CORE Measures 1. CPOE for Medication Orders 2. Drug Interaction Checks * 3. Maintain Problem & Diagnosis List 4. eprescribing (erx) escripts 5. Active Medication List
More informationAnthem Pay-for- Performance (HEDIS )*
Serving Hoosier Healthwise, Healthy Indiana Plan Anthem Pay-for- Performance (HEDIS )* [Candace Adye, RN Amanda Gonzalez, RN] *HEDIS is a registered trademark of the National Committee for Quality Assurance
More informationHartford Transitional Grant Area (TGA) Quality Management Plan
Hartford Transitional Grant Area (TGA) Quality Management Plan 2015-2017 1 Table of Contents Overview.. 2 Mission Core Values Purpose Quality Improvement Directions. 3 National HIV/AIDS Strategies for
More informationHealthy Texas Women. Viveca Martinez, Deputy Associate Commissioner Health and Human Services
Healthy Texas Women Viveca Martinez, Deputy Associate Commissioner Health and Human Services Agenda Healthy Texas Women(HTW) HTW Enrollment Methods HTW Program Benefits Family Planning Program (FPP) Breast
More informationCan Amazon s Mechanical Turk be used to recruit participants for Internet intervention trials?
Can Amazon s Mechanical Turk be used to recruit participants for Internet intervention trials? A pilot study involving an RCT of a brief online intervention for hazardous alcohol use John Cunningham Centre
More informationBoosting the Value of Lab Testing: How HEDIS Uses Lab
Boosting the Value of Lab Testing: How HEDIS Uses Lab Cindy Ottone, MHA Director HEDIS Policy All materials 2009, National Committee for Quality Assurance Overview What is NCQA and HEDIS? How are measures
More informationConsensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0
Consensus Core Set: ACO and PCMH / Primary Care s 0018 Controlling High Blood Pressure patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately
More informationFAQs about Provider Profiles on Breast Cancer Screenings (Mammography) Q: Who receives a profile on breast cancer screenings (mammograms)?
FAQs about Provider Profiles on Breast Cancer Screenings (Mammography) Q: Who receives a profile on breast cancer screenings (mammograms)? A: We send letters and/or profiles to PCPs with female members
More informationSW MI Breast & Cervical Cancer Control Navigation Program (FONDLY KNOWN AS BCCCNP)
SW MI Breast & Cervical Cancer Control Navigation Program (FONDLY KNOWN AS BCCCNP) Program Eligibility Age 40 64 for breast/cervical screening/diagnostic/treatment services Age 21 39 for breast/cervical
More informationINFLUENZA & PNEUMOCCOCAL VACCINATIONS
INFLUENZA & PNEUMOCCOCAL VACCINATIONS ONE HEALTH PLAN S PERSPECTIVE Paige Reichert, MD Senior Medical Director of Quality May 2015 THE CIGNA-HEALTHSPRING FOOTPRINT o Cigna-HealthSpring serves the senior
More informationSCAN Sponsorship Opportunities
2018-2019 SCAN Sponsorship Opportunities www.scandpg.org www.development@scandpg.org With more than 6,500 members, SCAN is the LARGEST dietetic practice group of the Academy of Nutrition and Dietetics.
More information