The traditional primary care and FFS models rewarded clinics for the volume of care provided. The more patients seen and services provided, the more productive and profitable clinics were. Primary care clinics will need to find new ways to measure productivity as payment models shift their attention from volume to value. Therefore, the Belvoir Primary Clinic will measure the clinics productivity not on the number of patients seen but on the outcomes of the care provided and its financial efficiency. The clinic will assess outcomes of care by using the Health Effectiveness Data and Information Set (HEDIS). This set of 81 measures captures how well the clinic meets quality criteria within five domains of care. Some areas of focus are access to …show more content…
Upholding the highest standard of clinical excellence is at the epicenter of Belvoir Primary Care clinic’s vision. To achieve its vision, the clinic will aim to establish a positive practice environment. Positive practice environments safeguard staff well-being, promote a culture of patient safety, improve job satisfaction, and enhance the productivity and efficiency of individuals, departments, and organizations alike. Positive practice environments have been shown to directly enhance professional practice and contribute to improved delivery of care (Twigg & McCullough, 2014, p. …show more content…
When an organization runs smoothly both patients and staff experience improved satisfaction. To promote a safe work environment the Belvoir Primary Care Clinic will focus first on clearly outlining staff roles so that there is less duplication of effort and less probability of errors or oversights. Second, to ensure that all staff members are fully aware and committed to the organizations mission and vision, the organization will build team cohesiveness through active leadership and staff engagement. Third, the clinic will ensure that each team has the right number of staff with the right skills to safely delivery care. Forth, the clinic will provide education and training to support expanding roles and will reevaluate staffing needs as the PCMH program becomes more established and the need for services grows. Lastly, the clinic will maintain a culture of safety by fostering a non-punitive reporting environment, reviewing adverse events and correcting process failures, conducting continuous risk assessments, and implementing patient safety
Introduction The Healthcare Effectiveness Data and Information Set (HEDIS) measures are indicators used by more than 90% of national healthcare plans to assess quality of care on important health issues (National Committee for Quality Assurance [NCQA], 2016)). This paper will focus on the HEDIS measure of physical activity in older adults. This paper will assert the importance of physical activity to the national healthcare landscape, and will investigate the guidelines and research that influence
organization of information, efficiency and prudent information storage, the data sets are developed to suit the functions that they are designed for. In the healthcare sector, the major data sets are the HEDIS, OASIS and UHDDS. All these data sets work together to ensure that there is an efficient healthcare system that serves all citizens. This paper seeks to analyze each of these data sets in regards to their function, applicability and value added to the healthcare system. HEDIS HEDIS means Healthcare
a basis for understanding its delivery of care and for improving that care (Dlugacz, 2006). The various departments and ranges of data needed to measure quality all differ in hospital settings but, the availability of medical records and other clinical information make it easier to evaluate quality of care. This paper will analyze the components of the quality of health care, identify agencies that focus on quality, explore the HCAHPS survey and the Center for Medicare & Medicaid Services roles in
leaders have worked to develop practice models that best support the needs of patients and communities alike. Practice redesign involves the methodical modification of current practices in order to improve the quality, efficiency, and effectiveness of patient care (Health Care System Redesign, 2015). Clinical decision support, risk stratification, patient engagement, building and tracking relationships, as well as measuring and improving over time are also important principles of practice redesign (Nash
organization for health plans including HMOs, PPOs, and consumer directed plans. (Margaret) “Our goal is to increase the value of NCQA accreditation both to organizations pursuing accreditation and to the audiences who seek help in assessing the quality of health care provided by those organizations”. NCQA has developed, maintained, and expanded the nation’s most widely used health care quality tool, which is known as the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is responsible
job right when I get out of school and while waiting to get into pharmacy school. My choices of pharmacy schools were narrow down to in state schools only. I was lucky to be introduced to Health Care Management by a friend. Health Care Management sounded attractive to me because I always wanted to work in the health care field. I was not sure I was born to be a manager. I had experience with project management working for a private law firm for two years but not people management. A few years ago, I
high for adult primary care clinics located in the Sarasota County Health Department. These high no show rates reduce the productivity of providers and reduce potential revenue. The long wait times are hindering the ability to meet performance goals that could be generating payment incentives for the chronic disease and the complex high acuity patients. In addition, we know that access to care is important for overall quality health delivery as well as disease prevention, detection, and screening.
Health care information system (HCIS) is an arrangement of information (data), processes, people, and information technology that interact to collect, process, store, and provide as output the information needed to support the health care organization (Wager, Lee, Glaser, 2013, p. 105). Having ready access to timely, complete, accurate, legible, and relevant information is critical to health care organizations, providers, and the patients they serve (Wagerm Lee, & Glaser, 2013). In the health care
Affordable Care Act and Medicaid Expansion The Patient Protection and Affordable Care Act (ACA) legislation passed in 2010 supported changes to private and public market places for patients, providers and health insurers most noticeably through expanded health insurance availability. A key piece of the legislation included a significant expansion to the Medicaid program to include all individuals with incomes below 138 percent of the Federal Poverty Level (FPL) (Hahn & Sheingold, 2013). Initially