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

Healthcare It News

APRIL 20, 2022

The same is true in care delivery, where the ability to pair patient-generated and/or reported data with secondary data from care delivery has the potential to revolutionize decision support, quality improvement, and digital guideline development.

Regulations 298

Regulations Primary Care Quality Improvement Health Data 298

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

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 62

Integration Primary Care Medicaid Prevention 62

NCQA

JANUARY 25, 2024

For example, primary care providers are playing a larger role in mental health care. We’re also seeing what we call “ workforce extenders” provide behavioral health care. This includes care by unlicensed providers. Technology is also being used to expand behavioral health care capacity through virtual care.

Primary Care 52

Primary Care Quality Improvement Integration Population Health 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

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 68

Primary Care Prevention Hospitals Quality Improvement 68

HIT Consultant

AUGUST 1, 2022

Since March, missing SOGI data for adult primary care patients has declined by an average of 4 percent across the enterprise. These secure data can only be accessed by patients and their healthcare proxies via their online patient portal, patients’ clinicians, clinical support staff, and quality improvement staff.

Primary Care 52

Primary Care Quality Improvement Healthcare Hospitals 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 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

HIT Consultant

JANUARY 12, 2023

In order to achieve the desired levels of quality improvement and labor cost savings, healthcare systems must use new care models that leverage technology and virtual care in all acute care settings. Virtual care elevates bedside care, allowing our valued clinicians to function at the top of their licenses.

Hospitals 98

Hospitals Life Sciences Patient Safety Quality Improvement 98

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 140

Integration Healthcare Quality of Care Regulations 140

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

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

NASHP

DECEMBER 10, 2021

NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. MHP Medicaid Health Plans. PHW Pandemic Health Worker.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

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

Briggs Healthcare

MAY 4, 2023

CMS also requires plans to notify beneficiaries if a behavioral health or primary care provider is no longer in network via written and telephonic communications with more stringent notification requirements and establish care coordination programs to ensure behavioral health a key component of individual beneficiary care planning.

Medicare 40

Medicare Regulations Nursing Primary Care 40

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

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 88

Integration Healthcare Quality of Care Regulations 88

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

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

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 Quality Improvement Accountability 98

NASHP

NOVEMBER 29, 2021

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Patient Safety Movement

APRIL 1, 2023

These figures are also consistent with diagnostic errors and harm rates in primary care and inpatient settings. However, they emphasized that an incorrect diagnosis due to incomplete data resulting in harm should still be a target for system-based diagnostic quality improvement.

Patient Safety 52

Patient Safety Doctors Prevention Hospitals 52

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 121

Medicaid Medicare Primary Care Quality Improvement 121

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

AUGUST 15, 2022

In light of these findings, the homebound represent a critically important population to target for quality improvement and reductions in Medicare spending.”. Homebound patients heavily utilize hospital-based care. The researchers also noted that homebound seniors are not utilizing outpatient care.

Medicare 108

Medicare Primary Care Medicaid Quality Improvement 108

HIT Consultant

JANUARY 22, 2024

The IBH Model aims to bridge the gap between behavioral and physical health by: Empowering community-based behavioral health practices: These practices, including mental health centers, opioid treatment programs, and safety net providers, will become the central point of care, offering integrated services for both mental and physical health needs.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NASHP

MARCH 11, 2022

State experience indicating that payment is an effective lever for improving service delivery. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services. Integrated Primary Care.

Medicaid 57

Medicaid Integration Quality Improvement Primary Care 57

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

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

Vie Healthcare

FEBRUARY 22, 2023

We have accreditation programs that really work to make sure that that variance in quality is very narrow. We always work to have high quality graduates. And then within all the schools I’ve ever worked, there is strong quality improvement mindsets involved there. Again, I had no ER experience.

Healthcare 52

Healthcare Nursing Doctors Performance improvement 52

NASHP

AUGUST 31, 2023

Interviewees shared a range of perspectives, including those of local health departments, the state’s sheriff’s association, the state medical society, community health centers, hospital and primary care associations, funders, a CBO, aging and assisted living partners, consumer advocacy groups, and legislators.

Medicaid 52

Medicaid Accountability Public Health services Population Health 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

NASHP

OCTOBER 8, 2021

The Black Maternal Health Momnibus Act of 2021 , recently introduced in the House, builds on existing federal legislation to comprehensively address social and health systems that impact the care of pregnant people throughout the country.

Medicaid 62

Medicaid Clinical Practice Primary Care Quality Improvement 62