While a number of health plans have started to use clinical data as part of their quality measure strategy, many have yet to realize the benefit. Health plan quality departments still rely on using vendors for their “chart chase” or require their provider network to submit supplemental data through a portal. Both of these methods are costly and can create work for their provider networks. Furthermore, just collecting the clinical data needed for a quality measure, doesn’t help to identify or close gaps in care.
In this interactive session, learn how NYC-based Healthfirst has used the clinical data they are getting from their provider network, to monitor quality measure performance and use that data as a source of numerator and denominator. More importantly, learn how access to clinical data and event notifications can help plans be proactive about closing gaps in care by using that information to proactively notify their providers.
The topics at a glance:
- Quality measurement
- Streamlined clinical data collection for hybrid measures
- Event notifications to close critical gaps in care
- Autumn Kerr, AVP, Clinical Quality, Healthfirst
- Kate Beck, Director, Health Information Exchange, Healthfirst
- Lynda Rowe, Senior Advisor, Value-based Markets, InterSystems