The Agency for Healthcare Research and Quality defines “quality of care” as “doing the right thing for the right patient, at the right time, in the right way to achieve the best possible results.”

This highly customized approach to defining quality shines a very bright light on the need to develop quality improvement plans based on membership data. These plans and their integral member engagement components must also take a data driven approach that accounts for social determinants. Quality managers must account for age, race, ethnicity, language, homelessness and more if engagement is to successfully contribute to quality gains.

They must also prioritize programs based on reach, urgency, cost (including labor), organizational readiness and available infrastructure, while taking care to avoid worsening or creating new disparities. In 1990, the difference in breast cancer mortality among non-hispanic blacks and non-hispanic whites in Chicago was 20%; although mortality decreased overall and among both groups, the difference had grown to 99% by 2005.

Last week, Pursuant Health Director of Quality Alvonice Spencer, MSHA, delivered ways health plan quality directors can develop value-based quality improvement plans based on membership data.

Take a look at the event recording here:

 

You can access the deck by filling out the form below:

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If you are a health plan quality director seeking to improve the volume, quality and capability of member data to improve population health and reduce cost, let’s talk. Pursuant Health engages more than 3 million Americans per month through our Engage 360 platform including health kiosks within a 10 mile reach of 79% of the U.S. population. Contact Henry McAlpin via email: henry.mcalpin@pursuanthealth.com

Categories: Health Plans

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Six Ways To Prepare For 2018 HEDIS Season | Pursuant Health · April 6, 2018 at 10:13 pm

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