Creating Alignment Between Value-Based Care, Quality Programs and Health Equity Objectives
This course will examine the changing relationships between patients, physicians, hospitals, insurers, employers, communities and government in the current value-based landscape.
- Administrators and Clinicians.
- Consultants, Contractors and Vendors.
- Directors, Managers, Specialists and Coordinators.
- Professionals at Health Plans or Managed Care Organizations
- Professionals of Compliance, Regulation or Public Policy
- Professionals of Population or Public Health
- Professionals of Performance, Quality or Risk Management
- Professionals of Quality Assurance or Improvement
- Design a whole-person care model that effectively captures VBC quality performance priorities, community's needs and initiatives to engage populations.
- Use data and measurement to develop an influential value proposition to address social determinants of health, promote quality and policy priorities.
- Leverage technology and virtual care for patients who suffer digital inequities and promote large-scale HIT solutions to achieve digital equity.
- Integrate change management techniques to influence healthcare delivery systems.
Click here to access the Quality Innovation Series registration page to register or review the full course content.
Mrs. Guzman has expertise in leading and overseeing initiatives relating to Quality Care Programs, including Centers for Medicare and Medicaid Services (CMS) Alternative Payment Models, Medicare Access, and CHIP Reauthorization Act (MACRA) Value-Based Payment models. Her portfolio of quality improvement projects and payer arrangements includes developing and designing shared resources to support network participants with IT and Population Health management processes. Mrs. Guzman has15 years of experience in overseeing quality incentives and downside risk, and clinical and social improvement programs, with the primary goal of advancing efficiency and care delivery in value-based programs by enhancing provider, hospital, and community coordination and clinical support for its patients. She is a contributor in many ACO, digital health, data collection and reporting, quality improvement, and community-based related case studies and publications moderated by the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and The Office of the National Coordinator for Health Information Technology (ONC). Mrs. Guzman has successfully formed a high-performing partnership network in the areas of expertise shown below that facilitates strategic resources, applications, and systems to provider organizations, payers, and community-based organization.
- COVID-19 Vaccine Deployment strategy in New York City.
- Pharmaceutical-payer channel - value proposition engagement and provider-payer integration.
- Remote patient monitoring – Chronic condition management and behavioral health.
- Patient engagement – Front-end and dynamic content.
- Social determinants of health referral systems.
- Risk adjustment and clinical documentation – Prospective and Retrospective Coding.
Mrs. Guzman serves as a board member in nationally recognized patient engagement and social determinants of health committees throughout the country.