Explaining HPA 2023: Quality Management & Improvement (QI)
This course is open for Pre-registration. Content will be available in October.
Day One: Monday, October 24, 2022; 3:30-5pm ET
Day Two: Wednesday, October 25, 2022; 2-3:30pm ET - New Time!
Explaining Health Plan Accreditation 2023: Quality Management & Improvement (QI)
NCQA Health Plan Accreditation is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®).
This live, multi-day course leads participants through an end-to-end examination of the Health Plan Accreditation standards for Quality Management & Improvement (QI). Through this course, faculty provides participants with insight to interpret the requirements, navigate the standards, and avoid misconceptions. In addition to answering live questions from participants, faculty addresses scenarios and examples based on performance improvement opportunities from prior NCQA surveys.
Please note: This course presents information based on Health Plan Accreditation 2023 standard requirements that are released in July 2022. The scope of this course applies directly to NCQA Accreditation Surveys conducted between July 1, 2023 and June 30, 2024.
To inquire about group training rates, complete our online form.
- Planning, evaluating and controlling QI interventions.
- Incorporating contracted practitioners and providers into QI.
- Coordinating care across the network.
- Measuring effectiveness of QI interventions.
- Presentation slides.
- Recording of live session.
- Live Q&A.
- Scenarios for applied learning.
- NCQA surveyor's perspective of the standards.
- IPCE Credits for physicians, nurses and pharmacists.
Clinicians, executives, managers, specialists, consultants, delegates and vendors who are employed or contracted by health plans with responsibilities pertaining to the scope of work listed below:
- Case Management.
- Compliance or Risk Management.
- Population Health Management of Public Health.
- Quality Assurance/Improvement or Performance Management.
- Contracts Management.
- Health Information Systems.
At the conclusion of this course, learners will be able to:
- Interpret the intent of Health Plan Accreditation requirements for QI Standards.
- Describe relationships and themes across QI Standards.
- Recognize requirement implications and considerations for stakeholders.
- Define performance improvement opportunities.
By achieving these learning objectives, participants may experience the following operational efficacies as three to nine month post-participation outcomes:
- Increased productivity in prioritizing and planning interventions.
- Improved practices in monitoring issues and risks.
- Enhanced coordination in cross-functional efforts.
- Refined tactics in monitoring performance.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
Irv Koehler, RN, MBA, CPHQ, CPC
Irv Koehler is a health care quality consultant for the Koehler Quality Group, LLC. In this position, he is an NCQA administrative surveyor and provides consulting services to organizations evaluating and preparing for NCQA Accreditation/ Certification projects, risk adjustment validation for managed care organizations, education on quality improvement practices and outcome measure development and tracking.
Mr. Koehler is also a registered nurse with active licensure in Florida and Tennessee, and certification in quality and medical coding. Previously, he was a quality improvement professional at AmeriHealth Caritas and BlueCross BlueShield of Tennessee.
Mr. Koehler has an MBA from the Florida Institute of Technology, a BS in Nursing from Florida Southern College, a BA in Psychology and an ADN from Purdue University.
Joseph Stankaitis, MD, MPH
Joseph A. Stankaitis, MD, MPH since 1997 has been the Chief Medical Officer of the Monroe Plan for Medical Care, an Individual Practice Association (founded in 1970) and healthcare management organization in Rochester, New York and the Chief Medical Officer of its safety-net health plan, YourCare Health Plan in Upstate and Western New York. He oversees all clinically-related activities for these organizations, including its Health and Recovery Plan (HARP) for the Seriously Mentally Ill. He is also the Principle Investigator for Monroe Plan’s SAMHSA Grant, “Addressing Buffalo’s Opioid Epidemic with Medication Assisted Treatment.”
He is a Fellow of the American College of Physicians, Fellow of the American Association for Physician Leadership and Clinical Associate Professor of Family Medicine at the University of Rochester School of Medicine and Dentistry. He is an active reviewer and past Chair of the Review Oversight Committee and current Chair of the Reconsideration Committee for the National Committee for Quality Assurance (NCQA). He is a member of the New York State Department of Health Medicaid Evidence-Based Benefits Review Advisory Committee. He is the President of the American Diabetes Association (ADA) Rochester Volunteer Leadership Board and has served as a member of the ADA’s National Professional Practice Committee (develops national practice guidelines for diabetes care).
Dr. Stankaitis received a bachelor’s degree in biology from Boston College, his MD from the University of Connecticut and completed his residency and chief residency in the Primary Care Program in Internal Medicine at the University of Rochester. As a Kellogg Foundation Fellow at Harvard University, he received a Master’s degree in Health Policy and Management.
In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 3.0 Interprofessional Continuing Education (IPCE) credit for learning and change.
This educational activity is approved for: 3.0 AMA PRA Category 1 CreditTM and ACPE.
This educational activity is approved for 3.0 nursing contact hours.*
The assigned universal program number: JA0004597-0000-22-010-L04-P. Upon successful completion of this program (attending the full session and completing a program evaluation), participants will access CPE Monitor on the ACPE website to locate and track their CPE statement of credit.
This live course grants 2.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.
* Please note – You must attend the entire program to be eligible for total number of contact hours.
NABP Credit Reporting
If you are a pharmacist completing a course offering CPE credits, please notify NCQA through ncqa.org within 14 calendar days that you have completed a CPE course. You must provide the title of the course, your NABP identification number and your DOB (month/date) within the notification to NCQA. We also recommend you update your education.ncqa.org profile with your NABP identification number.
- 3.00 ACPE
- 3.00 AMA PRA Category 1 Credit™
- 3.00 ANCC
- 3.00 IPCE
- 1.00 Participation
- 2.00 PCMH CCE
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