Explaining HPA 2021: Population Health Management (PHM)
Day 1: Feb 24, 1:00-2:30pm ET
Day 2: Feb 25, 1:00-2:30pm ET
Explaining HPA Standards for Population Health Management (PHM)
This course provides a focused and thorough examination of the HPA Standards for Population Health Management (PHM). Faculty will equip participants with tips for interpreting the requirements, navigating the standards, and avoiding common misconceptions. Faculty will also facilitate short activities to simulate how to address requirements
Note: Each participant must make an individual registration.
This interactive course is geared towards individuals who are or seek to become actively involved with the NCQA Standards for Health Plan Accreditation (HPA), including:
- 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.
- Explain the intent of the HPA Standards for Population Health Management (PHM).
- Describe relationships across the PHM Elements.
- Identify common pitfalls and misperceptions regarding PHM requirements.
- Apply knowledge of PHM competencies through practical scenarios.
Shelly Smith, RN, MN, CPHQ
Shelly Smith is an NCQA surveyor and recently retired owner and Managing Consultant of Health Value Solutions, LLC, an independent healthcare consulting firm based in Liberty Lake, Washington, She has extensive experience in the development and implementation of health plan quality programs, disease management program development, worksite wellness program implementation and development of provider health care quality measurement and pay for performance programs. Through collaborative communication, Shelly is a proven leader in the successful preparation for health plan NCQA accreditation both as a health plan leader and external consultant and has provided successful consultation and leadership in vendor, employer group and provider environments.
Shelly brings over 30 years' experience in the health care industry having held staff and leadership positions in both the hospital and health plan setting. She started her career as a registered nurse and spent 4 years working with cardiovascular medical, surgical and transplant patients. After completing her Master's degree, Shelly transitioned to Medical Service Corporation and Premera Blue Cross. In these roles she led five successful NCQA Accreditation efforts including commercial, Medicaid and Medicare membership, maximized HEDIS results, developed physician pay-for-performance programs and implemented successful disease management and employer-based wellness programs. She formed Health Value Solutions in 2008 and has worked with numerous health plans and vendors throughout the United States to achieve successful NCQA Accreditation/Certification since that time. Shelly has been a surveyor for the National Committee for Quality Assurance (NCQA) since 1996. She has been faculty for Blue Cross Blue Shield Association NCQA Advanced Accreditation seminars in recent years.
Ms. Smith holds a Masters' Degree in Cardiovascular Physiological Nursing, a Bachelor's Nursing, a Bachelors' degree in Nursing, and a National Certification in Healthcare Quality.
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), the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) 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, ANA CNE, APA, ACPE and ASWB ACE.
The assigned universal program number: JA0004597-0000-21-003-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.
* Please note – You must attend the entire program to be eligible for total number of contact hours.
- 3.00 AAPA
- 3.00 ACPE
- 3.00 AMA PRA Category 1 Credit™
- 3.00 ANCC
- 3.00 APA
- 3.00 ASWB
- 3.00 IPCE
- 1.00 Participation