Explaining HPA 2022: Population Health Management (PHM)...
Explaining HPA 2022: Population Health Management (PHM)-OnDemand
This OnDemand course is a thorough examination of the HPA standards for Population Health Management (PHM). Faculty will give participants guidance for interpreting the requirements, navigating the standards and avoiding misconceptions, and will facilitate brief activities that simulate addressing requirements.
This course is appropriate for all professionals with a direct or indirect stake in NCQA Accreditation.
This course presents information based on HPA 2022 standard requirements and its contents apply directly to NCQA Accreditation Surveys conducted between July 1, 2022, and June 30, 2023.
- For content pertaining to Delegation requirements, use “Delegation” to search NCQA courses at www.ncqa.org/education-training/
- For content dedicated to the policies and procedures for Health Plan Accreditation (HPA), please consider taking the course Fundamentals of Health Plan Accreditation (HPA)
To inquire about group training rates, complete our online form.
- Constructing a comprehensive PHM strategy.
- Assessing patient populations.
- Managing complex cases.
- Managing value-based payment arrangements.
- Improving survey readiness and performance.
Benefits and Resources
- Presentation slides.
- Recording of live session.
- Live Q&A.
- Scenarios for applied learning.
- Perspective of former NCQA Policy staff.
- ACCME Credits for clinicians.
- Clinicians, directors, managers, specialists and coordinators.
- Consultants, contractors, delegates and vendors.
- Health plans and managed care organizations.
- Professionals in compliance, risk management or public policy.
- Professionals in population health or public health.
- Professionals in quality assurance/improvement or performance management.
- Explain the intent of the HPA PHM standards.
- Define performance issues and target results within the scope of requirements.
- Describe relationships and themes across the PHM elements.
- Discuss requirement implications and considerations for stakeholders.
- Critique examples and scenarios to enhance application
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 administrative roles where she served for over 15 years as both the Quality Manager and later Director of Quality with Medical Service Corporation and Premera Blue Cross. In these roles she led 5 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 training earlier in her career and served as faculty for NCQA Surveyor Update training, Intro to Accreditation and Advanced Accreditation seminars in recent years.
Ms. Smith holds a Masters’ Degree in Cardiovascular Physiological 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 2.5 Interprofessional Continuing Education (IPCE) credit for learning and change.
This educational activity is approved for: 2.5 AMA PRA Category 1 CreditTM.
This educational activity is approved for 2.5 nursing contact hours.*
This live course grants 2.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts. This course is not considered a required CCE quarterly webinar.
The assigned universal program number(s): JA0004597-0000-21-031-H04-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
* Please note – You must attend the entire program to be eligible for total number of contact hours.
"ATTENTION: Effective February 1, 2022, this on-demand (enduring material) activity no longer offers credits for the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), or the Association of Social Work Boards (ASWB). Only applicable professionals who fully completed this on-demand activity prior to February 1, 2022, are eligible for AAPA, APA, or ASWB credits. No other CEUs are impacted by this change.”
Disclosure of Relevant Financial Relationships
The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.
For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution. For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.
Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.
Relevant financial relationships exist with the following companies/organizations:
Shelly Smith: None
Additional Planning Committee Members:
Vincent Pereira: None
Shelly Smith: None
Clint Koenig: None
This program was developed in part by NCQA staff.
This program received no commercial support.
- 2.50 ACPE
- 2.50 AMA PRA Category 1 Credit™
- 2.50 ANCC
- 2.50 IPCE
- 1.00 Participation
- 2.00 PCMH CCE