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SUMMARY:Explaining HPA 2023: Credentialing (CR)
DESCRIPTION:About this Webinar Training\n\nCost: $349\nDates:\nDay One: 
 Tuesday\, September 27\, 2022\; 1-2:30pm ET\nDay Two: 
 Wednesday\, September 28\, 2022\; 1-2:30pm ET\nExplaining 
 Health Plan Accreditation 2023: Credentialing (CR)NCQA 
 Health Plan Accreditation is the only program in the 
 industry that bases results on clinical performance and 
 consumer experience (HEDIS® and CAHPS®).\nThis live\, 
 multi-day course leads participants through an end-to-end 
 examination of the Health Plan Accreditation standards for 
 Credentialing (CR). 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.\nPlease 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.\nGroup 
 Training?\nTo inquire about group training rates\, 
 complete our online form.\nKey Topics\nSystem Controls 
 for Credentialing.Credentialing Committee and 
 Oversight.Verification of Credentials.Ongoing Monitoring and 
 Interventions.Assessment of Organizational Providers.Course 
 Resources\nPresentation 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.What You Will Learn\n\nAt 
 the conclusion of this course\, learners will be able 
 to:\nInterpret the intent of Health Plan Accreditation 
 requirements for CR Standards.Describe relationships and 
 themes across CR 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:\nIncreased productivity in 
 prioritizing and planning interventions.Improved practices 
 in monitoring issues and risks.Enhanced coordination in 
 cross-functional efforts.Refined tactics in monitoring 
 performance. \nHEDIS® is a registered trademark of the 
 National Committee for Quality Assurance (NCQA).\nCAHPS® is 
 a registered trademark of the Agency for Healthcare Research 
 and Quality (AHRQ).Who Should Attend\n\nClinicians\, 
 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:\nCase Management.Compliance or Risk 
 Management.Population Health Management of Public 
 Health.Quality Assurance/Improvement or Performance 
 Management.Contracts Management.Health Information 
 Systems.Faculty\n\nIrv Koehler\, RN\, MBA\, CPHQ\, CPCIrv 
 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.  \nMr. 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.\nMr. 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.\nVeronica Locke\, MHSAVeronica Locke\, MHSA is a 
 process consultant with the Health Care Service 
 Corporation (HCSC) in Dallas\, Texas. Prior to joining HCSC\, 
 Veronica was a consultant for The Mihalik Group\, providing 
 healthcare-related consulting services.  Her areas of 
 expertise include quality assessment and improvement\; 
 credentialing\; delegation\; disease 
 management accreditation/certification\; population health 
 management\; multicultural health care. \nVeronica is the 
 former Senior Manager of Accreditation Policy for the 
 National Committee for Quality Assurance. She was actively 
 involved in the development and maintenance of the standards 
 and guidelines of NCQA's Accreditation and Certification 
 programs\, specifically Health Plan\, Disease Management and 
 Multicultural Health Care Distinction programs. As a member 
 of the Policy team\, one of her major responsibilities was to 
 serve as a content champion when providing policy 
 clarifications and trainings internally and 
 externally. \nShe received her Bachelor of Science Degree 
 in Public Health from the University of Maryland\, College 
 Park and her Master of Health Systems Administration Degree 
 from Georgetown University in Washington\, DC.\nContinuing 
 Education\n\n\nIn 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. \nThis activity was 
 planned by and for the healthcare team\, and learners will 
 receive 3.0 Interprofessional Continuing Education (IPCE) 
 credit for learning and change. \nThis educational activity 
 is approved for: 3.0 AMA PRA Category 1 CreditTM and 
 ACPE.\nThis educational activity is approved for 3.0 nursing 
 contact hours.*\nThe assigned universal program number: 
 JA0004597-0000-22-008-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.\nThis live course grants 2.0 Continuing Education 
 Unit (CEU) points for PCMH Certified Content 
 Experts.  \nNABP 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.  \nDisclosure of Relevant 
 Financial RelationshipsThe 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.\nFor 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.\nDisclosure 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.\nRelevant financial relationships exist with 
 the following companies/organizations:\nFaculty:\nIrv 
 Koehler: None\nVeronica Locke: None \nAdditional Planning 
 Committee Members:\nVincent Pereira: None\nIrv Koehler: 
 None\nVeronica Locke: None \nFelicia Khaalid: None \nThis 
 program was developed in part by NCQA staff.\n
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