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SUMMARY:Explaining HPA 2023: Network Management (NET)
DESCRIPTION:About this Webinar Training\n\nCost: $349\nDates:\nDay One: 
 Wednesday\, September 14\, 2022\; 1-2:30pm ET\nDay Two: 
 Thursday\, September 15\, 2022\; 1-2:30pm ET\nExplaining HPA 
 2023: Network Management (NET)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 webinar leads 
 participants through an end-to-end examination of the Health 
 Plan Accreditation standards for Network Management (NET). 
 Through this webinar\, 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.\nGroup Training?\nTo inquire about group 
 training rates\, complete our online form.\nKey 
 Topics\nEvaluating adequacy of networks.Conducting 
 qualitative and quantitative analyses.Demonstrating 
 timeliness for network decisions.Assessing out-of-network 
 utilization.Measuring effectiveness of 
 interventions.Benefits and 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. \nWhat You Will Learn\n\nAt the conclusion of 
 this event\, learners will be able to:\n Interpret the 
 intent of Health Plan Accreditation requirements for NET 
 Standards. Describe relationships and themes across NET 
 Standards. Recognize requirement implications and 
 considerations for stakeholders. Define performance 
 improvement opportunities.              \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).\n      
                                         
                                         
                                         
                                         
    \nWho 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.\nFrank H. Stelling\, M.Ed\, MPHMr. Stelling is a 
 Senior Consultant with The Mihalik Group. Prior to joining 
 the Mihalik Group\, he was Assistant Director\, Accreditation 
 Policy at NCQA for 14 years. Mr. Stelling oversaw the Policy 
 Clarification Support System (PCS)\, a web-based tool for 
 customers to ask questions of Policy Accreditation staff 
 concerning all NCQA Accreditation and Certification 
 programs. He also directed all education efforts out of the 
 Policy Accreditation unit. In addition\, Mr. Stelling was the 
 lead on all federal and state deeming activities\, including 
 the Medicare Deeming program.\nMr. Stelling is also an NCQA 
 surveyor and has been part of survey teams for the 
 accreditation of Health Plans\, Managed Behavioral Health 
 Organizations. Disease Management Organizations and other 
 organizations for over 17 years. Mr. Stelling has over 40 
 years of experience in health care with focus on Preventive 
 Services\, Disease Management and Quality 
 Improvement.\nBefore joining NCQA\, he held management 
 positions with state and county health departments\, 
 hospitals\, voluntary health organizations and a managed care 
 organization. He holds a Master of Education from the 
 University of South Carolina and a Master of Public Health 
 from the University of California\, Berkeley.\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 UAN 
 JA0004597-0000-22-015-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.  \n* Please note – You must attend the entire 
 program to be eligible for total number of contact 
 hours.\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\nFrank Stelling: None\nAdditional Planning 
 Committee Members:\nVincent Pereira: None\nIrv Koehler: 
 None\nFrank Stelling: None\nClint Koenig: None \nFelicia 
 Khaalid: None \n \nThis program was developed in part by 
 NCQA staff.\n \n
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