Explaining HPA 2022: Network Management (NET)-OnDemand

About this On Demand Training

Cost: $330

Explaining HPA 2022: Network Management (NET)-OnDemand

This OnDemand course is a thorough examination of the Health Plan Accreditation standards for Network Management (NET).

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 Health Plan Accreditation 2022 standard requirements and its contents apply directly to NCQA Accreditation Surveys conducted between July 1, 2022, and June 30, 2023. 

Related Courses

• 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 , please consider taking the course Fundamentals of Health Plan Accreditation (HPA)

Note: Each attendee must register as a unique participant, as required by the NCQA Terms of Use.

Group Training? 
To inquire about group training rates, complete our online form. 

Key Topics 

• Evaluating adequacy of networks. 
• Conducting qualitative and quantitative analyses.  
• Demonstrating timeliness for network decisions. 
• Assessing out-of-network utilization. 
• Measuring effectiveness of interventions.  
• Improving survey readiness and performance.

Benefits and Resources

•  Presentation slides.
•  Recording of live session.
•  Live Q&A.
•  Scenarios for applied learning.
•  NCQA surveyor’s perspective of the standards.
•  ACCME Credits for clinicians.
   

What You Will Learn

• Explain the intent of the HPA NET standards. 
• Define performance issues and target results within the scope of requirements.  
• Describe relationships and themes across NET elements. 
• Discuss requirement implications and considerations for stakeholders. 
• Critique examples and scenarios to enhance application. 

Who Should Attend

• Clinicians, directors, managers, specialists and coordinators. 
• Consultants, contractors, delegates and vendors. 
• Health plans and managed care organizations. 
• Professionals in provider relations. 
• Professionals in population health or public health.
• Professionals in compliance, public policy or risk management. 
• Professionals in quality assurance/improvement or performance measurement. 

Faculty

Frank H. Stelling, M.Ed, MPH

Mr. 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.

Mr. 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.

Before 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.

Continuing Education

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 Credit^TM.

This educational activity is approved for 2.5 nursing contact hours.*

This live course grants 2.5 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): JA0004597-0000-21-023-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 
of credit.

* 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:

Faculty:
Frank H. Stelling: None

Additional Planning Committee Members:
Vincent Pereira: None
 Shelly Smith: None
Joseph Stankaitis: None

This program was developed in part by NCQA staff.

This program received no commercial support.

Event Type

1. Self Paced