Population Health Management for Health Plan Accreditation

About this Webinar Training

Population Health Management for Health Plan Accreditation

This course navigates customers through the most recent updates and changes to Health Plan Accreditation’s Population Health Management standards. NCQA staff and surveyors provide insights on interpreting requirements and navigating standards, and clarify misconceptions. The presenters will address scenarios, give examples of performance improvement opportunities from prior NCQA surveys and answer questions.

What You Will Learn

Course Topics

·       Population Health Strategy

·       Population Identification

·       Complex Case Management

·       Population Health Management Impact

Learning Objectives

After the course, learners will be able to:

·   Describe updates and changes to the standards and guidelines.

·   Interpret the intent of Health Plan Accreditation requirements.

·   Describe relationships and themes across requirements.

·   Recognize requirement implications and considerations for stakeholders.

·   Define performance improvement opportunities.

Learning Outcomes

After completing this course, learners will be able to:

·   Develop and maintain evidence-based program policies and procedures.

·   Prioritize performance improvement initiatives.

·   Implement reliable and valid practices for population health management.

Who Should Attend

Clinicians, executives, managers, specialists, consultants, delegates, and vendors who are employed by or contract with health plans and have responsibilities related to population health management, including:

·   Accreditation or Compliance

·   Case Management

·   Clinical Social Work

·   Population Health

·   Quality Improvement

Resources Included

• Live Q&A with an expert
• Recording of live presentations
• Knowledge check quizzes
• Presentation slides

Related Materials

Note: Two professionals from each organization that purchased the HPA Readiness Package will have access to this course and to the Fundamentals of Health Plan Accreditation course.

Organizations should seek the appropriate number of licenses for the e-pub. These are also available through the HPA Survey Readiness Package.

Faculty

Clint Koenig, MD, MSPH, MA

Clint Koenig, MD, MA, MSPH is the Senior Medical Director at OhioHealthy, a new system-based health plan in Columbus, Ohio. He has served as State Medical Director in New Hampshire and Ohio. Other leadership roles include the Health Plan Regional Chief Medical Officer at Universal American, a government programs health management organization in Syracuse, New York, as well as, the Director for Utilization Management at Monroe Plan for Medical Care, a healthcare management organization in Rochester, New York. In addition, Clint held Chief Medical Officer roles in Federally Qualified Health Centers and integrated delivery systems.

He has been an NCQA surveyor for 10 years and surveys health plans, Patient Centered Medical Home, Special Needs Plans and Long Term Services and Supports organizations.

Dr. Koenig received his MD from Albany Medical College in Albany, New York. He completed his residency in Family Medicine, from the University of Missouri. He also completed a fellowship at the University of Missouri, where he received a master’s degree in Public Health and Journalism.

Continuing Education

This live course grants 1.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

This is a non AMA PRA Category 1 Credit^TM, ANA CNE, ACPE activity.

* Please note – You must attend the entire program to be eligible for total number of contact hours.

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:

Vince Pereira

Additional Planning Committee Members:

Gerlad Stewart

Kristen Swift

This program was developed in part by NCQA staff.

Event Type

1. Live Online