Health Outcomes Accreditation

A PATH TO MEASURABLE IMPACT

The upstream, structural and personal factors that drive differences in health outcomes and experiences of care are complex and multifaceted—and they often require data, investments and partnerships broader than the healthcare system. Meaningfully addressing how non-clinical factors impact health is not a “check-the-box” series of activities or a one-time initiative; it requires sustained organizational commitment to continuous improvement that may involve structural changes and new external partnerships, processes or investments.

NCQA Health Outcomes Accreditation helps organizations take a data-driven approach to understanding their populations and improving care. The program focuses on identifying and addressing gaps and disparities in clinical quality, access, and patient experience.

Health Outcomes Accreditation enables organizations to translate insights into action—ensuring that all patients have equitable access to high-quality care.

Data-Driven Framework to Advance High-Quality Care

NCQA’s Health Outcomes Accreditation program helps organizations gain a more nuanced, data-driven understanding of their population’s unique health needs and experiences. Through standardized data collection, measurement and continuous quality improvement processes, Accredited organizations demonstrate:

• An understanding of their population and its unique or specific needs.
• The ability to identify differences in health outcomes, experience or access, and act to address barriers that drive them.
• A commitment to continuous monitoring of progress using measures tailored to their unique population or setting.

Benefits for Accredited Organizations

• NCQA Accreditation is the gold standard for continuously improving quality of and access to care.
• Promotes data-driven methods for identifying and addressing gaps in care, improving patient experience and tracking intervention effectiveness.
• Broad, nationwide adoption helps state partners, contracting partners and business units/markets align around common goals and priorities.
• Offers external accountability for improving health outcomes and sustaining long-term investments in public health, population health, health equity or community engagement.
• Offers a balance of standardized methods and the ability to tailor measures and interventions for a population or setting’s unique needs.