Case Management Accreditation
Case management is a vital part of the health care delivery system. It’s a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet comprehensive medical, behavioral and social needs of patients and their families while promoting quality, cost-effective outcomes.
NCQA Case Management Accreditation addresses delivery of case management services, not just the organization’s internal processes.
A QUALITY IMPROVEMENT FRAMEWORK
NCQA Case Management Accreditation provides a framework for implementing evidence-based best practices to ensure:
- Efficient and cost-effective case management processes and service delivery:
- Manage patients as they move between care settings.
- Use patient-centered assessment to determine care needs.
- Develop personalized, patient-centered care plans.
- Provide access to qualified case management staff.
- Protect patients’ personal health information.
- Patient monitoring to track care-goal progress.
Improve operational efficiencies
Use evidence-based standards to perform a gap analysis and determine improvement areas:
Elevate your organization’s reputation
Demonstrate the quality of your organization’s programs.
Align goals and approaches
Use accreditation standards to align goals and approaches to case management across payers and providers.
Long-Term Services and Supports Distinction
Long-Term Services and Supports Distinction evaluates NCQA-Accredited case management organizations that coordinate LTSS and want to demonstrate they have the processes to effectively deliver person-centered care.
Health Equity Accreditation Programs
Health Equity Accreditation Programs focus on the foundation of health equity work: building an internal culture that supports the organization’s external health equity work; collecting data that help the organization create and offer language services and provider networks mindful of individuals’ cultural and linguistic needs; identifying opportunities to reduce health inequities and improve care.
Virtual Onsite Renewal Survey
Want to save some time on your renewal survey? NCQA offers a virtual organization renewal survey for some accreditation and certification programs.