For more information, please visit The John A. *The SCAN Foundation is dedicated to creating a society in which seniors receive medical treatment and human services that are integrated in the setting most appropriate to their needs. Hartford Foundation and The SCAN Foundation’s invaluable support for this important work and urge all stakeholders to work together to advance this priority. We are proud to contribute to this important effort. NCQA fully agrees that urgent action is needed to better understand and support, people with complex needs in ways that improve their quality of life and experience of care, and to spread the implementation of successful models. Hartford Foundation and The SCAN Foundation, and working with a group of pioneering organizations, we are testing different approaches to collecting “person-centered” outcome measures at the point of care measures that are individualized to the unique values and preferences of the person but standardized to allow quality improvement, monitoring and accountability. While we expect that these accreditation and distinction programs will accelerate the implementation of person-centered approaches to care, we are also developing quality measures that capture the system’s ability to help people achieve the outcomes they identify as most important. Person-Centered Outcome Measures Needed to Accelerate Transformation The Accreditation of Case Management for Long-Term Services and Supports for community-based organizations that coordinate long-term services and supports, and our Long-Term Services and Supports Distinction for NCQA-accredited health plans and managed behavioral health plans, lay out standards for providing person-centered assessment and care planning to ensure that peoples’ unique goals, and not just their list of clinical conditions, drives their care. Hartford Foundation*, NCQA has just released three new evaluation programs for organizations that serve people with complex needs, specifically, those who require long-term services and supports for assistance with activities of daily living, such as eating, bathing, dressing and toileting. With the support of The SCAN Foundation and the John A. Person-Centered Care Focuses on What is Most Important to the Person Receiving Care And, although such an approach may be most salient to people whose complex needs are poorly addressed by single-disease focused guidelines, we think a person-centered approach to care, that reflects individual values, goals and preferences, is good for everyone. Consequently, we need an approach to health care that focuses on what is most important to people. Few guidelines address the interplay of multiple chronic conditions and functional impairment, and none account for the unique values, goals and preferences that individuals hold. Evidence-based clinical guidelines have laid the foundations for our widely used measures and programs however, they are insufficient for people with complex needs. Single-Disease Focused Guidelines Don’t Work for People with Complex Needsįor 25 years, NCQA has been a leader in driving improvement in health care quality. Person-centered outcome measures are needed to accelerate transformation.Person-centered care focuses on what is most important to the person receiving care and.Single-disease focused guidelines don’t work for people with complex needs.Driving these efforts is our belief that we need to go beyond traditional clinical evidence and should focus on person-centered outcomes. We are simultaneously developing quality measures especially relevant to this population, that focus on what matters most to people. Our recent release of accreditation programs designed to ensure that organizations can demonstrate the structural capabilities to provider person-centered coordination of long-term services and supports are among our first steps to promote this transformation. We agree that understanding diversity, identifying programs that offer high quality and lower cost and speeding implementation are critical next steps.Īt NCQA we are working hard to transform health care for people with complex needs. identified improving care for high-need, high-cost patients as an urgent priority. In the JNew England Journal of Medicine, Blumenthal et. Advertising and Marketing Your NCQA StatusĢ5 Years Of Quality New England Journal of Medicine: It’s Time to Transform Care for People with Complex Needs.Virtual Seminars, Webinars and On-demand Training.Health Information Technology Prevalidation Programs.Population Health Program Accreditation.Managed Behavioral Healthcare Organization (MBHO).Credentials Verification Organization (CVO).Patient-Centered Specialty Practice (PCSP).
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