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CQC/CAPG StarQuest HAS Presentation 5APR11

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Presentation at the CQC/CAPG StarQuest meeting 5APR11, Long Beach, CA

Presentation at the CQC/CAPG StarQuest meeting 5APR11, Long Beach, CA

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  • 1. a simpler way to manage yourP4P/CMS 5 Star qualityprogramwayne pan, mdhealthaccesssolutionsfoster city, california
  • 2. overview• who are the key players that need to be involved in this process?• how can you engage the players in an effective, systematic way?• how can you measure performance and provide feedback?• how can you engage patients?
  • 3. how are you going to coordinateall three stakeholders? health plans
  • 4. need a bidirectional messagingplatform
  • 5. need a cost-effective way tocommunicate with patients
  • 6. need a way to consolidate allhealth plans into one platform
  • 7. NOT
  • 8. office manager’s view
  • 9. Seniordoctor patients
  • 10. physician’s view
  • 11. Seniordoctor patients
  • 12. doctor patient
  • 13. how can you affect change in the physician’s office?
  • 14. payer-provider collaboration is a team sport
  • 15. patient
  • 16. patient front desk staff
  • 17. analog to digital converter
  • 18. 112 MARY SMITH 1/1/2011 1234567890 $5.00 $10.00 $25.00analog to digital eligibility check converter
  • 19. how to engage your team inquality improvement efforts?
  • 20. “put hot triggers in the path of motivated people” BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  • 21. Triggers: Are people being triggered at the mostappropriate time and in their workflow (path)? How can Iimprove the triggers? Conduct usability testing or A versus Bcomparisons to measure effectiveness.Ability: Have I made it easy for people to act? How can Imake it even simpler? Test prototypes to make sure they aresimple enough to fit the users level of ability. Conduct taskperformance testing to measure efficiency and identify factorsaffecting ability.Motivation: Are people motivated to take action? Howcan I increase their motivation? Conduct user needs researchto understand the reasons people take appropriate action.
  • 22. Introducing... ACCESSEXPRESS
  • 23. ACCESSEXPRESS Click here to register for a password or request more informationPowered by Access ExpressQ-v5.0.#.0.1 Build 2011.04.04.00
  • 24. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 25. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  • 26. ACCESSEXPRESS New Eligibility Response New Message (3) TH PA BLUE SHIELD OF CA E TH IN
  • 27. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  • 28. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  • 29. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  • 30. ACCESSEXPRESS New Eligibility Response New Message (3) SMITH, MARY 8/15/1945 1234567890 MAMMOGRAPHY, CRC, CARDIO CARE, BLUE SHIELD OF CA DIABETES CARE, HYPERTENSION, GLAUCOMA, MED MONITOR, FLU VAC, PNEUMO VAC, DEXA, OSTEOPOROSIS, RHEUM, COPD
  • 31. ACCESSEXPRESS New Eligibility Response New Message (3) ER SMITH, MARY 8/15/1945 G 1234567890 IG MAMMOGRAPHY, CRC, CARDIO CARE, BLUE SHIELD OF CA DIABETES CARE, HYPERTENSION, TR GLAUCOMA, MED MONITOR, FLU VAC, PNEUMO VAC, DEXA, OSTEOPOROSIS, RHEUM, COPD T O H
  • 32. ACCESSEXPRESS New Eligibility Response New Message (3) SMITH, MARY 8/15/1945 1234567890 MAMMOGRAPHY, CRC, CARDIO CARE, BLUE SHIELD OF CA DIABETES CARE, HYPERTENSION, GLAUCOMA, MED MONITOR, FLU VAC, PNEUMO VAC, DEXA, OSTEOPOROSIS, RHEUM, COPD
  • 33. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  • 34. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 35. digital to analog converter module
  • 36. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 37. ACCESSEXPRESS New Eligibility Response New Message (3) N O TI VA TI O M
  • 38. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 39. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 40. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 41. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 42. Description ofmeasure
  • 43. Capability forphysician officeentry
  • 44. Capability forphysician officeentry Y IT IL AB
  • 45. ACCESSEXPRESS New Eligibility Response New Message (3)
  • 46. Ascender HCC module
  • 47. how can you affect change in the physician’s office?
  • 48. engage your team in quality improvement efforts
  • 49. “put hot triggers in the path of motivated people” BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  • 50. ?
  • 51. thankyou