CQC/CAPG StarQuest HAS Presentation 5APR11

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

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CQC/CAPG StarQuest HAS Presentation 5APR11

  1. 1. a simpler way to manage yourP4P/CMS 5 Star qualityprogramwayne pan, mdhealthaccesssolutionsfoster city, california
  2. 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. 3. how are you going to coordinateall three stakeholders? health plans
  4. 4. need a bidirectional messagingplatform
  5. 5. need a cost-effective way tocommunicate with patients
  6. 6. need a way to consolidate allhealth plans into one platform
  7. 7. NOT
  8. 8. office manager’s view
  9. 9. Seniordoctor patients
  10. 10. physician’s view
  11. 11. Seniordoctor patients
  12. 12. doctor patient
  13. 13. how can you affect change in the physician’s office?
  14. 14. payer-provider collaboration is a team sport
  15. 15. patient
  16. 16. patient front desk staff
  17. 17. analog to digital converter
  18. 18. 112 MARY SMITH 1/1/2011 1234567890 $5.00 $10.00 $25.00analog to digital eligibility check converter
  19. 19. how to engage your team inquality improvement efforts?
  20. 20. “put hot triggers in the path of motivated people” BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  21. 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. 22. Introducing... ACCESSEXPRESS
  23. 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. 24. ACCESSEXPRESS New Eligibility Response New Message (3)
  25. 25. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  26. 26. ACCESSEXPRESS New Eligibility Response New Message (3) TH PA BLUE SHIELD OF CA E TH IN
  27. 27. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  28. 28. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  29. 29. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  30. 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. 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. 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. 33. ACCESSEXPRESS New Eligibility Response New Message (3) BLUE SHIELD OF CA
  34. 34. ACCESSEXPRESS New Eligibility Response New Message (3)
  35. 35. digital to analog converter module
  36. 36. ACCESSEXPRESS New Eligibility Response New Message (3)
  37. 37. ACCESSEXPRESS New Eligibility Response New Message (3) N O TI VA TI O M
  38. 38. ACCESSEXPRESS New Eligibility Response New Message (3)
  39. 39. ACCESSEXPRESS New Eligibility Response New Message (3)
  40. 40. ACCESSEXPRESS New Eligibility Response New Message (3)
  41. 41. ACCESSEXPRESS New Eligibility Response New Message (3)
  42. 42. Description ofmeasure
  43. 43. Capability forphysician officeentry
  44. 44. Capability forphysician officeentry Y IT IL AB
  45. 45. ACCESSEXPRESS New Eligibility Response New Message (3)
  46. 46. Ascender HCC module
  47. 47. how can you affect change in the physician’s office?
  48. 48. engage your team in quality improvement efforts
  49. 49. “put hot triggers in the path of motivated people” BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  50. 50. ?
  51. 51. thankyou

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