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Practice Consulting

Health Innovation Partners (‘HIP Team’), the practice consulting arm of MAHEC, has been engaged in practice support in Western North Carolina over the past five years. In that time, we have provided over 100 practices with quality and process improvement coaching and forty practices with PCMH transformation and NCQA Recognition support.

We are a team of twenty Quality Consultants (Clinical and Operational), EHR/Data Specialists and Project Managers, who brings over 200 years combined experience.  We have substantial expertise in implementing population health, care management, Care Process Models, PCMH and PCSP, revenue cycle redesign, data analysis and outcome reporting, and Annual Wellness and Group Medical Visits, among many other programs, for small and large individual practices, including residency programs, and across primary care networks.  We pride ourselves in getting to know practices and customizing our approach to their needs.

In this time of great transition in health care, practices need to position themselves for new payment models, incentive programs, and other health care reforms, while focusing on patient centered care. The following list outlines the services offered by the HIP Team to help practices and health systems manage these challenges. 

Meeting ACO and Other Quality Measures for Value-based/Pay for Performance Compensation

  • Expertise in CMS ACO measures
  • Extensive experience with Meaningful Use, PQRS, and upcoming Merit-Based Incentive Payment System (MIPS) and Alternate Payment Model (APM)
  • Data extraction, validation and reporting expertise in more than a dozen EHR’s and Practice Management systems
  • Quality and Operations performance dashboard development and maintenance
  • On-site QI coaching and consultation
  • Strategies and tools for improving performance on clinical quality, utilization and patient experience measures
  • EHR optimization to support effective work flow
  • Data aggregation and integration of multiple data sources
  • Key indicator visualization development

Population Health and Care Management Program Implementation           

  • Panel Management
    • Understanding and right-sizing patient panels
    • Identifying high risk patient populations
    • Population geo-mapping and hot-spotting
  • Implementing a care management program     
    • Work flows, staffing models, training, identifying community resources

Implementation of New Models of Care and Services

  • Care Process Model development and spread across integrated clinical networks, including hospital, primary care, and specialty settings.
  • Team based care models
    • Integrating RN Care Manager, Clinical Pharmacists, Advanced Practice Providers, behavioral health providers, care coordinators, health coaches
  • Chronic Care Management (CCM) workflows
  • Transitions of Care Management (TCM) workflows
  •  Annual Wellness Visits (AWV)
  •  Advanced Care Planning (ACP)
  •  Group Medical Visits (GMV), Shared Visits, eVisits, and telehealth
  • Monitoring of program implementation and outcomes

NCQA PCMH/PCSP Recognition and North Carolina BCBS BQPP Applications

  • NCQA PCMH Certified Content Expert supervises gap analysis and project plan development
  • Policies and procedures
  • Workflow re-design
  • Education
  • Data reporting and EHR optimization to meet PCMH/PCSP standards
  • Application preparation and submission assistance

LEAN Practice Assessments and Operations Consultation

Applying LEAN principles to:

  • Practice and process assessment to identify areas of waste and opportunities for efficiency improvement, for example:
    • Improved access
    • Provider and staff schedule efficiency
  • Strategic planning
  • New service development
  • Space planning
  • Revenue cycle management

Clinical Staff Training, Orientation, and ongoing Competency Assessment

  • Staff training needs assessment
  • On-site training
  • Turnkey training modules
  • Competency checklists                                           

Patient Experience

  • Patient experience data collection and reporting
  • Identify opportunities for improvement
  • Engage staff and patients in developing improvement action plans
    • Patient advisory councils

Useful Media Links

2014 Meaningful Use Final Rule (wmv) by Terri Roberts, MS
2014 Security Risk Analysis in Your Practice (wmv) by Natalie Moore, MHS
2015 PQRS and VBM: How to Turn High Quality into Revenue (mp4) by Terri Roberts, MS