We are honored to be one of the first companies to receive Population Health Program Accreditation, and this accreditation is across our entire population health business,” said Ramesh Gopalan, Global President of HGS Healthcare. “NCQA’s Population Health Program Accreditation program demonstrates a shift in focus from a disease-centered approach of care management to one that considers the needs of the whole person. This is consistent with our approach to helping healthcare organizations better address the wholistic needs of individuals.” Added Mary Jane Konstantin, Senior Vice President and Head of Business for HGS AxisPoint Health, “Early adoption of the changes needed to obtain this accreditation reflect our commitment to bringing innovative technology together with outstanding care management services to achieve the Quadruple Aim of healthcare.”
NCQA Accreditation standards are developed with input from various stakeholders and resources: health plans, population health management industry leaders and organizations, an expert panel and standing committees. NCQA Accreditation standards are intended to help organizations achieve the highest level of performance possible and create an environment of continuous improvement.
The Population Health Program Accreditation is organized into 9 standards:
1. Program Description
The organization describes its population health management program, including its evidence base, and reviews and adopts new findings that are relevant to its program as they become available, as appropriate.
2. Data Integration
The organization collects and integrates data sources to conduct population health management functions.
3. Population Assessment
The organization conducts a population assessment to identify needs and characteristics of the population.
4. Population Segmentation
The organization segments or stratifies the population into actionable categories for intervention.
5. Targeted Interventions
The organization provides targeted interventions based on the individual’s needs.
6. Practitioner Support
The organization involves practitioners by providing them with information.
7. Measurement and Quality Improvement
The organization evaluates the effectiveness of the population health programs.
8. Individuals’ Rights and Responsibilities
The organization communicates the individual’s rights and responsibilities.
9. Delegation of Population Health Management
The organization carefully monitors functions performed by other organizations.
“The Population Health Management programs moves us in greater alignment with the increased focus on person centered population health management,” said Margaret E. O’Kane, President, NCQA. “Not only does it add value to existing quality improvement efforts; it also demonstrates an organization’s highest level of commitment to improving the quality of care that meets people’s needs.”