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Accreditation
Several accreditation options are available to health care organizations. Managed care organizations can select from NCQA, URAC, or AAAHC. These accreditation standards seek to ensure customers receive quality care and service. Quality improvement requirements incorporate the use of standard measures of performance such as HEDIS and CAPHS.
Since 1994 we have facilitated over 70 organizations to achieve successful accreditation and improve their HEDIS/CAPHS scores, ultimately improving service to customers. We also translate accreditation and regulatory compliance requirements into business processes and integrate them into the organization in order to avoid layers of processes and redundancy. Our accreditation services include as needed:
Providing information to assist with the selection of right accreditation body for your organization
Conducting an organization assessment of the current state of compliance and facilitating the developing of a specific implementation plan
Program development, including developing job descriptions
Facilitating and or developing a process design for new processes
Facilitating a process redesign
Onsite training and coaching on any or all of the standards
Consultant review of proposed processes, documents, etc to determine compliance with the standards
Facilitating the design, implementation and writing of quality improvement initiatives
Survey preparation
Other examples of accreditation related activities include:
Assisting and MCO to transition from one accreditation body to another
Providing regular updates on NCQA and HEDIS changes and implications for the organization
Designing core processes to implement HEDIS and CAPHS
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Our process results in a stronger infrastructure, enhanced employee skills, and improved customer satisfaction. For more information, click on the applicable link below: