Learn about healthcare quality improvement and gain insight on how to maximize the opportunities to benefit your healthcare practice. The presenter, Jan Hailey, has had firsthand success in implementing value-based care in organizations and the revenue they received from these efforts was significant.
Highlights:
- How healthcare statistics in the U.S. compares to peer nations
- Goals and priority areas of the CMS National Quality Strategy
- NCQA standards and HEDIS measures
- HOS Surveys and Medicare STAR ratings
- CMS' Quality Payment Program (QPP)
- Understanding measures
- Strategies for earning quality incentives
- Review of terms and acronyms used in healthcare quality
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Jan Hailey
MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
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Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
Participants will gain knowledge of efforts by Medicare and the public sector to improve quality and reduce costs in healthcare and be able to identify resulting opportunities for their healthcare organizations to benefit from available incentives.
No prerequisites required.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.
Comments from past participants:
"Excellent content. It provided information on cross-cutting measures, domains, and how HEDIS data is collected for Healthcare quality improvement."
"Current information - very helpful and informative."
"It provides a good overview of the quality program."
Prod ID: 455