OVERVIEW

Health Plan Accreditation 2024: Quality Management & Improvement (QI) is organized by National Committee for Quality Assurance (NCQA).

Expires: June 30, 2025

Description:
NCQA Health Plan Accreditation (HPA) is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®). This live, multi-day course leads learners through an end-to-end deep dive into the HPA standards for Quality Management & Improvement (QI). Through this course, presenters will provide you with insight to interpret the requirements, navigate the standards, and avoid misconceptions. In addition to answering live questions, the presenters address scenarios and examples based on performance improvement opportunities from prior NCQA surveys. Please note, this course presents information based on HPA 2024 standard requirements that are released in July 2023. The scope of this course applies directly to NCQA Accreditation Surveys conducted between July 1, 2024, and June 30, 2025

Key Topics:

Planning, evaluating and controlling QI interventions.
Incorporating contracted practitioners and providers into QI
Coordinating care across the network.
Measuring effectiveness of QI interventions

Benefits and Resources:

Presentation slides
Recording of live session
Live Q&A
Scenarios for applied learning
NCQA surveyor’s perspective of the standards
IPCE Credits for physicians, nurses, and pharmacists.

What You Will Learn:

Interpret the intent of Health Plan Accreditation requirements for QI Standards.
Describe relationships and themes across QI Standards.
Recognize requirement implications and considerations for stakeholders.
Define performance improvement opportunities.

ACCREDITATION & CREDITS

Continuing Education:
In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 3.0 Interprofessional Continuing Education (IPCE) credit for learning and change.

This educational activity is approved for: 3.0 AMA PRA Category 1 CreditTM, ANA CNE and ACPE.

The assigned universal program number: JA0004597-0000-23-039-H04-P. Upon successful completion of this program (attending the full session and completing a program evaluation), participants will access CPE Monitor on the ACPE website to locate and track their CPE statement of credit.

This live course grants 2.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

NABP Credit Reporting
If you are a pharmacist completing a course offering CPE credits, please notify NCQA through ncqa.org within 14 calendar days that you have completed a CPE course. You must provide the title of the course, your NABP identification number and your DOB (month/date) within the notification to NCQA. We also recommend you update your education.ncqa.org profile with your NABP identification number.

3 AMA PRA Category 1 Credits™

2 CEU

3 IPCE

TARGET AUDIENCE

PhysicianPharmacistCliniciansHealthcare ProfessionalsNursesHealthcare ManagementVendor ManagementCase ManagersSafety & Risk managementPublic Health ProfessionalsConsultantsHealthcare ExecutivesPublic Health Decision Maker