The Road Map to NCQA Recognition

"The first and most essential step for my ambulatory health care system [to achieve NCQA PCMH recognition] was to partner with Practice Advancement Strategies. They provided support with input, education, and guidance throughout the process as five of our ambulatory practices followed the Practice Advancement Strategies 'road map' to achieve NCQA PCMH recognition."

  • Practice Redesign
  • Transformation Services
  • Approach

Transformation Services

Patient-centered, team-based care is not just a passing fad or a certificate on the wall. It is a culture that must be established, reinforced, and woven into the fabric of site operations. Ensuring sustainability of the transformation is what makes Practice Advancement Strategies stand out from many competitors. We focus on the specific needs of the practice, group, or system. We work collaboratively with clients to assess their needs and create a fully customized plan to achieve real site transformation.

A culture of patient-centeredness, team-based care, and continuous quality improvement is embedded in the foundation of the practice organization and our approach. Throughout the journey, we challenge the transformation team to consider questions such as, “What implications does this/will this have on the team?” and “How can we best engage and communicate with the team?”

Our work and experience with practice transformation goes well beyond just understanding the standards and how to prepare supporting documents. We also understand the challenges and obstacles, as well as the rewards, associated with true site transformation.

We apply proven approaches to accomplish transformation; improve outcomes; and enhance patient, staff, and provider satisfaction while bending the cost curve. This is accomplished by engaging staff and system leadership.

Assessment and Planning

Practices often begin the transformation journey before fully understanding the current roadblocks and obstacles. This can result in stalled or blocked progress, resistance, and a frustrating environment. We conduct a gap analysis, which identifies both glaring gaps and subtle changes that need to be included in the transformation work plan.

Once the gap analysis is completed, a detailed project plan is developed reflecting the current state of the practice and the work required to achieve transformation.

Site Transformation

We apply Lean Six Sigma concepts and support workflow redesign to ensure a smooth, efficient experience for providers, staff, and patients. We collaborate with health information technology staff to ensure the integration of requirements and “meaningful use” measures into workflow, policies, and procedures.

Technology Adoption

Solid workflow and electronic medical record (EMR) utilization results in accurate, powerful data and reporting. This is crucial for population health management, care management, and care coordination aspects of not only practice redesign, but also healthcare reform.

Quality Improvement

Another important component of practice transformation is ongoing quality improvement. We work with site leaders to identify focus areas, develop quality improvement plans, and implement “Plan-Do-Study-Act” cycles. We will also guide the site in creating effective site and provider-level performance statements that reflect the clinical and patient experience goals.

NCQA Recognition Submission Support

All of these changes support the over-arching goal of achieving the highest level of NCQA PCMH recognition. We help practices understand and navigate the preparation and submission process.

Sustainability Support

The arduous submission process is complete and your site has achieved its goal.

Now the work really begins. Maintaining the focus on newly-established quality improvement activities and detailed processes can be challenging. Transformation takes time and, with limited resources to keep things on track, some practices may find that they slowly revert back to “business as usual.”

We work with sites to maintain the momentum, continue the transformation, and reach the next level of advanced primary care.

Integrating Behavioral Health in Primary Care

Behavioral healthcare integration is defined as care that results from a practice team of primary care and behavioral health clinicians, working together with patients and families. Studies have demonstrated the positive impact of behavioral healthcare integration on efforts to achieve the triple aim. Currently, behavioral health and physical health services are usually delivered by different providers in separate settings, often with little coordination or communication. This fragmentation of care can lead to inappropriate, disjointed, and redundant gaps in care—and increased costs.

The core tenets of primary care transformation align with the goals of behavioral health integration. To that end, we support the operational aspects of integrating primary care and behavioral health. We partner with the HANYS policy and advocacy team to ensure that clients have the most up-to-date information on issues such as licensure and billing.

We adjust our approach to meet the changing needs of the healthcare environment. We support our clients’ long-term sustainability and success, regardless of the model of care transformation.