cqc/capg starquest has presentation 5apr11

a simpler way to manage your P4P/CMS 5 Star quality program

wayne pan, mdhealthaccesssolutionsfoster city, california

overview• who are the key players that need to be

involved in this process?

• how can you engage the players in an effective, systematic way?

• how can you measure performance and provide feedback?

• how can you engage patients?

how are you going to coordinate all three stakeholders?

healthplans

need a bidirectional messaging platform

need a cost-effective way to communicate with patients

need a way to consolidate all health plans into one platform

office manager’s view

Senior

doctor

patients

physician’s view

Senior

doctor

patients

doctor patient

how can you affect changein the physician’s office?

payer-provider collaborationis a team sport

patient

patient

front desk staff

analog to digitalconverter

analog to digitalconverter

eligibility check

MARY SMITH

1234567890

1121/1/2011

$5.00$10.00$25.00

how to engage your team in quality improvement efforts?

“put hot triggers in the path of motivated people”

BJ Fogg, PhDDirector, Persuasive Technology LabStanford University

Triggers: Are people being triggered at the most appropriate time and in their workflow (path)? How can I improve the triggers? Conduct usability testing or A versus B comparisons to measure effectiveness.

Ability: Have I made it easy for people to act? How can I make it even simpler? Test prototypes to make sure they are simple enough to fit the user's level of ability. Conduct task performance testing to measure efficiency and identify factors affecting ability.

Motivation: Are people motivated to take action? How can I increase their motivation? Conduct user needs research to understand the reasons people take appropriate action.

Introducing...

ACCESSEXPRESSQ

ACCESSEXPRESSQ

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Powered by Access ExpressQ-v5.0.#.0.1 Build 2011.04.04.00

ACCESSEXPRESSQ New Message (3)New Eligibility Response


BLUE SHIELD OF CA


BLUE SHIELD OF CA

IN T

HE PATH


BLUE SHIELD OF CA

BLUE SHIELD OF CA


BLUE SHIELD OF CA

SMITH, MARY

8/15/1945

1234567890

MAMMOGRAPHY, CRC, CARDIO CARE,DIABETES CARE, HYPERTENSION,

GLAUCOMA, MED MONITOR, FLU VAC,PNEUMO VAC, DEXA, OSTEOPOROSIS,

RHEUM, COPD

BLUE SHIELD OF CA


BLUE SHIELD OF CA

SMITH, MARY

8/15/1945

1234567890



RHEUM, COPD

HOT TRIG

GER

BLUE SHIELD OF CA


BLUE SHIELD OF CA

SMITH, MARY

8/15/1945

1234567890



RHEUM, COPD


BLUE SHIELD OF CA

digital to analog converter module


MOTIV

ATION

Description ofmeasure

Capability forphysician officeentry

Capability forphysician officeentry

ABILIT

Y

Ascender HCC module

how can you affect changein the physician’s office?

engage your team in quality improvement efforts

“put hot triggers in the path of motivated people”

BJ Fogg, PhDDirector, Persuasive Technology LabStanford University

thankyou

cqc/capg starquest has presentation 5apr11

Health & Medicine