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New Three-Year Accreditation is Highest Rating Agency Offers
The National Committee for Quality Assurance (NCQA) awarded its three-year Population Health Program (PHP) Accreditation to Accordant’s rare disease care management programs. The NCQA PHP accreditation, which is new and leading edge, evaluates Accordant’s application of population health principles to standardize care, become more efficient, and manage complex needs better. A three-year accreditation is the highest accreditation status that NCQA offers and reflects a higher score than the two-year status and superior level of compliance with all the requirements.
|The three-year accreditation from NCQA recognizes Accordant’s commitment to serve members with complex and rare conditions.|
We asked Andrew Krueger, M.D., Senior Medical Director, Accordant, about the accreditation, why this recognition and others matter, and how they fit into Accordant’s ongoing commitment to quality.
Accordant has received many accreditations through the years. Why is the three-year NCQA accreditation for Population Health Program such a significant accomplishment for Accordant?
This most recent recognition continues to reflect the Accordant commitment to serve plan members with complex and rare conditions, such as chronic kidney disease and hereditary angioedema. The full three-year accreditation is important because it demonstrates that our program design meets and/or exceeds all of the required characteristics to address individual member needs. This includes needs in the area of social determinants of health (SDOH), collaborating on goals of care with the member, addressing comorbidities, supporting caregivers, and providing language-specific education, while incorporating analysis of data on population outcomes to properly segment our outreaches. This accreditation is an affirmation of our commitment to excellence while keeping our program consistent with best practices and supporting our staff with training of clinical and motivational skills to positively impact member lives and clinical care outcomes. It demonstrates our continuous commitment to quality and performance in our programs that our clients have come to expect from us.
|Accordant has a long history of including progressive strategies to address social determinants of health and meet members where they are.|
How is population health an integral part of clinical management? How is Accordant working to address the overarching issues within the health care industry such as social determinants and health disparities?
Accordant has a long history of including progressive strategies to address SDOH and meet members where they are. For example, we have incorporated human behavioral change science and motivational interviewing skills into staff training, as well as into the style of questions we ask of members and the style of writing in our member educational materials. In addition, we assess for levels of health literacy in our multilingual staff and incorporate health literacy and reading grade level into all member educational materials. From the beginning of Accordant we have included a resource specialist to our internal care team to assist our nurses to find community resources that can solve for the cost of care, provide transportation support, implement home adaptations for safety, find food pantries, and locate grants to pay for utilities when necessary.
What is the cornerstone of Accordant’s commitment to delivering excellence? How does that fit together with the accreditation?
We embrace a number of critical elements that create clinical and operational excellence. These make up our “pillars.” Culture, clinical expertise, and professional development are three of our seven pillars. During the past two years we have supercharged activities that drive mutually defined best culture, demand clinical excellence from all, and emphasize professional development as a growth and execution pathway. It is a reflection of our ongoing focus on delivering excellence in all aspects of member care and doing so by helping our employees be the best that they can be in their professional roles. Pursuing and attaining third-party accreditations from independent organizations that set stringent standards is part of how CVS Health demonstrates our commitment to quality.
Why is the focus on the Pillars of Excellence important to you?
I believe that our employees come to work wanting to do their best, feel good about the job they do, serve others, and grow professionally. It is our responsibility to them to create and foster an environment where those things can happen. Each employee is given an opportunity to shine. When we share and grow collectively as colleagues, we take pride in what we do and accomplish, and we desire to serve others then we can achieve almost anything.
Accordant has extensive policies and procedures in place to ensure the appropriate handling of data. Employees with access to data are trained regarding the appropriate way to handle that data, which may include member PHI.
CVS Health uses and shares data as allowed by applicable law, and by our agreements and our information firewall.
Image source: Licensed from Getty Images, 2020.