Health Quality Partners

TO IMPROVE THE QUALITY & EXPERIENCE OF HEALTHCARE FOR PATIENTS, THEIR FAMILIES & HEALTHCARE PROVIDERS THROUGH APPLIED RESEARCH AND DESIGN OF NEW SYSTEMS OF ADVANCED PREVENTIVE CARE THAT IMPROVE POPULATION HEALTH OUTCOMES, ENHANCE PATIENT & PROVIDER EXPERIENCES, AND REDUCE HEALTH CARE COSTS.

R&D SYSTEMS OF CARE INTEGRATED ADVANCED PREVENTIVE CARE (APC )DESIGN PILOT- HEALTH QUALITY PARTNERS (HQP) INNOVATED A HIGHLY EFFECTIVE SYSTEM OF CARE TO IMPROVE THE HEALTH OUTCOMES FOR COMMUNITY DWELLING OLDER ADULTS WITH COMPLEX HEALTH AND SOCIAL RISKS - THE ADVANCED PREVENTIVE CARE (APC) MODEL. DURING THE PAST YEAR, HQP IN COLLABORATION WITH A HIGH-PERFORMANCE PRIMARY CARE PRACTICE, WITH EXPERIENCE IN PARTICIPATING IN THE CENTERS FOR MEDICARE & MEDICAID ALTERNATIVE PAYMENT MODELS, HAS UNDERTAKEN A PRAGMATIC APPROACH TO DESIGN AND PILOT THE INTEGRATION OF APC INTO THE PRIMARY CARE PRACTICE SETTING. THE INTEGRATION OF THE APC MODEL AIMS TO TARGET AND PROACTIVELY CARE FOR A SUB-POPULATION OF MEDICARE BENEFICIARIES THAT HAVE HIGH AND EMERGING RISKS THAT CAN BE MITIGATED BY HIGHLY TRAINED NURSES DELIVERING HQP'S APC MODEL. THE PILOT IS HELPING TO DEFINE OPERATIONAL WORKFLOWS AND SPECIFICATIONS FOR IDENTIFYING AND ENGAGING HIGH AND RISING RISK MEDICARE BENEFICIARIES FOR APC, DELINEATING PRACTICE CARE MANAGEMENT (CM) ROLES AND FUNCTIONS, OUTLINING STANDARD WORKFLOWS, AND DEVELOPING STRUCTURED ASSESSMENTS, AND COMMUNICATIONS PROTOCOLS. DURING THE TIME PERIOD, THE PILOT PROVIDED CARE FOR APPROXIMATELY 30 HIGH-RISK PATIENTS. INSIGHTS AND EXPERIENCES WILL CONTINUE ACCRUE AND INFORM THE DESIGN OF THE INTEGRATION OF APC IN THE PRIMARY CARE SETTING. GRANT FUNDED RESEARCH - THROUGH THE SUPPORT OF A GENEROUS GRANT FROM THE PETERSON CENTER ON HEALTHCARE AND IN COLLABORATION WITH THREE EXPERT PARTNERING ORGANIZATIONS (GRANT SUBCONTRACTORS), HQP CONDUCTED MARKET RESEARCH TO DETERMINE THE BEST APPROACH TO SPREAD APC, TO IDENTIFY REPLICATION PARTNERS THAT HAVE A COMMITMENT TO IMPROVE THE HEALTH AND QUALITY OF CARE FOR THEIR VULNERABLE MEDICARE BENEFICIARIES, AND BETTER UNDERSTAND THE BARRIERS AND CHALLENGES POTENTIAL REPLICATION PARTNERS FACE. THE RESEARCH UNCOVERED VALUABLE PERSPECTIVES FROM ACCOUNTABLE CARE ORGANIZATIONS, HEALTH SYSTEMS, POPULATION HEALTH ENABLEMENT COMPANIES, AND PRIVATE FOR-PROFIT HEALTHCARE BUSINESS INNOVATORS. A MODEL TO SUPPORT APC ADOPTION, AS WELL AS CRITICAL INSIGHTS INTO THE COMPLEX, MULTIPLE DIMENSIONS OF INNOVATION ADOPTION DECISION MAKING WERE UNCOVERED THROUGH THIS RESEARCH.

POPULATION HEALTH CONSULTING & ADVISORY SERVICES LEVERAGING MORE THAN 20 YEARS OF EXPERIENCE IN DESIGNING, IMPLEMENTING, MANAGING, EVALUATING, AND IMPROVING DISEASE AND CARE MANAGEMENT SYSTEMS WITH ADVANCED POPULATION HEALTH MANAGEMENT CAPABILITIES, HQP PROVIDED CONSULTING AND ADVISORY SERVICES FOR SEVERAL HEALTH CARE ORGANIZATIONS THIS YEAR. IN PERFORMANCE OF THIS WORK, HQP DEVELOPED SOPHISTICATED MODELS FOR SEVERITY RISK ADJUSTMENT FOR COMPARATIVE PERFORMANCE ANALYSES, VALIDATION METHODOLOGIES TO INDEPENDENTLY EVALUATE THE PREDICTIVE PERFORMANCE OF TARGETED POPULATION HEALTH RISK TOOLS, RISK STRATIFICATION ALGORITHMS FOR TARGETING HIGH AND RISING RISK BENEFICIARIES IN THE FEE FOR SERVICE MEDICARE POPULATION AND DEVELOPING PERFORMANCE METRICS FOR BUILDING HIGH- PERFORMANCE CARE MANAGEMENT SYSTEMS.

REPLICATION SYSTEMS HQP CONTINUES TO SUPPORT ITS HEALTH CARE PARTNERS IN THE ADOPTION AND REPLICATION OF THE APC MODEL. IN THE FISCAL YEAR 2022, HQP'S REPLICATION SYSTEMS CONSULTANCY PROVIDED SUBJECT MATTER EXPERTISE, COACHING, MENTORSHIP, AND TECHNICAL ASSISTANCE TO TWO LARGE PARTNERING ORGANIZATIONS COMMITTED TO IMPLEMENTING APC. IN ADDITION, HQP'S COMPREHENSIVE PURPOSE- BUILT SPERO SOFTWARE PLATFORM WAS SUBSTANTIALLY UPGRADED AND CONTINUOUSLY DEPLOYED TO SUPPORT REPLICATION PARTNERS IN THEIR IMPLEMENTATION AND MANAGEMENT OF APC. IN THE PAST YEAR, MORE THAN 1,300 AT-RISK OLDER ADULTS WERE SERVED THROUGH REPLICATION OF APC. REPLICATION PARTNERS REPORTED HIGH LEVELS OF PARTICIPANT ENGAGEMENT, HIGH SCORES IN PARTICIPANT AND PROVIDER SATISFACTION AND POSITIVE IMPACTS ON HEALTH AND COST OUTCOMES.