NCQA Offers ACO Accreditation Review
For example, ACOs can only be accredited if it has a sufficient number of certain types of providers to serve the population, if it collects and uses data to measure improvement, and if it has a way to protect patient privacy.
Also last November, the NCQA also set forth three levels of accreditation, Level 1 (50 points), Level 2 (70 points plus four "must pass" measures, and Level 3 (all of Level 2, shows improvement and maintains standards for three years).
With the latest announcement this month, the NCQA has identified the specific measures (Healthcare Effectiveness Data Information Set or HEDIS) and other criteria each ACO must meet. For example, practitioners must show that they maintain good blood pressure and cholesterol control for their patients who have cardiovascular disease.
These measures must be demonstrated throughout the provider ACO network, from physician's office to physician's office to clinic to acute care hospital to skilled nursing facility or hospice.
- Senators Hear How Two-Midnight Rule Harms Patients, Hospitals
- 3 Management Lessons from a Supermarket Debacle
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- IOM Identifies GME Problems, Calls for Finance Changes
- Healthcare Costs Start With What We Eat
- Handshaking Spreads Germs. Get Over It.
- Revenue Cycles Get a Boost from Simple JPEG Files
- Hospitals Likely to Outsource ICD-10 at Launch
- Anatomy of 3 Health System Rebranding Efforts