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Round table: HEDIS record requests - best practices

Event Date: 8/26/2019

Event Overview

Monday, August 26, 2019
1 PM CT – 2 PM CT (60 minutes)
Hosted by: Santa Clara Family Health Plan

This event is hosted on our ReadyTalk platform

 

If you have responsibility for retrieving medical records in support of your health plan's HEDIS goals, join your Alliance peers for this round table discussion, focused on best practices related to these efforts.  Hear from others: what are their processes and strategies for gathering this documentation?  Plus, benefit from a flash case study from Santa Clara Family Health Plan - Pat Smith, a Quality Improvement Nurse on their team shares a perspective on their approach, including lessons learned along the way.  Come ready to share your tips and tricks, and pick up a few from your Alliance colleagues as well!  As a group, we'll explore best practices regarding...

  • Effective provider outreach is important: What tactics have proved successful for health plans?
  • What strategies have made EMR access possible for your plan?
  • When providers are particularly resistant, how have you overcome barriers? Who are your champions?
  • Some plans interact directly with members to collect data related to care gaps - how do you approach this?


Audience

Individuals with responsibility for your health plan's HEDIS goals, care gap closures, care management, quality, and risk adjustment.


Ask your peers a question or share a resource anytime through the Alliance discussion forum

You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so you question is private and secure. When submitting a question, you can select which topics your question is related to. Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.

 


 

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Documents
8/26/2019

Presentation: Round table: HEDIS record requests - best practices
Alliance peers responsible for retrieving medical records in support of health plans' HEDIS goals discuss best practices related to these efforts. Also a flash case study from Santa Clara Family Health Plan - Pat Smith, a Quality Improvement Nurse on their team shares a perspective on their approach, including lessons learned along the way.

8/26/2019

Recording: Round table HEDIS record requests - best practices
Alliance peers responsible for retrieving medical records in support of health plans' HEDIS goals discuss best practices related to these efforts. Also in a flash case study from Santa Clara Family Health Plan - Pat Smith, a Quality Improvement Nurse on their team shares a perspective on their approach, including lessons learned along the way.

Attendees

Below is a list of all delegates registered to date for this event

  • Lisa Alexander
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • Donna Arcieri
  • ALLIANCE MEMBER
  • VP, BPO Operations at Community Health Plan of Washington
  • Amy Atkins
  • ALLIANCE MEMBER
  • Medical Records Specialist II at Community Health Plan of Washington
  • Judith Baillie
  • ALLIANCE MEMBER
  • Clinical Quality Manager at Western Health Advantage
  • Stephanie Belue
  • ALLIANCE MEMBER
  • Director of Quality Assurance & Privacy Officer at Alliant Health Plans
  • Stacie Bleeker
  • ALLIANCE MEMBER
  • Coordinator, Quality, HEDIS at Avera Health Plans
  • Katrina Brent
  • ALLIANCE MEMBER
  • Senior Manager, Quality/Medicare Stars at HealthTeam Advantage
  • Tonia Bridges
  • ALLIANCE MEMBER
  • Manager -Quality Improvement at Cook Children's Health Plan
  • Timika Bryant
  • ALLIANCE MEMBER
  • Supervisor of Record Review at Community Health Plan of Washington
  • Mai Chang
  • ALLIANCE MEMBER
  • Director, Quality and Process Improvement at Santa Clara Family Health Plan
  • Deb Curry
  • ALLIANCE MEMBER
  • Director Risk Adjustment & Recoveries at Paramount Health Care
  • Abby Demlow
  • ALLIANCE MEMBER
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Kim Doss
  • ALLIANCE MEMBER
  • Quality Program Coordinator at Network Health
  • Vivian Dulce
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Sentara Health Plans (Optima)
  • Jan Elion
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Sentara Health Plans (Optima)
  • Zara Ernst
  • ALLIANCE MEMBER
  • Program Manager, Quality and Health Education at Santa Clara Family Health Plan
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Kristy Fast
  • ALLIANCE MEMBER
  • Quality Health Integration Program Coordinator at Network Health
  • Kelly Faust
  • ALLIANCE MEMBER
  • Pharmacist at Geisinger Health Plan
  • Timm Fischetti
  • ALLIANCE MEMBER
  • Quality Improvement Specialist at Baylor Scott & White Health Plan
  • Lisa Garrett
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Sentara Health Plans (Optima)
  • Nancy Grenier
  • ALLIANCE MEMBER
  • Senior Accreditation Specialist at Community Health Options
  • Dave Griffith
  • ALLIANCE MEMBER
  • Manager Pharmacy Operations at Geisinger Health Plan
  • Kaitlyn Hammond
  • ALLIANCE MEMBER
  • Director of Government Programs at Cox HealthPlans
  • Lori Harris
  • ALLIANCE MEMBER
  • Lead Health Risk Coding & Education Specialist at Health Alliance Plan (HAP)
  • Mark Huizenga
  • ALLIANCE MEMBER
  • Director, Performance Measurement & Improvement at Health Alliance Plan (HAP)
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Devon Lor
  • ALLIANCE MEMBER
  • Supervisor, Quality Health Integration at Network Health
  • Shelly Marsh
  • ALLIANCE MEMBER
  • Quality Audit Manager at Physicians Health Plan
  • Ola Martin
  • ALLIANCE MEMBER
  • Senior Management Engineer at Health Alliance Plan (HAP)
  • Shelly McCombs
  • ALLIANCE MEMBER
  • Quality and Accreditation Manager at Health New England
  • Lora Michael
  • ALLIANCE MEMBER
  • case management liaison at Health Alliance Plan (HAP)
  • Tamara Migut
  • ALLIANCE MEMBER
  • Director of Quality Management at Health Alliance Medical Plans
  • Sharon M. Nelson
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Jordan Oakes
  • ALLIANCE MEMBER
  • Health Innovation Manager at Health Alliance Medical Plans
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Analyst at Health Alliance Medical Plans
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Angie Pino
  • ALLIANCE MEMBER
  • Director of Claims Integrity at Community Health Plan of Washington
  • Anna Rasmussen
  • ALLIANCE MEMBER
  • Strategy and Product Lead at Network Health
  • Dean Ratzlaff
  • ALLIANCE MEMBER
  • Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
  • Annie Shieh
  • ALLIANCE MEMBER
  • Sr. Director of Compliance, CA Compliance Officer at Central Health Plan of California
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Jennifer Sprecher
  • ALLIANCE MEMBER
  • HEDIS Reporting Analyst at Quartz Health Solutions
  • Maggie Traastad
  • ALLIANCE MEMBER
  • Manager, Consulting Analytics - Production Support at Quartz Health Solutions
  • Dawn Trevino
  • ALLIANCE MEMBER
  • Manager, Performance Improvement at Presbyterian Health Plan
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Tanya Williams
  • ALLIANCE MEMBER
  • Coding Consultant at Health Alliance Medical Plans
  • Jennifer Williams
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Team Lead, Medicare at Paramount Health Care