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Tools to address behavioral health and substance abuse disorders

Posted by Kristin Wissler on November 05, 2019

Quality assurance and HEDIS®

AllWays Health Partners’ behavioral health partner Optum provides a quality assurance (QA) toolkit for primary care providers (PCPs). This toolkit was designed to explain the substance use disorders and depression measures of HEDIS® to PCPs and give recommendations for meeting these measures. HEDIS stands for Healthcare Effectiveness Data and Information Set, describing a set of performance measures for both behavioral and physical health conditions. The intent is for purchasers and consumers to use HEDIS to compare and evaluate health plans easily.  Not only that, HEDIS sets a standard for the quality of care that patients should be receiving. The National Committee for Quality Assurance (NCQA) uses HEDIS to evaluate PCPs, health plans, and Managed Behavioral Healthcare Organizations.

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Topics: Behavioral health, Providers, Quality

Questions about your health? Text yes or no.

Posted by Maurice Sahar on September 17, 2019

Have any of your patients recently received a text message AllWays Health Partners? Maybe they’ve gotten a message about a well child visit or about diabetes care. These messages are part of our initiatives to engage patients and make it easy for them to be proactive about their own care. 

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Topics: Health care costs, Quality

Reducing hospital readmissions and unnecessary ED visits

Posted by Ashley Pacheco on September 10, 2019

According to the Agency for Healthcare Research and Quality, $4.4 billion in emergency department (ED) visits could have been managed in physician office, clinic, and urgent care center. The American Council on Science and Health notes that hospital readmissions can double the cost of an episode. Unnecessary emergency department (ED) visits and hospital readmissions are two areas where we can easily see the intersection between lower costs, improved outcomes, and higher patient satisfaction.

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Topics: Health care costs, Quality

Identifying depression in the primary care setting

Posted by Steve Wong on September 05, 2019

Depression is the leading cause of disability in the U.S. for ages 15 to 44.3. The impact of depression on physical health can include chronic pain, increased risk of heart disease, exacerbation of chronic conditions, and insomnia.  

Primary care providers (PCPs) are often the first to recognize the signs of depression. In order to confirm or rule out a diagnosis, PCPs should use the PHQ-9 screening tool. For more information regarding the PHQ-9 and to obtain the screening tool in additional languages, please refer to PHQ screener website.

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Topics: Behavioral health, Health care costs, Providers, Quality

10 quality improvement dos and don'ts

Posted by Stephanie Tyburski on September 03, 2019

The Institute for Healthcare Improvement identified several pitfalls and promising practices drawn from the American healthcare sector's experimentation with quality-improvement methods and performance management:

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Topics: Health care costs, Insider, News, Providers, Quality