Performance Improvement Interventions

The UF CQM performance improvement intervention program is designed for health plan members that are predicted to affect Medicare Advantage and Prescription Drug plans (MAPD and PDP) Star Ratings pertaining to the CMS Patient Safety Measures, HEDIS Measures, as well as other quality measures. This program is intended to complement health plans’ quality initiatives already in place and provide member-specific, clinical interventions with both patients and providers

 Adherence Measure ServicesLake Nona Employees

  • Targeted interventions for members who have been predicted to impact adherence measure ratings
  • Telephonic assessment (both initial and follow-up) with members to identify barriers to adherence
  • Delivery of meaningful, patient-specific interventions designed to overcome barriers and improve adherence
  • Develop a customized health-plan specific toolkit of interventions that plan wishes to offer members

Client-Centered Solutions

  • Prescriber and patient outreach initiatives designed to target a specific plan or quality measure over a set period of time or on an on-going basis
  • Intermediary services providing a connection between patients, pharmacists, providers, and the plan with the goal of optimizing medication therapy
  • Member engagement services to increase MTM participation, including the development of customizable scripting
  • Evaluation of program effectiveness related to changes to drug therapy, cost utilization, and quality improvement

Advantages

  • Customizable allowing plans to have input in program development
  • Short start-up time allowing plans to have a competitive edge
  • Research opportunities, program evaluation, access to an academic institution
  • Quality assurance, continuous quality improvement
  • Highly trained clinical staff with telehealth experience and specialized training in motivational interviewing
  • Convenience of conversing with members in the comfort of their homes