The Kentucky Primary Care Association (KPCA) Clinical Services Support Program strives to assist members with KPCA member-driven continuous quality improvement in practice, leading to high quality healthcare delivery and successful participation in value-based care programs. Established program support includes in-practice services for meeting Managed Care Organization (MCO) and payer value-based agreement requirements. A 2020 expansion of program services also includes the addition of Clinical Education and Practice Facilitation support. Additional details of program services delivered by this collaborative team:
PRACTICE FACILITATION
- Supports practices to facilitate performance improvement initiatives in healthcare delivery leading to sustainable practice-driven quality improvement infrastructure in practice
- Supports practice member-driven agendas with a focus on KPCA annually selected target quality healthcare measures for complete patient populations
- Support utilizes standardized, accepted quality improvement concepts and principles including gap analysis, best practice guidelines, workflow analysis, rapid change cycles, etc.
- Developing program with goal of 8-10 KCPA IPA Member Practices per PEA to foster long-standing in-practice relationships for quality improvement program infrastructure establishment as desired by practice; Formal PEA –Practice services expectation of minimum 8 hours monthly facilitation service
VALUE-BASED AGREEMENT SUPPORT
- MCO /Payer Value Based Agreement support
- Supports MCO/payer-driven agendas with practice-led engagement of support personnel
- Direct Practice-Selected Support of:
- Payer Value-Based & P4P Program Handbook &
Communications with awareness and education as
selected by practice - Quarterly Review of Current Performance &
Trending according to payer claims data within
participating value-based programs - Direct in-practice support for care gap closure,
manual supplemental data submissions, and risk
adjustment reporting
- Payer Value-Based & P4P Program Handbook &
- Each QI Specialist supports Kentucky geographical coverage area of at least 20 KPCA IPA Practices
CLINICAL EDUCATION
- Supports education and implementation of:
- Best practices for clinical quality and healthcare
topics (disease specific, preventative, population
management, care management/coordination, etc.) - Documentation and coding/billing best practices
for quality measurement and credit.
- Best practices for clinical quality and healthcare
- Supports all KPCA members with membership-driven education
- Support is delivered through continuously updated resources on KPCA hosted platforms, membership webinars, small group roundtable discussions, and on-site /virtual direct support curriculum established by lead educators in coordination with other Clinical Services team members and KPCA members
